Assessment of patient payment policy in CEE countries: From a conceptual framework to policy indicators

Milena Pavlova, Marzena Tambor, Tetiana Stepurko, Godefridus G. Merode and Wim Groot
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Marzena Tambor: Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands.
Tetiana Stepurko: Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands.
Godefridus G. Merode: Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands.
Wim Groot: Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands.

Society and Economy, 2012, vol. 34, issue 2, 193-220

Abstract: The lack of systematic research on the assessment of patient payment policies emphasizes the need to evaluate the mechanisms of official patient charges. This paper aims to contribute to this research area by outlining a comprehensive framework for the assessment of patient payment policies, and by validating it on data for six CEE countries (Bulgaria, Hungary, Lithuania, Poland, Romania and Ukraine). Three broad groups of assessment criteria are included in the framework: policy context, policy content and policy effects. Within each of these groups, several sub-groups of criteria are defined. Our application of the assessment framework to the six CEE countries shows its relevance for the comparison of patient payment policy across countries, and for outlining common policy options. At the same time, it also reveals the need of collecting data on other relevant indicators that are not included in this paper, as well as for updating indicators already included. Research on patient payments will be essential for a continuous monitoring of patient payment policies (e.g. those in CEE) and their prompt adjustment.

Keywords: patient charges; policy assessment; Central and Eastern Europe (search for similar items in EconPapers)
JEL-codes: I11 I18 (search for similar items in EconPapers)
Date: 2012
Note: The study is financed by the European Commission under the 7th Framework Programme, Theme 8 Socio-economic Sciences and Humanities, Project ASSPRO CEE 2007 (Grant Agreement no. 217431). The views expressed in this publication are the sole responsibility of the authors and do not necessarily reflect the views of the European Commission or its services
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