Details der Publikation - Institutional Issues in Informal Health Payments in Poland

Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study

A growing pattern within the ECA (East Europe and Central Asia) region is informal payments to doctors, hospital administrators, nurses and others connected with health service delivery. These payments have implications for governance of health systems and for equity and access, as well as for incentives for both health providers and managers. According to the research findings, informal payments are widespread in the Polish health sector. They include both cash and in-kind contributions. The study reinforces the existing anecdotal evidence as well as evidence from studies in other countries of the ECA Region and shows that the phenomenon has, if anything, become more widespread over the last few years. Informal payments are both paid voluntarily and coerced by providers in one way or another. As this paper shows, the main reasons for paying for medical services are to ensure quality care, to buy future care, and to jump queues. Providers are also paid to show gratitude and appreciation. In addition, users contribute in-kind for ancillary services. For instance, they bring their own sheets, food, or even medicines to the hospital because the hospital is not providing them. Building on the existing literature, this research is aimed at: (1) identifying the nature, extent, and economic dynamics (mechanisms of collection and revenue distribution among different actors) of informal payments; (2) understanding the leading causes of informal payments; (3) identifying the consequences of informal payments on accessibility and quality of care, and (4) articulating policy options to reduce the size and negative impact of such payments..

Medienart:	E-Book

Erscheinungsjahr:	2013
Erschienen:	Washington, DC: World Bank ; 2013

Reihe:	HNP discussion paper series

Sprache:	Englisch

Beteiligte Personen:	Shahriari, Helen [VerfasserIn] Belli, Paolo [VerfasserIn] Lewis, M. [VerfasserIn]

Links:	Volltext [kostenfrei]

Themen:	ABILITY TO PAY ADULT MORTALITY ADULT MORTALITY RATE AGED ALCOHOL APATHY BEDS CANCER CAPITATION CASH PAYMENTS CHRONICALLY ILL PATIENTS CLINICS COMMODITIES COMMUNICABLE DISEASES DEATHS DENTAL CARE DIETS DOCTORS EMERGENCY ROOMS EMPLOYMENT EXPENDITURES GENERAL PRACTITIONERS GPS GYNECOLOGY HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE POLICIES HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CARE WORKERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROGRAMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL ADMINISTRATORS HOSPITAL ADMISSION HOSPITAL CARE HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALIZATION HOSPITALS ILLNESSES INCOME INFANT MORTALITY INFANT MORTALITY RATES INPATIENT CARE INTERVENTION LAWS LIFE EXPECTANCY MANAGERS MARKET FAILURES MEDIA MEDICAL CARE MEDICAL EQUIPMENT MEDICAL EXAMINATIONS MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES NURSES NURSING NUTRITION OUTPATIENT CARE OUTPATIENT SERVICES PARAMEDICS PATIENT CHOICE PATIENTS PHARMACY PHYSICIANS PRESCRIPTION DRUGS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR SERVICE DELIVERY SMOKERS SOCIAL INSURANCE SOCIAL SERVICES SPECIALISTS SURGERY TEACHING HOSPITALS URBAN AREAS URBAN CENTERS WASTE HEALTH SYSTEMS DEVELOPMENT & REFORM

Umfang:	Online-Ressource

Weitere IDs:	10986/13679

Förderinstitution / Projekttitel:

