Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio-economic and spatial patterns
Autor: | Adrian V. Horodnic, Sorin Mazilu, Liviu Oprea |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Financing Personal Adolescent Corruption media_common.quotation_subject Interviews as Topic 03 medical and health sciences Young Adult 0302 clinical medicine Order (exchange) Health care Humans 030212 general & internal medicine health care economics and organizations Health policy Qualitative Research media_common Spatial Analysis Public economics business.industry Romania 030503 health policy & services Romanian Health Policy Middle Aged Payment language.human_language Public health care Logistic Models Social Class language Marital status Female Public Health 0305 other medical science business Algorithms |
Zdroj: | The International journal of health planning and management. 33(2) |
ISSN: | 1099-1751 |
Popis: | In order to explain informal payments in public health care services in Romania, this paper evaluates the relationship between extra payments or valuable gifts (apart from official fees) and the level of tolerance to corruption, as well as the socio-economic and spatial patterns across those individuals offering informal payments. To evaluate this, a survey undertaken in 2013 is reported. Using logistic regression analysis, the findings are that patients with a high tolerance to corruption, high socio-economic risk (those divorced, separated, or with other form of marital status, and those not working), and located in rural or less affluent areas are more likely to offer (apart from official fees) extra payments or valuable gifts for health care services. The paper concludes by discussing the health policy implications. |
Databáze: | OpenAIRE |
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