Population perception on corruption, informal payments and introduction of co-payments in the Public Health System in Romania

Fărcășanu, Dana

doi:10.5233/mih.2010.0003

Cited by 11 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…p.71–72 Regarding patients' motivation in offering informal payments, Moldovan and Van de Walle p.20–21 conclude, in their research: “The study among a small group of patients seems to confirm previous findings by showing that patients pay out of fear of what might happen if he or she does not pay, or because they hope receiving better or faster treatment”. In another study, Farcasanu found that Romanians consider corruption to be the main problem in the health care system. According to the same study, Romanians see a doctor/ nurse requesting informal payments as corruption.…”

Section: Introduction Explaining Informal Payments In Health Carementioning

confidence: 99%

Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio‐economic and spatial patterns

Horodnic

Mazilu

Oprea

2018

Health Planning & Management

View full text Add to dashboard Cite

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.

show abstract

Section: Introduction Explaining Informal Payments In Health Carementioning

confidence: 99%

Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio‐economic and spatial patterns

Horodnic

Mazilu

Oprea

2018

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…The resultant schemes are, however, highly divergent in terms of actors involved and their rationales for participation. That is to say, scholars interested in this phenomenon generally agree that nowadays every single act of giving a gift and/or money in these societies actually lies on a continuum between two extremes: mere expression of gratitude which is initiated strictly by a patient and extortion on the part of service providers (Radin, 2009, Farcasanu, 2010, Williams, Horodnic, 2017.…”

Section: Why Do People Pay For Medical Services Which Are Supposed Tomentioning

confidence: 99%

Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?

Franić

Kojouharov

2019

Croatian Review of Economic, Business and Social Statistics

View full text Add to dashboard Cite

Almost three decades after the collapse of the socialist system, numerous informal practices inherited from that period have remained deeply entrenched in the Croatian economy and society. Faced with burdensome regulations and complicated procedures, many citizens and companies opt to resolve their problems using string-pulling, bribery and undeclared work. However, there are many other informal means of conduct, which have not been given adequate attention so far. One of them is the practice of giving gratuity and gifts to medical practitioners for services that are already covered by health insurance, whose roots and the exact function are still not sufficiently understood. To start filling the gap, this paper explores which groups of citizens give out-of-pocket payments to doctors and nurses, as well as what motivates them to do so. The logistic regression analysis applied on data from the Special Eurobarometer Survey No 470, which was conducted in October 2017 on a stratified sample of 1,038 Croatians, reveals that these payments by no means represent a benevolent custom of expressing gratitude for healing. Even though a certain portion of citizens exercises this practice out of choice, informal payments more commonly occur following a direct request by medical staff or simply because the patient feels a pressure to do so. As revealed by the analysis, the majority of such transactions in Croatia highly resemble standard forms of bribery. In line with this, it is recipients rather than donors of gifts and cash supplements who should be targeted in endeavours to eradicate the phenomenon.

show abstract

“…(Dumitrache et al, 2008) While it appears that the issues that hindered the development of the medical system of Romania in the past reiterate, new unfavourable factors like the discordance between the public and the private medical sectors and the improper regulation and coordination of the subordinate institutions emerge. (Dumitrache et al, 2016;Farcasanu, 2010) One of the most significant problems faced by the health care system of Romania is represented by underfunding. Romania ranks among the last EU countries in terms of health expenditure, in 2014 spending only 5.4% of its GDP on the health system.…”

Section: Introductionmentioning

confidence: 99%

“…(Vlădescu et al, 2016) Additionally, the medical system of Romania has to deal with the migration of highly trained medical professionals, a low number of permanent health care units, a low ratio between the family doctors and the population of rural areas, informal payments, corruption, the focus on treatment rather than prevention, the sanitary migration and the widespread perception of the health system as an underperforming one. (Dumitrache et al, 2008;Ciutan et al, 2009;Farcasanu, 2010;Jankauskiene et al, 2011) Identifying and understanding the problems of the health care system are prerequisites for solving these matters. While studies about the economic factors (Vlădescu et al, 2016;Suciu et al, 2012) and the cultural and social factors (Farcasanu, 2010;Jankauskiene et al, 2011;Karanikolos et al, 2011) that may be held accountable for the current underperformance status of Romania's medical system have been conducted over the years, the territorial dimension of this system and its role in shaping the reality have been taken into account only recently.…”

Section: Introductionmentioning

confidence: 99%

“…(Dumitrache et al, 2008;Ciutan et al, 2009;Farcasanu, 2010;Jankauskiene et al, 2011) Identifying and understanding the problems of the health care system are prerequisites for solving these matters. While studies about the economic factors (Vlădescu et al, 2016;Suciu et al, 2012) and the cultural and social factors (Farcasanu, 2010;Jankauskiene et al, 2011;Karanikolos et al, 2011) that may be held accountable for the current underperformance status of Romania's medical system have been conducted over the years, the territorial dimension of this system and its role in shaping the reality have been taken into account only recently. (Ciutan et al, 2009;Dragomirișteanu, 2010;Eva et al, 2015;Dumitrache et al, 2016) An akin study that focuses on the territorial disparities between the spatial distribution of the medical resources and the population that may need them, emphasising the unevenly distributed medical units and medical personnel, the elderly population and the distribution of the economic vulnerable population, points out that Romania presents a "divided landscape of care".…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Analysis of the Proximity Based Polarisation of the Hospital Network of Moldavia’s Counties

Albulescu

Larion

2018

GeoCantemir

View full text Add to dashboard Cite

Since 1990, the deficiencies of the widely criticised health care system of Romania have been analysed from economic, political and management related points of view, but the territorial dimension of this system was often neglected. Identifying and understanding the shaping role of the spatial dimension are the prerequisites of any effective and compelling implementation of change. This paper aims to analyse the hospital network in Moldavia's counties from the geographic proximity based influence point of view. The polarisation areas of territorial, emergency and specialised (pneumology and phthisiology, psychiatric) hospitals are generated as Thiessen proximal polygons. These geometric constructions help to determinate the locations that are the closest to a particular hospital, which proves to be useful in medical emergency situations, but also when distance becomes an important restrictive factor-as in the case of vulnerable population with limited financial resources, scarce mobility opportunities or constraints imposed by age. The hospital network may be considered the backbone of the medical system and its spatial distribution should be taken into account as an important shaping factor. This paper offers a regional approach of this matter, which can be used for planning bottom-up improvement strategies.

show abstract

Population perception on corruption, informal payments and introduction of co-payments in the Public Health System in Romania

Cited by 11 publications

References 0 publications

Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio‐economic and spatial patterns

Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio‐economic and spatial patterns

Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?

An Analysis of the Proximity Based Polarisation of the Hospital Network of Moldavia’s Counties

Contact Info

Product

Resources

About