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 sys...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2001/02/3927907/institutional-issues-informal-health-payments-poland-report-qualitative-part-study http://hdl.handle.net/10986/13679 |
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okr-10986-136792021-04-23T14:03:10Z Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study Shahriari, Helen Belli, Paolo Lewis, M. 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 FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS 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 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 HEALTH CARE WORKERS HOSPITAL ADMINISTRATORS HEALTH CARE DELIVERY HEALTH CARE POLICIES HOSPITALS HEALTH CARE FINANCE 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. 2013-05-30T14:48:20Z 2013-05-30T14:48:20Z 2001-02 http://documents.worldbank.org/curated/en/2001/02/3927907/institutional-issues-informal-health-payments-poland-report-qualitative-part-study http://hdl.handle.net/10986/13679 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Europe and Central Asia Poland |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
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 FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS 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 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 HEALTH CARE WORKERS HOSPITAL ADMINISTRATORS HEALTH CARE DELIVERY HEALTH CARE POLICIES HOSPITALS HEALTH CARE FINANCE |
| spellingShingle |
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 FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS 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 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 HEALTH CARE WORKERS HOSPITAL ADMINISTRATORS HEALTH CARE DELIVERY HEALTH CARE POLICIES HOSPITALS HEALTH CARE FINANCE Shahriari, Helen Belli, Paolo Lewis, M. Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| geographic_facet |
Europe and Central Asia Poland |
| relation |
HNP discussion paper series; |
| description |
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. |
| format |
Publications & Research :: Working Paper |
| author |
Shahriari, Helen Belli, Paolo Lewis, M. |
| author_facet |
Shahriari, Helen Belli, Paolo Lewis, M. |
| author_sort |
Shahriari, Helen |
| title |
Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| title_short |
Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| title_full |
Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| title_fullStr |
Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| title_full_unstemmed |
Institutional Issues in Informal Health Payments in Poland : Report on the Qualitative Part of the Study |
| title_sort |
institutional issues in informal health payments in poland : report on the qualitative part of the study |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2001/02/3927907/institutional-issues-informal-health-payments-poland-report-qualitative-part-study http://hdl.handle.net/10986/13679 |
| _version_ |
1764424562268700672 |