Responsive governments need to be aware that one source of increasing public demand is a rights-based approach to the implementation of public services. When a government is deemed unresponsive to people's needs, trust in the government decreases and can even threaten political and social stability. One of the public services is health services. Health services are very important in assessing the performance of local governments.

Gorontalo Province is still a new province, a division of North Sulawesi Province. The economic growth rate of Gorontalo province is 6.74% while North Sulawesi Province is 6.32%. For the national average, the growth of Gorontalo Province is above the national economic growth of 5.1%. But the results of the assessment show that the average level of accountability of the government in the Regency / City of Gorontalo Province is still in the range of the CC level.

Observing these conditions, the results of the study show that the level of responsiveness of the district / city governments in Gorontalo Province is still low in the aspect of health services. As for the details of the results of the research on the implementation of health services in the districts / cities of Gorontalo province are still low as follows:

1) Hospitals in Gorontalo City, Gorontalo Regency and North Gorontalo District surveyed are six hospitals. the survey results show that the efficiency and effectiveness aspects of the hospital in response to patient needs are still low.

2) The survey results on aspects of fulfilling the rights of patients in six hospitals are also still in the low category, resulting in a decrease in the level of public trust in the hospital.

3) The results of the survey on the competence aspects of health workers in serving are good but the ethics of public services are still low.

4) The results of the survey on aspects of patient involvement in participating in increasing hospital responsiveness have not shown satisfactory results, because patients are considered not part of the hospital.

5) The survey results show that aspects of health service delivery based on Information Technology are not responsive because the use of Information Technology is still partial.