Corruption, inequality and population perception of healthcare quality in Europe
نویسندگان
چکیده
BACKGROUND Evaluating the quality of healthcare and patient safety using general population questionnaires is important from research and policy perspective. Using a special wave of the Eurobarometer survey, we analysed the general population's perception of health care quality and patient safety in a cross-country setting. METHODS We used ordered probit, ordinary least squares and probit analysis to estimate the determinants of health care quality, and ordered logit analysis to analyse the likelihood of being harmed by a specific medical procedure. The models used population weights as well as country-clustered standard errors. RESULTS We found robust evidence for the impact of socio-demographic variables on the perception of quality of health care. More specifically, we found a non-linear impact of age on the perception of quality of health care and patient safety, as well as a negative impact of poverty on both perception of quality and patient safety. We also found robust evidence that countries with higher corruption levels were associated with worse perceptions of quality of health care. Finally, we found evidence that income inequality affects patients' perception vis-à-vis safety, thus feeding into the poverty/health care quality nexus. CONCLUSIONS Socio-demographic factors and two macro variables (corruption and income inequality) explain the perception of quality of health care and likelihood of being harmed by adverse events. The results carry significant policy weight and could explain why targeting only the health care sector (without an overall reform of the public sector) could potentially be challenging.
منابع مشابه
The Role of Corruption and Healthcare Expenditure in Healthcare Systems of the Persian Gulf Region
Background and Purpose: More than a third of the world’s population lack access to essential medicines, despite the presence of several international agreements that proclaim health as a human right. Corruption, in its many forms, such as bribery and embezzlement, causes several detrimental effects on the health sector and access to medicines including economic, health, and government ima...
متن کاملبررسی رابطه علّی بین شاخص ادراک فساد اداری و شاخص فقر انسانی در کشورهای منطقه MENA
The investigation of corruption perception effect on the poverty and income inequality is one of the main issues in the economic literature in a way that a myriad of empirical studies have been conducted in this area within recent years. For this purpose, the main objective of this paper is to investigate the causal relationship between human poverty index and corruption perception index for ME...
متن کاملThe Effect of Urbanization on Income Inequality in Iran
Abstract. The dramatic growth of urbanization with the expansion of cities in terms of size and population has led to the creation of a variety of administrative structures to provide different types of administrative services and combinations. And bureaucratic and social mismatches cause corruption and unequal distribution of income and class fault. The main purpose of this study is to invest...
متن کاملInvestigation on the Relationship between the Perception of Corruption and Social Trust (A Study on Cities Amol, Sari, and Chalus in Mazandaran Province)
The purpose of this study is to investigate the relationship between the perception of corruption and social trust among the urban population over 30 years old in the cities Amol, Sari, and Chalus in Mazandaran province. In the perceptions of corruption variable, the Hoetjes, Triesman and Heidenheimer’s theories were used. Also, in the social capital variable from the institutionalized approach...
متن کامل