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Informal payments by patients for health services

Prevalence and determinants

Bibliographic Data

ID23133493
AuthorsAdrian V Horodnic (0000-0001-6274-5049, Faculty of Medicine, ‘Grigore T. Popa’ University of Medicine and Pharmacy, Iasi, Romania, corresponding author), Colin C Williams (0000-0002-3610-1933, Sheffield University Management School (SUMS), University of Sheffield, Sheffield, UK)
Year2018
Volume38
Issue11-12
Pages841-855
Publication date2018-09-10
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueService Industries Journal (JOURNAL)
Journal identifiersISSN: 0264-2069 • E-ISSN: 1743-9507
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/02642069.2018.1450870
OpenAlexW2792892494
LanguageEN
Citations received10
References cited41

The aim of this paper is to explain the prevalence of informal payments in the health services sector in Southern Europe using the lens of institutional theory. To evaluate whether informal payments prevail due to formal institutional failures which lead to an asymmetry between the laws and regulations (formal institutions) and the unwritten rules (informal institutions), an analysis is undertaken of 2013 Eurobarometer survey data on the propensity to make informal payments by patients in Southern Europe. A strong association is found between the extent to which formal and informal institutions are unaligned, and the prevalence of informal payments, and such payments are found to be more likely when there is a lack of modernisation of governance coupled with a low range and reach of health services provision, lower health outcomes and systems focus on curative rather than preventative health services. The theoretical and policy implications are then explored.

Business · Corporate governance · Economic growth · Economic policy · Economics · Eurobarometer · Informal sector · Market economy · Payment · Public economics · Survey data collection · Welfare · Employment and Welfare Studies · Finance · Global Health Care Issues · Social Policy and Reform Studies

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Unique citing works10
Citations per year1.25
Citation span2018 - 2025 (8)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 10

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