AI Article Synopsis

  • The paper investigates informal healthcare payments in Albania, analyzing data from the 2005 Living Standard Measurement Survey to understand individual factors influencing these payments for both inpatient and outpatient care.
  • Using multivariate methods like logit and OLS regression, the study evaluates three models—cultural, economic, and governance— to identify key determinants of informal payments.
  • Findings indicate that patient characteristics (age, education, health status, etc.) significantly influence informal payments, with less emphasis on income, and the governance and economic models being more valid than the cultural model.

Article Abstract

Background: Informal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the Living Standard Measurement Survey 2005 we control for individual determinants of informal payments in inpatient and outpatient health care. We use these results to explain the main factors contributing to the occurrence and extent of informal payments in Albania.

Methods: Using multivariate methods (logit and OLS) we test three models to explain informal payments: the cultural, economic and governance model. The results of logit models are presented here as odds ratios (OR) and results from OLS models as regression coefficients (RC).

Results: Our findings suggest differences in determinants of informal payments in inpatient and outpatient care. Generally our results show that informal payments are dependent on certain characteristics of patients, including age, area of residence, education, health status and health insurance. However, they are less dependent on income, suggesting homogeneity of payments across income categories.

Conclusions: We have found more evidence for the validity of governance and economic models than for the cultural model.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123594PMC
http://dx.doi.org/10.1186/1471-2458-11-375DOI Listing

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