Informal Patient Payments and Bought and Brought Goods in the Western Balkans – A Scoping Review

Autor: Leena Eklund Karlsson, Sofie Buch Mejsner
Rok vydání: 2017
Předmět:
Financing
Personal

medicine.medical_specialty
Health (social science)
Leadership and Management
media_common.quotation_subject
Scoping Review
Context (language use)
Management
Monitoring
Policy and Law

Public Health/economics
03 medical and health sciences
0302 clinical medicine
Informal Patient Payments
Health Information Management
Delivery of Health Care/economics
Health care
medicine
Humans
media_common.cataloged_instance
Narrative
030212 general & internal medicine
European union
health care economics and organizations
media_common
Bough and Brought Goods
Public economics
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Public health
lcsh:RA1-1270
Balkan Peninsula
Gift Giving
Payment
Western Balkan
Scale (social sciences)
Financing
Personal/methods

Public Health
Religious organization
Health Expenditures
0305 other medical science
business
Delivery of Health Care
Zdroj: International Journal of Health Policy and Management
International Journal of Health Policy and Management, Vol 6, Iss 11, Pp 621-637 (2017)
Buch Mejsner, S & Eklund Karlsson, L 2017, ' Informal Patient Payments and Bought and Brought Goods in the Western Balkans : A Scoping Review ', International Journal of Health Policy and Management, vol. 6, no. 11, 2, pp. 621-637 . https://doi.org/10.15171/ijhpm.2017.73
ISSN: 2322-5939
Popis: Introduction: Informal patient payments for healthcare are common in the Western Balkans, negatively affecting public health and healthcare. Aim: To identify literature from the Western Balkans on what is known about informal patient payments and bought and brought goods, to examine their effects on healthcare and to determine what actions can be taken to tackle these payments. Methods: After conducting a scoping review that involved searching websites and databases and filtering with eligibility criteria and quality assessment tools, 24 relevant studies were revealed. The data were synthesized using a narrative approach that identified key concepts, types of evidence, and research gaps. Results: The number of studies of informal patient payments increased between 2002 and 2015, but evidence regarding the issues of concern is scattered across various countries. Research has reported incidents of informal patient payments on a wide scale and has described various patterns and characteristics of these payments. Although these payments have typically been small – particularly to providers in common areas of specialized medicine – evidence regarding bought and brought goods remains limited, indicating that such practices are likely even more common, of greater magnitude and perhaps more problematic than informal patient payments. Only scant research has examined the measures that are used to tackle informal patient payments. The evidence indicates that legalizing informal patient payments, introducing performance-based payment systems, strengthening reporting, changing mentalities and involving the media and the European Union (EU) or religious organizations in anti-corruption campaigns are understood as some of the possible remedies that might help reduce informal patient payments. Conclusion: Despite comprehensive evidence regarding informal patient payments, data remain scattered and contradictory, implying that informal patient payments are a complex phenomenon. Additionally, the data on bought and brought goods illustrate that not much is known about this matter. Although informal patient payments have been studied and described in several settings, there is still little research on the effectiveness of such strategies in the Western Balkans context.
Databáze: OpenAIRE