Williams, C.C. orcid.org/0000-0002-3610-1933 and Horodnic, A.V. (2018) Explaining informal payments for health services in Central and Eastern Europe: an institutional asymmetry perspective. Post-Communist Economies, 30 (4). pp. 440-458. ISSN 1463-1377
Abstract
The aim of this paper is to propose and evaluate a new institutional theory explanation for patients making informal payments for health services in Central and Eastern Europe. This views informal payments by patients to healthcare professionals as arising when formal institutional failures lead to an asymmetry between the laws and regulations of formal institutions and the unwritten rules of informal institutions. Reporting a 2013 Eurobarometer survey of the prevalence of informal payments by patients in Central and Eastern European countries, a strong association is revealed between the level of asymmetry between the formal and informal institutions, and the propensity to make informal payments. The association between informal payments and various formal institutional imperfections is then explored to evaluate which structural conditions might reduce this institutional asymmetry, and thus the propensity to make informal payments. The paper concludes by exploring the implications for tackling such informal practices.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Post-Communist Economies on 16/04/2018, available online: http://www.tandfonline.com/10.1080/14631377.2018.1442051 |
Keywords: | Informal payments; health services; institutional theory; institutional asymmetry; East-Central Europe |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Management School (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 20 Feb 2018 12:00 |
Last Modified: | 08 Sep 2020 10:16 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/14631377.2018.1442051 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:127580 |