Assessing efficient cold chain management practices in the health sector and its impact on service delivery in ghana: a study of komfo anokye teaching hospital, kumasi docx



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ColdChain
2.2.5.3 Responsiveness
Responsiveness is how well the health system meets the population's legitimate expectations for the non-health enhancing aspects of the health system (Darby et al., 2003). According to
WHO, responsiveness in the health system is important because it improves the health systems performance and addresses reasonable patient expectations. Policymakers and health administrators must pay close attention to responsiveness as it is one of the most critical aspects of any healthcare system (Baharvand, 2019). Although responsiveness is
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often discussed under patient satisfaction and quality of care concerned inmost scholarly works, it is a separate concept that refers to how patients are handled and the environment in which they get care (Mohammed et al., 2013). Previous studies (WHO, 2000; Carrin and
James, 2005; Mohammed et al., 2013) identified that a responsive health insurance plan assures people to access healthcare in a client-oriented and nondiscriminatory manner. WHO) proposed a set of domains relevant in determining responsiveness, including respect for dignity of persons, prompt attention, communication, autonomy, choice of healthcare provider, quality of facilities and care, confidentiality, and access to social support networks.
The first feature of human behaviour is respect for the patient’s dignity. This notion stresses gaining the patient’s trust and portraying excellent manners with them (Ugurluoglu and Celik,
2006). Another part of responsiveness is respecting an individual’s autonomy, independence,
and competence to make decisions about their health (Ugurluoglu and Celik, Communication is another vital part of responsiveness. A patient’s needs are considered, and the practitioner takes the time to explain things clearly. If a patient does not understand something, they have the opportunity to ask questions throughout their visit (WHO, Valentine et al., 2003; Mohammed et al., 2013). The confidentiality of who has access to the patient’s personal information is another issue. Patients anticipate that, in addition to keeping them healthy, the health system would treat them with dignity, help them make decisions about their care and treatment, and keep their information secret (De Silva, 2002;
Mohammadi and Kamali, 2015). Patients can also choose their healthcare provider (location or person) and seek a second opinion or visit with a specialist if necessary (Mohammed et al.,
2013). Mohammed et al. (2013), in explaining the prompt attention domain of responsiveness, stated that patients should benefit from shorter travel or waiting times and easier access to healthcare facilities. Also, while patients obtain access to healthcare facilities,
facilities must be decent and convenient for patients. Baharvand (2019) asserted that patients
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in developed countries are most satisfied with the health system because they are informed about their care and treatment options. In contrast, most patients let their caregivers decide on their care and treatment in developing nations rather than taking part in it.

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