Incaltarau, C., Horodnic, A., Williams, C. orcid.org/0000-0002-3610-1933 et al. (1 more author) (2021) Institutional determinants of informal payments for health services : an exploratory analysis across 117 countries. International Journal of Environmental Research and Public Health, 18 (23). 12421. ISSN 1661-7827
Abstract
Healthcare accessibility and equity remain important issues, as corruption in the form of informal payments is still prevalent in many countries across the world. This study employs a panel data analysis over the 2006–2013 period to explore the role of different institutional factors in explaining the prevalence of informal payments. Covering 117 countries, our findings confirm the significant role of both formal and informal institutions. Good governance, a higher trust among individuals, and a higher commitment to tackling corruption are associated with diminishing informal payments. In addition, higher shares of private finance, such as out-of-pocket and domestic private health expenditure, are also correlated with a lower prevalence of informal payments. In policy terms, this displays how correcting institutional imperfections may be among the most efficient ways to tackle informal payments in healthcare.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
Keywords: | informal payments; formal institutions; informal institutions; healthcare system; corruption; trust |
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: | 30 Nov 2021 09:21 |
Last Modified: | 30 Nov 2021 09:21 |
Status: | Published |
Publisher: | MDPI AG |
Refereed: | Yes |
Identification Number: | 10.3390/ijerph182312421 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:180994 |