Qualitative Study on Informal Payments for Health Services in Georgia
This paper focuses on the specific dimension of informal payments by health users in Georgia, a growing pattern within many ECA (East Europe and Central Asia) countries. Using newly collected data from in-depth interviews and focus groups in rural...
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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/2002/11/3916723/qualitative-study-informal-payments-health-services-georgia http://hdl.handle.net/10986/13773 |
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okr-10986-137732021-04-23T14:03:09Z Qualitative Study on Informal Payments for Health Services in Georgia Belli, Paolo Shahriari, Helen Curtio Medical Group ADVERSE SELECTION AGED AMBULANCE SERVICES AMBULANCES BEDS COMMUNITY PARTICIPATION COST OF TREATMENT DISPENSARIES DISTRICTS DOCTORS ESSENTIAL DRUGS FAMILIES FIELD RESEARCH GENDER HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH FACILITIES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROMOTION HEALTH PROVIDERS HEALTH PROVISION HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOSPITAL ADMINISTRATORS HOSPITAL ADMISSION HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSES INPATIENT CARE INSURANCE LABOR FORCE LOW INCOME MANAGERS MEDICAL SERVICES MEDICAL STATISTICS MORAL HAZARD MORAL HAZARD PROBLEMS MOTHERS NURSES NUTRITION OCCUPANCY OUTPATIENT CARE OUTPATIENT SERVICES PATIENTS PHYSICIANS PREGNANCY PRIVATE INSURANCE PRIVATE SECTOR PUBLIC HEALTH QUALITATIVE RESEARCH QUANTITATIVE RESEARCH RURAL AREAS SERVICE DELIVERY UNEMPLOYMENT URBAN AREAS VILLAGES WORKERS This paper focuses on the specific dimension of informal payments by health users in Georgia, a growing pattern within many ECA (East Europe and Central Asia) countries. Using newly collected data from in-depth interviews and focus groups in rural and urban areas of the country, it investigates the determinants of out-of-pocket payments for health services that are supposed to be delivered free of charge under the Georgian Basic Benefit Package (BBP). The study finds that the demarcation between formal and informal components of these Out-of-Pocket payments is extremely imprecise because of: (a) the spread of "health rights unawareness" around the country and, (b) the prices outside the BBP differ from provider to provider. The study also found that some informal payments are based on cultural/social patterns ingrained in the Georgian tradition. Georgian now about the low health sector salaries and compensate the doctors with small payments. Finally, some recommendations to help the Georgian government to break the vicious cycle (excess capacity, decreasing demand of health services, lack of accountability) are proposed in this study, including greater role of the government in leading reforms, and the wider participation of the private sector in designing new governance arrangements in the future. 2013-06-05T15:28:55Z 2013-06-05T15:28:55Z 2002-11 http://documents.worldbank.org/curated/en/2002/11/3916723/qualitative-study-informal-payments-health-services-georgia 1-932126-44-9 http://hdl.handle.net/10986/13773 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 Georgia |
| 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 |
ADVERSE SELECTION AGED AMBULANCE SERVICES AMBULANCES BEDS COMMUNITY PARTICIPATION COST OF TREATMENT DISPENSARIES DISTRICTS DOCTORS ESSENTIAL DRUGS FAMILIES FIELD RESEARCH GENDER HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH FACILITIES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROMOTION HEALTH PROVIDERS HEALTH PROVISION HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOSPITAL ADMINISTRATORS HOSPITAL ADMISSION HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSES INPATIENT CARE INSURANCE LABOR FORCE LOW INCOME MANAGERS MEDICAL SERVICES MEDICAL STATISTICS MORAL HAZARD MORAL HAZARD PROBLEMS MOTHERS NURSES NUTRITION OCCUPANCY OUTPATIENT CARE OUTPATIENT SERVICES PATIENTS PHYSICIANS PREGNANCY PRIVATE INSURANCE PRIVATE SECTOR PUBLIC HEALTH QUALITATIVE RESEARCH QUANTITATIVE RESEARCH RURAL AREAS SERVICE DELIVERY UNEMPLOYMENT URBAN AREAS VILLAGES WORKERS |
| spellingShingle |
ADVERSE SELECTION AGED AMBULANCE SERVICES AMBULANCES BEDS COMMUNITY PARTICIPATION COST OF TREATMENT DISPENSARIES DISTRICTS DOCTORS ESSENTIAL DRUGS FAMILIES FIELD RESEARCH GENDER HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH FACILITIES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROMOTION HEALTH PROVIDERS HEALTH PROVISION HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOSPITAL ADMINISTRATORS HOSPITAL ADMISSION HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSES INPATIENT CARE INSURANCE LABOR FORCE LOW INCOME MANAGERS MEDICAL SERVICES MEDICAL STATISTICS MORAL HAZARD MORAL HAZARD PROBLEMS MOTHERS NURSES NUTRITION OCCUPANCY OUTPATIENT CARE OUTPATIENT SERVICES PATIENTS PHYSICIANS PREGNANCY PRIVATE INSURANCE PRIVATE SECTOR PUBLIC HEALTH QUALITATIVE RESEARCH QUANTITATIVE RESEARCH RURAL AREAS SERVICE DELIVERY UNEMPLOYMENT URBAN AREAS VILLAGES WORKERS Belli, Paolo Shahriari, Helen Curtio Medical Group Qualitative Study on Informal Payments for Health Services in Georgia |
| geographic_facet |
Europe and Central Asia Georgia |
| relation |
HNP discussion paper series; |
| description |
This paper focuses on the specific
dimension of informal payments by health users in Georgia, a
growing pattern within many ECA (East Europe and Central
Asia) countries. Using newly collected data from in-depth
interviews and focus groups in rural and urban areas of the
country, it investigates the determinants of out-of-pocket
payments for health services that are supposed to be
delivered free of charge under the Georgian Basic Benefit
Package (BBP). The study finds that the demarcation between
formal and informal components of these Out-of-Pocket
payments is extremely imprecise because of: (a) the spread
of "health rights unawareness" around the country
and, (b) the prices outside the BBP differ from provider to
provider. The study also found that some informal payments
are based on cultural/social patterns ingrained in the
Georgian tradition. Georgian now about the low health sector
salaries and compensate the doctors with small payments.
Finally, some recommendations to help the Georgian
government to break the vicious cycle (excess capacity,
decreasing demand of health services, lack of
accountability) are proposed in this study, including
greater role of the government in leading reforms, and the
wider participation of the private sector in designing new
governance arrangements in the future. |
| format |
Publications & Research :: Working Paper |
| author |
Belli, Paolo Shahriari, Helen Curtio Medical Group |
| author_facet |
Belli, Paolo Shahriari, Helen Curtio Medical Group |
| author_sort |
Belli, Paolo |
| title |
Qualitative Study on Informal Payments for Health Services in Georgia |
| title_short |
Qualitative Study on Informal Payments for Health Services in Georgia |
| title_full |
Qualitative Study on Informal Payments for Health Services in Georgia |
| title_fullStr |
Qualitative Study on Informal Payments for Health Services in Georgia |
| title_full_unstemmed |
Qualitative Study on Informal Payments for Health Services in Georgia |
| title_sort |
qualitative study on informal payments for health services in georgia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/11/3916723/qualitative-study-informal-payments-health-services-georgia http://hdl.handle.net/10986/13773 |
| _version_ |
1764424393575890944 |