Paying informally for public health care in Albania : scarce resources or governance failure ?
نویسندگان
چکیده
Informal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. Using tobit and Heckman selection models we control for individual determinants of informal payments in outpatient and inpatient health care. Propensity score matching techniques are used to investigate the changes in the characteristics of people paying informally over the different years. Our findings suggest that vulnerable groups in society remain less protected against such payments and policy measures have not reached the most deprived regions of the country.
منابع مشابه
Paying Out-of-Pocket and Informally for Health Care in Albania: The Impoverishing Effect on Households
1 Maastricht Graduate School of Governance, United Nations University-MERIT (UNU-MERIT), Maastricht University, Maastricht, Netherlands, 2 Department of Economics, University of Liege, Liege, Belgium, 3 Top Institute Evidence Based Education Research (TIER), Maastricht University, Maastricht, Netherlands, 4 Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, M...
متن کاملPaying Informally in the Albanian Health Care Sector: A Two-Tiered Stochastic Frontier Bargaining Model
The 'watch dog' role of the media, the impact of migration processes, health care access for children in developing countries, mitigation of the effects of Global Warming are typical examples of governance issues – issues to be tackled at the base; issues to be solved by creating and implementing effective policy. students to pave the road for innovative policy developments in Europe and the wo...
متن کاملRisks and Opportunities of Reforms Putting Primary Care in the Driver’s Seat; Comment on “Governance, Government, and the Search for New Provider Models”
Recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in Sweden. Many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...
متن کاملنظریَه ی مدیریَت نوین دولتی و نقش آن در کارایی ارائه ی خدمات بهداشتی و درمانی در ایران
Introduction: The pattern of health services delivery across the world changes from a spectrum of pure public to pure private sector. The failure of pure private sector, as well as pure public sector, brought experts to recommend alternative approaches such as New Public Management theory as a third-way. This article was aimed to present the results of reform in East Azerbaijan Province on the ...
متن کاملHow do patient characteristics influence informal payments for inpatient and outpatient health care in Albania: Results of logit and OLS models using Albanian LSMS 2005
BACKGROUND Informal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the Living Standard Measurement Survey 2005 we control for individual determinants of informal payments in inpatient and outpatient health care. We use these results to explain the main factors contributing to the occurr...
متن کامل