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 |
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