Informal payments for health care

Allin, Sara; Davaki, Konstantina; Mossialos, Elías; Gaál, Péter; Akesbi, Azeddine; Bouchal, Siham; Mesbahi, Kamal El

doi:10.2307/j.ctt184qq53.10

Cited by 6 publications

(11 citation statements)

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“…Gaal and McKee prefer the term legal-ethical to refer to causes related to the lack of accountability or poor regulation (Gaal and McKee, 2004; Allin et al , 2006). These authors (Gaal and McKee, 2004) made a significant effort to develop a behavioral, cognitive model that is based on the economic approach.…”

Section: Current Explanations For the Emergence Of Black Medicinementioning

confidence: 99%

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

Filc

Cohen

2014

HEPL

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Black medicine represents the most problematic configuration of informal payments for health care. According to the accepted economic explanations, we would not expect to find black medicine in a system with a developed private service. Using Israel as a case study, we suggest an alternative yet a complimentary explanation for the emergence of black medicine in public health care systems - even though citizens do have the formal option to use private channels. We claim that when regulation is weak and political culture is based on 'do it yourself' strategies, which meant to solve immediate problems, blurring the boundaries between public and private health care services may only reduce public trust and in turn, contribute to the emergence of black medicine. We used a combined quantitative and qualitative methodology to support our claim. Statistical analysis of the results suggested that the only variable significantly associated with the use of black medicine was trust in the health care system. The higher the respondents' level of trust in the health care system, the lower the rate of the use of black medicine. Qualitatively, interviewee emphasized the relation between the blurred boundaries between public and private health care and the use of black medicine.

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Section: Current Explanations For the Emergence Of Black Medicinementioning

confidence: 99%

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

Filc

Cohen

2014

HEPL

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“…Over time, the level of informal payments remained within the range of 7%, and we believe they will continue to exist if no appropriate governmental actions are taken. And as informal payments impose threats and affect equity in access, as well as the overall efficiency and quality of the provided care, at any level of their existence (Thompson and Witter, 2000; Balabanova and McKee, 2002; Ensor, 2004; Allin et al ., 2006; Gaal et al ., 2006a; Vian and Burak, 2006; Lewis, 2007; Cohen, 2011; Mæstad and Mwisongo, 2011), a set of proper governmental actions is necessary to eliminate their existence.…”

Section: Conclusion and Policy Implicationsmentioning

confidence: 99%

“…Despite its hidden nature, the presence of informal payments can impose threats to the health care sector per se . They can impede efficiency and affect quality of care, jeopardize equality and equity in access to health care services, impose ‘cream-skimming’, affect the solidarity principle of insurance-based health care systems, and even threaten democratic and inclusion values (Thompson and Witter, 2000; Balabanova and McKee, 2002; Ensor, 2004; Allin et al ., 2006; Gaal et al ., 2006a; Vian and Burak, 2006; Lewis, 2007; Cohen, 2011; Mæstad and Mwisongo, 2011). Therefore, informal payments are an important health policy issue.…”

Section: Introductionmentioning

confidence: 99%

Informal payments for health care services in Russia: old issue in new realities

Gordeev

Pavlova

Groot

2013

HEPL

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Informal payments can be found across Europe, Africa, Asia and South America. Despite its hidden nature, they pose an important policy issue. Reported as being widespread, the true scale and scope of informal payment are unknown, and estimations differ among studies. We look at the Russian health care sector where the existence of informal payments has persisted for decades. We present the scale and scope of informal payments, as well as patterns of informal payments and their determinants. We discuss the reasons for discrepancies in estimations and implications for the ongoing reforms.

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“…Like most informal activities, informal payments go largely unreported with interviewees reluctant to report paying informal payments [18,19] with a few exceptions [20]. Additionally, because unofficial payments are endemic in all areas of society in a number of countries, often little attention is given to the problem when witnessed in the health sector [17].…”

Section: Introductionmentioning

confidence: 96%

Informal payments for healthcare: Differences in expenditures from consumers and providers perspectives for treatment of malaria in Nigeria

et al. 2010

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Informal payments for health care

Cited by 6 publications

References 0 publications

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

Informal payments for health care services in Russia: old issue in new realities

Informal payments for healthcare: Differences in expenditures from consumers and providers perspectives for treatment of malaria in Nigeria

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