Informal gifts in public health care: Scarce resources or governance failure? Evidence from Albania using Living Standard Measurement Survey. Sonila TOMINI; Truman G. PACKARD. World Bank International Conference Poverty and Social Inclusion in the Western Balkans
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Informal gifts in public health care: Scarce resources or governance failure?
Evidence from Albania using Living Standard Measurement Survey
Sonila TOMINI; Truman G. PACKARD
World Bank International Conference Poverty and Social Inclusion in the Western Balkans
Brussels, Belgium, December 14-15, 2010
Informal payments are payments to individual and institutional providers in-kind or cash that are outside the official payment channels, or are purchases that are meant to be covered by the health-care system.
Informal payments in health care can be conceptualised as strategies to cope with lack of resources and poor performance at both the demand and supply side:
The main aim of this paper is to test for the main motives behind informal payments in health care and to assess the effectiveness of various measures seeking to reduce such informal payments over the last years in Albania.
Causes of informal payments
& observed effects
The share of patients paying & the amount paid as informal gifts
Heckman selection model
Which one of the following do you agree with in terms of unofficial private out-of-pocket fees paid at health facilities in Albania?