Assessment of the Responsiveness of the Healthcare System on the Example of the City of Aktobe

2026

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DOI 10.4103/wkmj.wkmj_39_26
Data confidence 70 medium
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Abstract

Background: Responsiveness is a key indicator of healthcare system performance, reflecting how well nonmedical expectations of patients are met. This study evaluates the responsiveness of the healthcare system in Aktobe, focusing on patient experiences across key domains such as dignity, autonomy, and social support. Materials and Methods: A survey was conducted among 385 patients from three city polyclinics using a validated questionnaire assessing seven responsiveness domains. Statistical analysis was performed to identify gender, age, and socio-economic influences on responsiveness ratings. Results: The average responsiveness score was 6.94, with “Dignity” receiving the highest score (7.6) and “Choice of medical organizations/services” the lowest (6.52). Significant gender differences were observed, with men rating “Dignity” higher ( P = 0.015). Age correlated inversely with autonomy and access to social support networks ( P < 0.05). Unemployed respondents rated responsiveness domains lower than other occupational groups. Conclusion: While the overall responsiveness of healthcare in Aktobe was rated positively, areas for improvement include reducing waiting times, increasing awareness about provider choice, and enhancing social support. These findings highlight the need for targeted interventions to enhance healthcare responsiveness and equity.