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Informal Patient Payments in Central and Eastern European Countries : dissertation abstract

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Title Informal Patient Payments in Central and Eastern European Countries : dissertation abstract
Informele betalingen van patiënten aan de gezondheidszorg in Centraal- en Oost-Europese landen
Неформальні платежі пацієнтів в країнах Центральної та Східної Європи : автореферат дисертації
 
Creator Stepurko, Tetiana
Степурко, Тетяна
 
Description Out-of-pocket patient payments are a major source of health care funding in Central and
Eastern European (CEE) countries. They take different forms, e.g. formal co-payments, quasiformal
charges and informal patient payments. Formal co-payments are regulated by national
legislation and quasi-formal charges are set by the health care provider in the absence of clear
government regulations. Informal payments (also known as “under-the-table” or “envelope”
payments) comprise all unregistered patient payments for publicly-funded health care
services. Informal patient payments claim more attention as ignoring these payments causes
underestimation of total health expenditure and their hidden nature imposes a great challenge
to health care provision in terms of accessibility as well as accountability and transparency.
Overall, a huge variety in the nature and patterns of informal patient payments is reported
across countries. Studies provide evidence on the variation in informal payment type (cash or
in-kind gifts given by patients or their families), timing (before, after or during service
provision), subject (out- or in-patient service), purpose (obtaining better quality or access),
and motivation (physician’s request or patient’s initiative). As recent cross-country studies on
informal patient payments are lacking, this dissertation enhances our understanding of
informal patient payments by comparing their scale and pattern across CEE.
The study is financed by the European Commission under the 7th Framework Program,
Theme 8 Socio-economic Sciences and Humanities, Project ASSPRO CEE 2007 (Grant
Agreement no. 217431).
 
Date 2013-09-20T06:53:26Z
2013-09-20T06:53:26Z
2013-09-20T06:53:26Z
 
Type Thesis abstract
 
Identifier http://www.ekmair.ukma.edu.ua/handle/123456789/2549
 
Language en