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Reducing informal payments in the health care system: Evidence from a large patient satisfaction survey

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  • Mokhtari, Manouchehr
  • Ashtari, Mamak

Abstract

Paucity of information on the informal market for health services hampers the governments’ efforts in performing their desirable roles in informing, regulating, mandating, financing and providing health services to their people. Analysis of data from a survey of almost 20,000 patients fills a void in understanding informal payments in the countries in transition. A probability model of informal payments shows that knowledge and information have significant impact on reducing frequency of informal payments. Thus, informing patients, which is the least expensive and intrusive role of the government, could significantly reduce out-of-pocket health care spending.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Asian Economics.

Volume (Year): 23 (2012)
Issue (Month): 2 ()
Pages: 189-200

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Handle: RePEc:eee:asieco:v:23:y:2012:i:2:p:189-200

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Web page: http://www.elsevier.com/locate/asieco

Related research

Keywords: Economic transition; Health; Corruption; Informal payments; Patient satisfaction survey;

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  1. Berninghaus, Siegfried K. & Haller, Sven & Krüger, Tyll & Neumann, Thomas & Schosser, Stephan & Vogt, Bodo, 2013. "Risk attitude, beliefs, and information in a Corruption Game – An experimental analysis," Journal of Economic Psychology, Elsevier, vol. 34(C), pages 46-60.
  2. Ensor, Tim, 2004. "Informal payments for health care in transition economies," Social Science & Medicine, Elsevier, vol. 58(2), pages 237-246, January.
  3. Timothy Besley & Robin Burgess, 2000. "The Political Economy of Government Responsiveness: Theory and Evidence from India," STICERD - Development Economics Papers - From 2008 this series has been superseded by Economic Organisation and Public Policy Discussion Papers 28, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
  4. Reinikka, Ritva & Svensson, Jakob, 2004. "The power of information : evidence from a newspaper campaign to reduce capture," Policy Research Working Paper Series 3239, The World Bank.
  5. McPake, Barbara & Asiimwe, Delius & Mwesigye, Francis & Ofumbi, Mathias & Ortenblad, Lisbeth & Streefland, Pieter & Turinde, Asaph, 1999. "Informal economic activities of public health workers in Uganda: implications for quality and accessibility of care," Social Science & Medicine, Elsevier, vol. 49(7), pages 849-865, October.
  6. Cadot, Olivier, 1987. "Corruption as a gamble," Journal of Public Economics, Elsevier, vol. 33(2), pages 223-244, July.
  7. Belli, Paolo & Gotsadze, George & Shahriari, Helen, 2004. "Out-of-pocket and informal payments in health sector: evidence from Georgia," Health Policy, Elsevier, vol. 70(1), pages 109-123, October.
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