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 |
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| Creator |
Stepurko, Tetiana
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| 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). |
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| Date |
2013-09-20T06:53:26Z
2013-09-20T06:53:26Z 2013-09-20T06:53:26Z |
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| Type |
Thesis abstract
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| Identifier |
http://ekmair.ukma.edu.ua/handle/123456789/2549
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| Language |
en
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