The formal–informal patient payment mix in European countries. Governance, economics, culture or all of these?

Marzena Tambor, Milena Pavlova, Stanisława Golinowska, Christoph Sowada and Wim Groot

Health Policy, 2013, vol. 113, issue 3, 284-295

Abstract: Cost-sharing for health care is high on the policy agenda in many European countries that struggle with deficits in their public budget. However, such policy often meets with public opposition, which might delay or even prevent its implementation. Increased reliance on patient payments may also have adverse equity effects, especially in countries where informal patient payments are widespread. The factors which might influence the presence of both, formal and informal payments can be found in economic, governance and cultural differences between countries.

Keywords: Formal patient charges; Informal patient payments; Europe; Policy implementation; Cost sharing; Out of pocket (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (7)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:113:y:2013:i:3:p:284-295

DOI: 10.1016/j.healthpol.2013.09.011

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