Informal payments and the financing of health care in developing and transition countries.
Informal, under-the-table payments to public health care providers are increasingly viewed as a critically important source of health care financing in developing and transition countries. With minimal funding levels and limited accountability, publicly financed and delivered care falls prey to illegal payments, which require payments that can exceed 100 percent of a country's median income. Methods to address the abuse include establishing official fees, combined with improved oversight and accountability for public health care providers, and a role for communities in holding providers accountable.
Lewis
Maureen
M
Human Development, World Bank, Washington, DC, USA. mlewis1@worldbank.org
D000554:Ambulatory Care Facilities / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics*; D003906:Developing Countries / Q000191:economics*; D005251:Fees, Medical / Q000592:standards*; D005380:Financing, Government / Q000706:statistics & numerical data / Q000639:trends; D005382:Financing, Personal / Q000706:statistics & numerical data / Q000639:trends; D019538:Health Care Surveys; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000191:economics; D019456:Health Transition; D017722:Hospital Charges / Q000592:standards*; D006801:Humans; D015999:Multivariate Analysis; D010816:Physician Incentive Plans; D012052:Reimbursement, Incentive; D012941:Social Responsibility; D014480:United Nations