Health system responsiveness and its associated factors among patients with mental illness receiving outpatient care in public hospitals, Addis Ababa, Ethiopia, 2025: a facility-based cross-sectional study

Responsiveness of outpatient mental health services was suboptimal. Health insurance coverage, shorter waiting times, consistent availability of prescribed medications, and provider self-introduction during consultations were statistically significant factors associated with good responsiveness. To improve responsiveness, efforts should focus on expanding health insurance coverage, minimizing patient waiting times, ensuring reliable medication availability, and encouraging respectful provider introductions.