Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008

In many countries absent or poorly functioning prepayment mechanisms for health care expose families to the financial risks associated with accidents and sickness. The report exploits a specially designed health governance and accountability module...

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Bibliographic Details
Main Author:	World Bank
Format:	Health Sector Review
Language:	English
Published:	World Bank 2012
Subjects:	ABILITY TO PAY ACCOUNTABILITY MECHANISMS ADEQUATE RESOURCES AFFORDABILITY BANKS BASIC NEEDS BRIBE BRIBES CAPITAL INVESTMENTS CARE ACCESS CATASTROPHIC HEALTH EXPENDITURE CLINICS CORRUPTION COST OF HEALTH CARE COST OF SERVICES COSTS OF TREATMENT CULTURAL NORMS DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DISCRIMINATION DRUGS EARNINGS EDUCATIONAL ATTAINMENT EMPLOYMENT EMPOWERMENT EQUITY IN ACCESS EXPENDITURES EXTENDED FAMILIES FAMILIES FEE FOR SERVICE FEE-FOR-SERVICE FINANCIAL ASSISTANCE FINANCIAL RISKS FREE CARE HEALTH AFFAIRS HEALTH CARE COSTS HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH CENTERS HEALTH CENTRE HEALTH CENTRES HEALTH COSTS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH INDICATORS HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH INSURANCE CONTRIBUTIONS HEALTH INSURANCE COVERAGE HEALTH INSURANCE SYSTEM HEALTH ORGANIZATION HEALTH POLICY HEALTH POSTS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH-CARE HEALTH-CARE SYSTEM HEALTHCARE HOSPITAL BEDS HOSPITAL CARE HOSPITALS HOUSEHOLD EXPENDITURE HOUSEHOLD INCOMES HOUSEHOLDS HUMAN CAPITAL HUMAN DEVELOPMENT HYGIENE ILLNESS INCOME INCOME COUNTRIES INCOME GROUPS INFORMAL PAYMENTS INFORMATION CAMPAIGNS INPATIENT ADMISSION INPATIENT CARE LOW INCOME MARKET ECONOMY MEDICAL CARE MEDICAL DOCTORS MEDICAL ETHICS MEDICAL EXPENSES MEDICAL FEES MEDICAL SPECIALISTS MEDICAL STAFF MEDICATION NATIONAL HEALTH NURSES NUTRITION OLDER PEOPLE OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PEOPLES PHYSICIAN PHYSICIANS POCKET PAYMENTS POCKET PAYMENTS FOR HEALTH CARE POLICY RESEARCH PREGNANT WOMEN PREPAYMENT MECHANISMS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE FEES PRIVATE HEALTH INSURANCE PRIVATE HOSPITALS PRIVATE SECTOR PRIVATE SERVICES PROBABILITY PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC SCHOOL PUBLIC SECTOR REHABILITATION RISK MANAGEMENT SAVINGS SOCIAL HEALTH INSURANCE SOCIAL WELFARE TECHNICAL SUPPORT TREATMENTS TUBERCULOSIS UNION UNIVERSAL ACCESS URBAN AREAS USER FEES VULNERABLE PEOPLE WORKERS
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000356161_20111010011312 http://hdl.handle.net/10986/2784

Description
Summary:	In many countries absent or poorly functioning prepayment mechanisms for health care expose families to the financial risks associated with accidents and sickness. The report exploits a specially designed health governance and accountability module that was added to the 2008 wave of the Albania LSMS to gain additional insight into the determinants of informal payments and household perceptions and experiences of governance in the health sector more generally. This report is structured in four parts. Following the motivation, introduction and summary of the report's findings in part one, part two sets the institutional context for readers not already familiar with Albania's health system, and presents data showing public perceptions of health care and answers to subjective questions included in the health governance and accountability module of the 2008 Albania LSMS. These data have been combined with prior waves of the LSMS to show how the incidence of informal payments has changed in recent years. Part three shows the impact out-of-pocket payments -both formal and informal- have on household consumption and the incidence of poverty. Part fourth presents the results of statistical analysis, using techniques to match like-households over time, in order to identify significant factors at the household level that are associated with informal payments and how these have changed during a period of structural changes in the health system.

Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008

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