Describes basics of health care responsiveness

1. Responsiveness in Health
care
Dr A.A.D.C.Dias
MSc, MD
Medical Administrator

2. What is Responsiveness
• System's ability to respond to the legitimate
expectations of potential users about non health
enhancing aspects of care (Murray and Frenk 2000)
• Perceived responsiveness is a interaction of political,
social, economical contexts of the health care system.

3. Importance of Responsiveness

4. Domains of Health Care Responsiveness
• Respect for the dignity of persons.
• Confidentiality.
• Autonomy
• Prompt attention.
• Basic amnesties.
• Communication.
• Access to social support networks.
• Choice of health care providers.

5. ,
Responsiveness
Autonomy
Confidentia
lity
Dignity
Choice of
health care
providers
Prompt
Attention
Social
support
Communic
ation
Basic
amnesties

6. Respect for the dignity of persons
All human beings are born free and equal in dignity and rights
• Support people with the same respect you would want for
yourself or a member of your family
• Listen and support people to express their needs and wants
• Respect people’s privacy
• Ensure people feel able to complain without fear of
retribution
• Engage with family members and carers as care partners
• Assist people to maintain confidence and a positive self
esteem

7. Confidentiality
• keep a patient’s medical information private and confidential
• Prevent unauthorized access to patient’s information

8. Autonomy
• Ability to participate in health-related decisions.
• Need to be fully informed of the risks and purposes of the medical
intervention.
• Require to provide meaningful consent to medical procedures.
• Patient must be competent to make these decisions.
• Patients with lack competency (e.g., persons with significant mental
or intellectual disabilities) are entitled to the assistance of others
(e.g., parents, caregivers)

9. Prompt attention
• Ensure the accessibility to health care ( physical accessibility and non
discrimination)
• Minimum waiting time
• Providing of emergency care quickly

10. Basic amnesties
• Hygienic sanitary facilities
• Clear and simple directional signs
• Clean environment with adequate ventilation, space, seating
• Availability of healthy food and safe drinking water
• Dining facilities
•

11. Communication
• A Prerequisite for the quality of health care.
• Clear communication between patient and health workers is
necessary.
• Good communication is essential to maintain the continuity of care.
•

12. Access to social support networks
• Facilitate the visiting of family members, relatives.
• Allow religious practices.
•

13. Choice of health care providers
• A patient can choice his/her care provider (Doctor )
• A patient can change his/her care provider when necessary.

14. Relationship between the Responsiveness
and Human Rights.
• Responsiveness is a component of Right to Health.
• Human rights principles support to increase the health outcome.
• Human rights provide a universally endorsed legal basis for
responsiveness, demanding accountability among governmental and
other actors.