Informal politics and inequity of access to health care in Lebanon

Bradley Chen · Melani Claire Cammett

47 citations0/0 files storedInternational Journal for Equity in Health

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Healthcare Systems and Reforms Healthcare Policy and Management Public Health and Social Inequalities

Abstract

INTRODUCTION: Despite the importance of political institutions in shaping the social environment, the causal impact of politics on health care access and inequalities has been understudied. Even when considered, research tends to focus on the effects of formal macro-political institutions such as the welfare state. We investigate how micro-politics and informal institutions affect access to care. METHODS: This study uses a mixed-methods approach, combining findings from a household survey (n = 1789) and qualitative interviews (n = 310) in Lebanon. Multivariate logistic regression was employed in the analysis of the survey to examine the effect of political activism on access to health care while controlling for age, sex, socioeconomic status, religious commitment and piety. RESULTS: We note a significantly positive association between political activism and the probability of receiving health aid (p < .001), with an OR of 4.0 when comparing individuals with the highest political activity to those least active in our sample. Interviews with key informants also reveal that, although a form of "universal coverage" exists in Lebanon whereby any citizen is eligible for coverage of hospitalization fees and treatments, in practice, access to health services is used by political parties and politicians as a deliberate strategy to gain and reward political support from individuals and their families. CONCLUSIONS: Individuals with higher political activism have better access to health services than others. Informal, micro-level political institutions can have an important impact on health care access and utilization, with potentially detrimental effects on the least politically connected. A truly universal health care system that provides access based on medical need rather than political affiliation is needed to help to alleviate growing health disparities in the Lebanese population.

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1990The three worlds of welfare capitalism 2003Exploring Alternative Measures of Welfare in the Absence of Expenditure Data 2009Development, Democracy, and Welfare States 2000Poor People’s Politics 2006Politics and health outcomes 2004Insecurity and Welfare Regimes in Asia, Africa and Latin America 2007Going beyond The three worlds of welfare capitalism: regime theory and public health research: Table 1 2009Epi + demos + cracy: Linking Political Systems and Priorities to the Magnitude of Health Inequities--Evidence, Gaps, and a Research Agenda

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