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Reducing informal payments in the health care system: Evidence from a large patient satisfaction survey
Drawing on the body of literature on the effects of providing information on reducing corruption, Mokhtari and Ashtari empirically test the argument about the importance of transparency of patients’ entitlements and service prices for reduction of informal payments for healthcare services. Taking Moldova as their case study and using 2008 Patient Satisfaction Survey as their data source, the authors test a multivariate logistic regression model assessing the importance of a wide range of socio-demographic, attitudinal, and situational factors on the probability of leaving informal payments. Among the factors included by the authors in their model were age, sex, occupation, having or not having insurance, reasons for visiting healthcare facility, having or not having appointment, length of waiting for the visit, method of payment for services, observation of confidentiality, patient’s attitudes towards healthcare facility and healthcare staff, patients’ knowledge of their rights and responsibilities, and, finally, transparency of patients’ entitlements and services prices. As this study demonstrates, transparency is an important factor of not giving informal payments.
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How Do Patient Characteristics Influence Informal Payments for Inpatient and Outpatient Health Care in Albania
This study represents one of the first attempts to make an empirical assessment of the three major theories that have been advanced to date explaining the phenomenon of informal payments for healthcare - the cultural model (informal payments as one of the expressions of the ‘culture of gifts’), economic model (informal payments as the result of a gap between demand and supply), and, what the authors call, governance model (informal payments as the result of a lack of control and accountability of healthcare systems). Using Albania as a case study, the authors demonstrate that that the cultural explanatory model appears to be substantially weaker than the economic and the governance ones.
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Quality of Government and Access to Safe Water
In this paper the authors look at the empirical relationship between ’quality of government’ (QoG) and the level of access to safe drinking water. Quality of government is measured by the level of corruption and public sector bureaucratic effectiveness. Using a cross-sectional design with roughly 190 countries, they find strong empirical support for the hypothesis that QoG is positively related with safe drinking water, even when accounting for the strength of democratic institutions. Furthermore, they find interaction effects – the strength of the relationship between QoG and access to drinking water is strongest at lower levels of economic development.
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Where the Bribes Are Paid - Interactive Database
This interactive database compiles decades of data on violations and penalties under the Foreign Corrupt Practices Act, the U.S. flagship legislation that makes bribery of foreign officials a crime. Since its inception, prosecutors have penalized over 200 companies under the FCPA in about 80 countries, amassing about $4 billion in penalties. The database, called Where the Bribes are Paid , allows users to see how the total penalties amassed in each country break down by sector.
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2011 Bribe Payers Index
The Bribe Payers Index is a unique tool capturing the supply side of international bribery, specifically focussing on bribes paid by the private sector. The 2011 Bribe Payers Index is the fifth edition of the index, ranking 28 of the world’s largest economies according to the likelihood of firms from these countries to bribe when doing business abroad. It is based on the results of Transparency International’s 2011 Bribe Payers Survey. This asked 3,016 senior business executives in 30 countries around the world for their perceptions of the likelihood of companies, from countries they have business dealings with, to engage in bribery when doing business in the executive’s country. A sectoral ranking is also available which scores and ranks 19 sectors. The survey asked how often three different types of bribery were perceived to occur in each sector: firstly, bribery of low-ranking public officials; secondly, improper contributions to high-ranking politicians to achieve influence; and thirdly, bribery between private companies.
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Posted by
Farzana Nawaz
at
Nov 24, 2011 12:40 PM
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Categories:
Global, Empirical Data Analysis, Qualitative Analysis, Private Sector (General), Health, Construction, Defence, Extractives, Real Estate, Financial Markets, Forestry, Energy
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2011 Ibrahim Index of African Governance
the Ibrahim Index is the most comprehensive collection of quantitative data that provides an annual assessment of governance performance in every African country. It compiles 86 indicators grouped into 14 sub-categories and four overarching categories to measure the effective delivery of public goods and services to African citizens. Topics covered by the index include: Rule of law, accountability, personal safety, participation, gender, human rights, public management, infrastructure, education and health.
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Posted by
Farzana Nawaz
at
Nov 08, 2011 03:42 PM
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Categories:
Civil Society, Elections, Environment, Gender, Human Rights, Judiciary, Organised Crime, Political Corruption, Public Financial Management, Security, Service Delivery, Africa, Middle East and North Africa, Anti-Corruption Institutions, Anti-Corruption Laws, Empirical Data Analysis, Qualitative Analysis, Private Sector (General), Education, Health, Construction
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Preventing Corruption in Health Programs (Boston University, School of Public Health)
This course is designed to provide students with skills for assessing vulnerabilities to corruption in the health sector. It aims to build the confidence, knowledge and skills needed to become an effective advocate for anti-corruption strategies and health system reforms that promote accountability and transparency.
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Posted by
Farzana Nawaz
at
May 31, 2010 01:50 PM
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Categories:
Human Rights, Political Corruption, Global, Africa, Latin America and the Carribbeans, Asia Pacific, Access to Information, Anti-Corruption Institutions, Anti-Corruption Laws, Qualitative Analysis, Health
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