User fees for public health care services in Hungary: Expectations, experience, and acceptability from the perspectives of different stakeholders

Baji, Petra; Pavlova, Milena; Gulàcsi, László; Groot, Wim

doi:10.1016/j.healthpol.2011.03.001

Cited by 44 publications

(54 citation statements)

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“…This has been identified in studies conducted in large geographical areas, such as in 35 European countries [26], Central Asia [30] as well as in 33 African countries [31], or in smaller studies comprising only one nation as, for example, Bulgaria [1,6,13,32,33], Poland [34,35], Hungary [2,[36][37][38][39][40], Greece [4,41], Lithuania [34,42], Russia [43,44]; Ukraine [34,45], Moldova [46], Serbia [47], Kazakhstan [48], Albania [5,49,50], Kosovo [8], Tajikistan [51,52], Kyrgyzstan [53], Taiwan [54], Cameroon [55], Tanzania [3,56] and Turkey [57]. Nevertheless, informal patient payments phenomenon is poorly examined at a cross-country level.…”

Section: Explaining the Informal Patient Payments: An Institutional Amentioning

confidence: 94%

“…Over the last two decades or so, a growing literature reveals how patients in many countries around the world, particularly in the former communist countries and other low and middle income countries, use informal payments to seek either better treatment [1][2][3][4][5][6], an additional service [7], due to their fear of being denied treatment [5,8], because the "doctor demanded payment" [4], because there is a tradition of giving a gift to express gratitude [4,5,9] or just "because everybody does it" [4]. Given that some 35-60% of patients make informal payments in Bulgaria, Hungary, Lithuania, Poland, Romania and Ukraine [10], tackling this phenomenon can be seen as central and essential to building a healthcare system which is not based on bribes and corruption, and provides more equal access [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Rethinking informal payments by patients in Europe: An institutional approach

Williams

Horodnic

2017

Health Policy

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Section: Explaining the Informal Patient Payments: An Institutional Amentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Rethinking informal payments by patients in Europe: An institutional approach

Williams

Horodnic

2017

Health Policy

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“…Previous qualitative studies suggest that consumers are not satisfied with the quality of health care services provided by the social health insurance in Hungary (Baji et al 2011a;BajiGulácsi 2010). They mostly complain about long queues, long waiting times, lack of personal attention, poor maintenance of the health care facilities and shortage of equipment.…”

Section: Introductionmentioning

confidence: 99%

“…2 However, those consumers who want to obtain services with better quality or access are either paying informally for health care services or use private services (Baji et al 2011a). To maintain or improve the quality of the services provided by social health insurance and to meet consumers' expectations, the increase of private spending on health care seems to be inevitable.…”

Section: Introductionmentioning

confidence: 99%

Preferences of Hungarian consumers for quality, access and price attributes of health care services — result of a discrete choice experiment

Baji

Pavlova

Gulàcsi

et al. 2012

Society and Economy

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In 2010, a household survey was carried out in Hungary among 1037 respondents to study consumer preferences and willingness to pay for health care services. In this paper, we use the data from the discrete choice experiments included in the survey, to elicit the preferences of health care consumers about the choice of health care providers. Regression analysis is used to estimate the effect of the improvement of service attributes (quality, access, and price) on patients' choice, as well as the 1 The study is financed by the European Commission under the 7th Framework Program, Theme 8 Socioeconomic Sciences and Humanities, Project ASSPRO CEE 2007 (Grant Agreement no. 217431). The content of the publication is the sole responsibility of the authors and it in no way represents the views of the Commission or its services.2 differences among the socio-demographic groups. We also estimate the marginal willingness to pay for the improvement in attribute levels by calculating marginal rates of substitution. The results show that respondents from a village or the capital, with low education and bad health status are more driven by the changes in the price attribute when choosing between health care providers. Respondents value the good skills and reputation of the physician and the attitude of the personnel most, followed by modern equipment and maintenance of the office/hospital. Access attributes (travelling and waiting time) are less important. The method of discrete choice experiment is useful to reveal patients' preferences, and might support the development of an evidence-based and sustainable health policy.

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“…Elmondható, hogy a hálapénz jelenségének egészségpo-litikai, gazdasági, társadalomtudományi és jogi vetületei egyaránt meghatározóak e kérdés vizsgálatakor [8][9][10][11][12][13][14]. A probléma széles perspektívájú leírása mellett a hála-pénz ügye az utóbbi évtizedek egyik legfontosabb egész-ségpolitikai kihívásaként jelenik meg az érintett orszá-gokban [15][16][17][18][19].…”

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Mit gondolnak a családorvos-rezidensek a hálapénzről?

et al. 2017

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Bevezetés: A hálapénz az egyik legfontosabb egészségpolitikai kérdés Magyarországon. Célkitűzés: A szerzők célul tűzik ki, hogy megvizsgálják a magyarországi családorvos-rezidensek hálapénzzel kapcsolatos vélekedéseit. Módszer: Kvantitatív, papíralapú felmérés a négy magyarországi családorvosi tanszék rezidensei körében (n = 152). Eredmények: A rezidensek több mint 50%-a elutasító a hálapénzzel szemben. A férfiak (p<0,026), a végzős rezidensek (p<0,036) szignifikáns mértékben, a gyermekesek tendenciaszerűen több hálapénzt fogadnak el (p<0,051). A jelenség okául leginkább a megfelelő ellátás hiányát (65%), a kiszolgáltatottságot és a valódi hálát (52%) gondolják. A "megfelelő egészségügyi ellátás" kifejezésen a hatályos egészségügyi törvény (1997. évi CLIV. törvény) definícióját értik. Véleményük szerint a legkevésbé befolyásoló tényező az alacsony orvosi bér (14,4%). A hálapénzt korrupciónak és az orvosok számára megalázónak gondolják (80-80%). Következtetések: A családorvos-rezidensek a korábbi vizsgálati eredményekhez képest elutasítóbbak a hálapénzzel szemben, de a hálapénzzel kapcsolatos egyéb kérdések esetében a korábbi kutatásokban megfogalmazottakhoz hasonló véleményeket fogalmaztak meg. Orv Hetil. 2017; 158(26): 1028-1035.

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User fees for public health care services in Hungary: Expectations, experience, and acceptability from the perspectives of different stakeholders

Cited by 44 publications

References 17 publications

Rethinking informal payments by patients in Europe: An institutional approach

Rethinking informal payments by patients in Europe: An institutional approach

Preferences of Hungarian consumers for quality, access and price attributes of health care services — result of a discrete choice experiment

Mit gondolnak a családorvos-rezidensek a hálapénzről?

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