Unofficial payments for acute state hospital care in Kazakhstan. A model of physician behaviour with price discrimination and vertical service differentiation
AbstractWe consider a discriminatory pricing and service differentiation model where: a)state physicians exploit their monopoly position and adjust quality to the unofficial payment made, and b)patients, perceiving state provision as poor, pay unofficially to improve it. Applying OLS and probit analysis to survey data on patients discharged from Almaty City hospitals, and using admission wait, length of stay (LOS) and a subjective categorical variable as quality measures. Unofficial payments are positively associated with surgical admission wait and the subjective quality of care while negatively associated with hospital LOS. Evidence suggests that price discrimination and service differentiation takes place in Kazakhstan.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Royal Economic Society in its series Royal Economic Society Annual Conference 2003 with number 224.
Date of creation: 04 Jun 2003
Date of revision:
Contact details of provider:
Postal: Office of the Secretary-General, School of Economics and Finance, University of St. Andrews, St. Andrews, Fife, KY16 9AL, UK
Phone: +44 1334 462479
Web page: http://www.res.org.uk/society/annualconf.asp
More information through EDIRC
transition economies; unofficial or informal payments for health care; length of stay; ordered probit and marginal effects;
Other versions of this item:
- Robin Thompson & Ana Xavier, 2002. "Unofficial Payments for Acute State Hospital Care In Kazakhstan. A Model of Physician Behaviour with Price Discrimination and Vertical Service Differentiation," LICOS Discussion Papers 12402, LICOS - Centre for Institutions and Economic Performance, KU Leuven.
- I1 - Health, Education, and Welfare - - Health
- P3 - Economic Systems - - Socialist Institutions and Their Transitions
This paper has been announced in the following NEP Reports:
- NEP-ALL-2003-06-16 (All new papers)
- NEP-DCM-2003-06-16 (Discrete Choice Models)
- NEP-EDU-2003-06-16 (Education)
- NEP-HEA-2003-06-16 (Health Economics)
- NEP-TRA-2003-06-16 (Transition Economics)
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Sonila Tomini & Wim Groot & Milena Pavlova, 2012. "Paying informally in the Albanian health care sector: a two-tiered stochastic frontier model," The European Journal of Health Economics, Springer, vol. 13(6), pages 777-788, December.
- Hunt, Jennifer, 2007.
"Bribery in Health Care in Peru and Uganda,"
CEPR Discussion Papers
6274, C.E.P.R. Discussion Papers.
- Jennifer Hunt, 2007. "Bribery In Health Care In Peru And Uganda," Departmental Working Papers 2007-02, McGill University, Department of Economics.
- Jennifer Hunt, 2007. "Bribery in Health Care in Peru and Uganda," NBER Working Papers 13034, National Bureau of Economic Research, Inc.
- Hunt, Jennifer, 2007. "Bribery in Health Care in Peru and Uganda," IZA Discussion Papers 2757, Institute for the Study of Labor (IZA).
- Jennifer Hunt, 2006.
"How Corruption Hits People When They Are Down,"
NBER Working Papers
12490, National Bureau of Economic Research, Inc.
- Jennifer Hunt, 2006. "How Corruption Hits People When They Are Down," William Davidson Institute Working Papers Series wp836, William Davidson Institute at the University of Michigan.
- Hunt, Jennifer, 2006. "How Corruption Hits People When They Are Down," CEPR Discussion Papers 5855, C.E.P.R. Discussion Papers.
- Jennifer Hunt, 2006. "How Corruption Hits People When They Are Down," Departmental Working Papers 2006-07, McGill University, Department of Economics.
- Hunt, Jennifer, 2006. "How Corruption Hits People When They Are Down," IZA Discussion Papers 2278, Institute for the Study of Labor (IZA).
- World Bank, 2011. "Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008," World Bank Other Operational Studies 2784, The World Bank.
- Robin Thompson & Ana Xavier, 2010.
"Are Patients in the Transition World Paying Unofficially to Stay Longer in Hospital? Some Evidence from Kazakhstan,"
- Robin Thompson & Ana Xavier, 2004. "Are Patients in the Transition World Paying Unofficially to Stay Longer in Hospital? Some Evidence from Kazakhstan," LICOS Discussion Papers 14004, LICOS - Centre for Institutions and Economic Performance, KU Leuven.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Christopher F. Baum).
If references are entirely missing, you can add them using this form.