PPN (Katalog-ID):	797592857

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520			\|a A growing pattern within the ECA (East Europe and Central Asia) region is informal payments to doctors, hospital administrators, nurses and others connected with health service delivery. These payments have implications for governance of health systems and for equity and access, as well as for incentives for both health providers and managers. According to the research findings, informal payments are widespread in the Polish health sector. They include both cash and in-kind contributions. The study reinforces the existing anecdotal evidence as well as evidence from studies in other countries of the ECA Region and shows that the phenomenon has, if anything, become more widespread over the last few years. Informal payments are both paid voluntarily and coerced by providers in one way or another. As this paper shows, the main reasons for paying for medical services are to ensure quality care, to buy future care, and to jump queues. Providers are also paid to show gratitude and appreciation. In addition, users contribute in-kind for ancillary services. For instance, they bring their own sheets, food, or even medicines to the hospital because the hospital is not providing them. Building on the existing literature, this research is aimed at: (1) identifying the nature, extent, and economic dynamics (mechanisms of collection and revenue distribution among different actors) of informal payments; (2) understanding the leading causes of informal payments; (3) identifying the consequences of informal payments on accessibility and quality of care, and (4) articulating policy options to reduce the size and negative impact of such payments.
650		4	\|a ABILITY TO PAY
650		4	\|a ADULT MORTALITY
650		4	\|a ADULT MORTALITY RATE
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650		4	\|a ALCOHOL
650		4	\|a APATHY
650		4	\|a BEDS
650		4	\|a CANCER
650		4	\|a CAPITATION
650		4	\|a CASH PAYMENTS
650		4	\|a CHRONICALLY ILL PATIENTS
650		4	\|a CLINICS
650		4	\|a COMMODITIES
650		4	\|a COMMUNICABLE DISEASES
650		4	\|a DEATHS
650		4	\|a DENTAL CARE
650		4	\|a DIETS
650		4	\|a DOCTORS
650		4	\|a EMERGENCY ROOMS
650		4	\|a EMPLOYMENT
650		4	\|a EXPENDITURES
650		4	\|a GENERAL PRACTITIONERS
650		4	\|a GPS
650		4	\|a GYNECOLOGY
650		4	\|a HEALTH CARE
650		4	\|a HEALTH CARE FINANCING
650		4	\|a HEALTH CARE PROVIDERS
650		4	\|a HEALTH CARE SERVICES
650		4	\|a HEALTH CARE SYSTEMS
650		4	\|a HEALTH EXPENDITURE
650		4	\|a HEALTH FACILITIES
650		4	\|a HEALTH INSURANCE
650		4	\|a HEALTH INTERVENTIONS
650		4	\|a HEALTH OUTCOMES
650		4	\|a HEALTH PROGRAMS
650		4	\|a HEALTH PROVIDERS
650		4	\|a HEALTH SECTOR
650		4	\|a HEALTH SERVICES
650		4	\|a HEALTH SYSTEM
650		4	\|a HEALTH SYSTEMS
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650		4	\|a HOSPITAL CARE
650		4	\|a HOSPITAL PERSONNEL
650		4	\|a HOSPITAL SERVICES
650		4	\|a HOSPITALIZATION
650		4	\|a ILLNESSES
650		4	\|a INCOME
650		4	\|a INFANT MORTALITY
650		4	\|a INFANT MORTALITY RATES
650		4	\|a INPATIENT CARE
650		4	\|a INTERVENTION
650		4	\|a LAWS
650		4	\|a LIFE EXPECTANCY
650		4	\|a MANAGERS
650		4	\|a MARKET FAILURES
650		4	\|a MEDIA
650		4	\|a MEDICAL CARE
650		4	\|a MEDICAL EQUIPMENT
650		4	\|a MEDICAL EXAMINATIONS
650		4	\|a MEDICAL FACILITIES
650		4	\|a MEDICAL PERSONNEL
650		4	\|a MEDICAL SERVICES
650		4	\|a MEDICAL SUPPLIES
650		4	\|a MEDICINES
650		4	\|a NURSES
650		4	\|a NURSING
650		4	\|a NUTRITION
650		4	\|a OUTPATIENT CARE
650		4	\|a OUTPATIENT SERVICES
650		4	\|a PARAMEDICS
650		4	\|a PATIENT CHOICE
650		4	\|a PATIENTS
650		4	\|a PHARMACY
650		4	\|a PHYSICIANS
650		4	\|a PRESCRIPTION DRUGS
650		4	\|a PRIMARY CARE
650		4	\|a PRIMARY HEALTH CARE
650		4	\|a PRIVATE INSURANCE
650		4	\|a PRIVATE SECTOR
650		4	\|a PUBLIC HEALTH
650		4	\|a PUBLIC HEALTH SERVICES
650		4	\|a PUBLIC SECTOR
650		4	\|a SERVICE DELIVERY
650		4	\|a SMOKERS
650		4	\|a SOCIAL INSURANCE
650		4	\|a SOCIAL SERVICES
650		4	\|a SPECIALISTS
650		4	\|a SURGERY
650		4	\|a TEACHING HOSPITALS
650		4	\|a URBAN AREAS
650		4	\|a URBAN CENTERS
650		4	\|a WASTE HEALTH SYSTEMS DEVELOPMENT & REFORM
650		4	\|a HEALTH CARE WORKERS
650		4	\|a HEALTH CARE DELIVERY
650		4	\|a HEALTH CARE POLICIES
650		4	\|a HOSPITALS
650		4	\|a HEALTH CARE FINANCE
650		4	\|a HOSPITAL ADMINISTRATORS
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700	1		\|a Lewis, M. \|e verfasserin \|4 aut
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Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study

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