Four key features illustrate the uniqueness of Taiwanese perspectives: the idea of autonomy may not be conceptualized, prompt attention and choice of providers are on the same track, social support during care is trivially correlated to the total responsiveness score, and accountability of health providers is deemed essential to a health system.Īpart from the inherent goal of health promotion for the population, a responsive health system should commit itself to meet the psychological need of the people it serves and to undertake an examination of what people care about when they interact with the health system. When the performance of a health system is to be evaluated, elements of responsiveness proposed by WHO may have to be tailored to fit different cultural backgrounds. The focus group interviews revealed health providers' communication ability and medical ethics were also highly appraised by Taiwanese. These five factors demonstrated acceptable internal consistency and four of them (except social support) were significantly correlated with the total responsiveness score. Principal component analysis produced five factors (respect, access, confidentiality, basic amenities, and social support) that explained 63.5% of the total variances. A qualitative content analysis was also carried out in focus group research. Linear regression analysis was used to assess the relationship between the total score and the extracted factors. We used principal component analysis to extract factors. The translated WHO proposed questionnaire was sent to 205 nominated key informants by mail, and 132 (64.4%) were returned. MethodsĪ key informant survey and focus group research were used in this study. This study assessed whether seven dimensions proposed by the World Health Organization (WHO) to measure responsiveness (dignity, autonomy, confidentiality, prompt attention, social support, basic amenities, and choices of providers) are applicable in evaluating the health system of Taiwan. Responsiveness is an indicator used to measure how well a health system performs relative to non-health aspects.
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