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Are Patients in the Transition World Paying Unofficially to Stay Longer in Hospital? Some Evidence from Kazakhstan

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  • Robin Thompson
  • Ana Xavier

Abstract

To empirically test whether, as surveys and anedoctal reports suggest, patients are paying to stay longer in hospital, perceived as resulting in better care (e.g. more professional attention), a unique dataset is constructed on hospital length of stay, severity, unofficial payments and socio-economic characteristics (age, gender, occupation and income) from a survey on 1508 trauma and surgical patients discharged from Almaty City (the former capital of Kazakhstan) three main hospitals between 1999 and 2000.

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File URL: http://www.econ.kuleuven.be/licos/publications/dp/dp140.pdf
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Bibliographic Info

Paper provided by LICOS - Centre for Institutions and Economic Performance, KU Leuven in its series LICOS Discussion Papers with number 14004.

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Length: 39 pages
Date of creation: 2004
Date of revision:
Handle: RePEc:lic:licosd:14004

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  1. 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.
  2. Westert, Gert P. & Nieboer, Anna P. & Groenewegen, Peter P., 1993. "Variation in duration of hospital stay between hospitals and between doctors within hospitals," Social Science & Medicine, Elsevier, vol. 37(6), pages 833-839, September.
  3. Delcheva, Evgenia & Balabanova, Dina & McKee, Martin, 1997. "Under-the-counter payments for health care: Evidence from Bulgaria," Health Policy, Elsevier, vol. 42(2), pages 89-100, November.
  4. Martin Forster & Andrew Jones, 2000. "The role of tobacco taxes in starting and quitting smoking: duration analysis of British data," Working Papers 176chedp, Centre for Health Economics, University of York.
  5. Liu, Yuanli & Rao, Keqin & Fei, John, 1998. "Economic transition and health transition: comparing China and Russia," Health Policy, Elsevier, vol. 44(2), pages 103-122, May.
  6. Kornai, János & Gál, Róbert Iván & Bognár, Géza, 2000. "Hálapénz a magyar egészségügyben
    [Gratitude money in the Hungarian health sector]
    ," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(4), pages 293-320.
  7. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
  8. Barton H. Hamilton & Vivian H. Hamilton, 1997. "Estimating surgical volume-outcome relationships applying survival models: accounting for frailty and hospital fixed effects," Health Economics, John Wiley & Sons, Ltd., vol. 6(4), pages 383-395.
  9. Mukesh Chawla & Peter Berman & Dorota Kawiorska, 1998. "Financing health services in Poland: new evidence on private expenditures," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 337-346.
  10. Cairns, John A. & Munro, Jill, 1992. "Why does length of stay vary for orthopaedic surgery?," Health Policy, Elsevier, vol. 22(3), pages 297-306, October.
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