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Does corruption undermine trust in health care? Results from public opinion polls in Croatia

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  • Radin, Dagmar
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    Abstract

    Health and health care provision are one of the most important topics in public policy, and often a highly debated topic in the political arena. The importance of considering trust in the health care sector is highlighted by studies showing that trust is associated, among others, with poor self-related health, and poorer health outcomes. Similarly, corruption has shown to create economic costs and inefficiencies in the health care sector. This is particularly important for a newly democratized country such as Croatia, where a policy responsive government indicates a high level of quality of democracy (Roberts, 2009) and where a legacy of corruption in the health care sector has been carried over from the previous regime. In this study, I assess the relationship between health care corruption and trust in public health care and hypothesize that experience with health care corruption as well as perception of corruption has a negative effect on trust in public care facilities. Data were collected in two surveys, administered in 2007 and 2009 in Croatia. Experience with corruption and salience with corruption has a negative effect on trust in public health care in the 2007 survey, but not in the 2009 survey. While the results are mixed, they point to the importance of further studying this relationship.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 98 (2013)
    Issue (Month): C ()
    Pages: 46-53

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    Handle: RePEc:eee:socmed:v:98:y:2013:i:c:p:46-53

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    Keywords: Croatia; Public opinion; Health care; Corruption; Trust; Elections;

    References

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    1. Xiaohui Xin & Thomas K. Rudel, 2004. "The Context for Political Corruption: A Cross-National Analysis," Social Science Quarterly, Southwestern Social Science Association, vol. 85(2), pages 294-309.
    2. Gilson, Lucy, 2003. "Trust and the development of health care as a social institution," Social Science & Medicine, Elsevier, Elsevier, vol. 56(7), pages 1453-1468, April.
    3. Pranab Bardhan, 1997. "Corruption and Development: A Review of Issues," Journal of Economic Literature, American Economic Association, vol. 35(3), pages 1320-1346, September.
    4. Treisman, Daniel, 2000. "The causes of corruption: a cross-national study," Journal of Public Economics, Elsevier, vol. 76(3), pages 399-457, June.
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    7. Mohseni, Mohabbat & Lindstrom, Martin, 2007. "Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study," Social Science & Medicine, Elsevier, Elsevier, vol. 64(7), pages 1373-1383, April.
    8. Wiggers, John H. & Sanson-Fisher, Rob, 1997. "Duration of general practice consultations: Association with patient occupational and educational status," Social Science & Medicine, Elsevier, Elsevier, vol. 44(7), pages 925-934, April.
    9. Hall, Judith A. & Dornan, Michael C., 1990. "Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis," Social Science & Medicine, Elsevier, Elsevier, vol. 30(7), pages 811-818, January.
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