Socioeconomic Factors Affecting Informal Payments in the Health Sector

Mohammad Amiri · Abbas Assari Arani · Hosein Sadeghi · Lotfali Agheli

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Abstract

Informal payments are a signifi cant source for fi nancing health systems in many developing and transition countries. The aim of our study was the assessment of the infl uence of patients’ socioeconomic status on their informal payment for health care. This article presents a cross-sectional and applied research that was conducted in a general public hospital in Iran during April 2014. The population of the study was all the 1,035 patients discharged during April 2014. Data gathering was done using a questionnaire. An ordered logistic regression model based on a truncated method was estimated to investigate factors affecting informal health payments. About 48% of respondents reported at least one experience of informal payment for health care during the previous year. The results showed that the patients’ socioeconomic status can signifi cantly affect the likelihood and frequency of informal payments for health care. Older people, members of small and wealthier families, employed persons, and those who are under coverage of only basic medical insurance are more at risk of making such payments. Policymakers should pay more attention to such socioeconomic groups in order to improve the effectiveness of policies.

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References

2007Protecting Households From Catastrophic Health Spending 2003Informal payments for health care in transition economies 2007Informal Payments And The Financing Of Health Care In Developing And Transition Countries 2002Understanding informal payments for health care: the example of Bulgaria 2008Informal payments in public hospitals in Greece 2005The inequity of informal payments for health care: The case of Hungary 2000Informal payments in transitional economies: implications for health sector reform 2010Informal payments and the quality of health care: Mechanisms revealed by Tanzanian health workers

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