scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2020 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2020 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2020 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction ◽  
Room Service

Abstract Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. However, little is known about the birth experiences of partners in Ethiopia, particularly in the study area. Therefore, this study was conducted to evaluate and compare the birth satisfaction of mothers and partners and its determinant factors in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.00,0.09)], waiting time [OR = 0.11 , 95%CI (0.00, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.00,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.00, 95%CI (0.00,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.00, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This study indicated that overall level of satisfaction of mothers and their partners is very low compared to other similar hospitals in the country and mothers were more satisfied than partners’ by delivery room service.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction ◽  
Room Service

Abstract Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. However, little is known about the birth experiences of partners in Ethiopia, particularly in the study area. Therefore, this study was conducted to evaluate and compare the birth satisfaction of mothers and partners and its determinant factors in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.00,0.09)], waiting time [OR = 0.11 , 95%CI (0.00, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.00,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.00, 95%CI (0.00,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.00, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This study indicated that overall level of satisfaction of mothers and their partners is very low compared to other similar hospitals in the country and mothers were more satisfied than partners’ by delivery room service.

scholarly journals Maternal and partner’s level of satisfaction of the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Local Health ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction

Abstract Background Asking patients/clients what they perceive about the care and treatment they have received is an important step towards improving the quality of care, and ensure local health services are meeting patients’ needs. In the past globally, maternal satisfaction during the birthing process has been well documented, whereas little is known about the partners’ birth experiences. This study was conducted to evaluate and compare the birth satisfaction of mothers and partners who took intrapartum care in the study area. Methods Comparative cross-sectional study design was conducted from Dec 2018 to January 2019 in Gondar university referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the parents’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was used to identify predicting factors for mothers’ and partners satisfaction. Results The overall satisfactions of mothers in this study were 47.6% whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.020). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73)], perception [OR =0.02, 95%CI (0.003,0.09)], waiting time [OR = 0.111, 95%CI (0.003, 0.091)],visiting mode [OR = 0.012, 95%CI (0.001,0.083)], pregnancy status [OR = 0.04, 95%CI (0.01, 0.33)], fatal outcome [OR=0.001, 95%CI (0.000,0.008)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.00, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife/client [OR = 0.08, 95%CI (0.019, 0.354)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.611, 95%CI (3.001, 37.52)], mode of delivery of his wife/client [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion This finding would alert the health care system to design a client-friendly approach and provide insights to hospital administrators in formulating a policy that would enhance the support of first-time father give to their partner/wife during labor and delivery.

scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.

scholarly journals Responsiveness of health care services towards the elderly in Tanzania: Does health insurance make a difference? A cross-sectional study

2020 ◽  
Author(s):  
Paul Joseph Amani ◽  
Malale Tungu ◽  
Anna-Karin Hurtig ◽  
Angwara Denis Kiwara ◽  
Gasto Frumence ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Waiting Time ◽  
Inpatient Care ◽  
Health Care Services ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services

Abstract BackgroundResponsiveness has become an important health system performance indicator in evaluating the ability of health care systems to meet patients’ expectations. However, its measurement in sub-Saharan Africa remains scarce. This study aimed to assess the responsiveness of the health care services among the insured and non-insured elderly in Tanzania and to explore the association of health insurance (HI) with responsiveness in this population. MethodsA community-based cross-sectional study was conducted in 2017 where a pre-tested household survey, administered to the elderly (60 + years) living in Igunga and Nzega districts, was applied. Participants with and without health insurance who attended outpatient and inpatient health care services in the past three and 12 months were selected. Responsiveness was measured based on the short version of the World Health Organization (WHO) multi-country responsiveness survey study, which included the dimensions of quality of basic amenities, choice, confidentiality, autonomy, communication and prompt attention. Quantile regression was used to assess the specific association of the responsiveness index with health insurance adjusted for sociodemographic factors.ResultsA total of 1453 and 744 elderly, of whom 50.1% and 63% had health insurance, used outpatient and inpatient health services, respectively. All domains were rated relatively highly but the uninsured elderly reported better responsiveness in all domains of outpatient and inpatient care. Waiting time was the dimension that performed worst. Possession of health insurance was negatively associated with responsiveness in outpatient (−1; 95% CI: −1.45, −0.45) and inpatient (−2; 95% CI: −2.69, −1.30) care. Conclusion The uninsured elderly reported better responsiveness than the insured elderly in both outpatient and inpatient care. Special attention should be paid to those dimensions, like waiting time, which ranked poorly. Further research is necessary to reveal the reasons for the lower responsiveness noted among insured elderly. A continuous monitoring of health care system responsiveness is recommended.

scholarly journals Responsiveness of health care services towards the elderly in Tanzania: Does health insurance make a difference? A cross-sectional study

2020 ◽  
Author(s):  
Paul Joseph Amani ◽  
Malale Tungu ◽  
Anna-Karin Hurtig ◽  
Angwara Denis Kiwara ◽  
Gasto Frumence ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Waiting Time ◽  
Inpatient Care ◽  
Health Care Services ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services

Abstract Introduction Responsiveness has become an important health systems performance indicator in evaluating the ability of the health care systems to meet the expectations of the patients. However, its measurement in sub-Saharan Africa remains scarce. This study aimed to assess the responsiveness of the health care services among the insured and non-insured elderly in Tanzania, in order to contribute with relevant knowledge to improve the performance of the health care system among the elderly in the country. Methods A community-based cross-sectional study was conducted in 2017 where a pre-tested household survey administered to elderly (60 +) living in Igunga and Nzega districts was applied. Participants with and without health insurance who attended outpatient and inpatient health care services in the past three and twelve months were selected. Responsiveness was measured based on the WHO-SAGE questionnaire that included the dimensions of quality of basic amenities, choice, confidentiality, autonomy, communication and prompt attention. Quantile regression was used to assess the specific association of the responsiveness index with health insurance and socio-demographic factors.Results A total of 1453 and 744 elderly, of whom 50.1% and 63% had health insurance, used the outpatient and inpatient health services respectively. All the different domains were rated relatively high but the uninsured elderly reported better responsiveness in all domains of outpatient and inpatient care. Waiting time was the dimension that performed worst. Possession of health insurance was negatively associated with responsiveness in outpatient (-1; 95% CI: -1.45, -0.45) and inpatient (-2; 95% CI: -2.69, -1.30) care. Conclusion The uninsured elderly reported better responsiveness than the insured elderly in both outpatient and inpatient care. Special attention should be paid to those dimensions, like waiting time, which ranked low. Further research is necessary to reveal the reasons for the lower responsiveness among insured elderly. A continuous monitoring of the health care system responsiveness is recommended.

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