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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Main Author: World Bank
Format: Health Sector Review
Language:English
Published: World Bank 2012
Subjects:
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
id okr-10986-2784
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic 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
spellingShingle 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
World Bank
Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
geographic_facet Europe and Central Asia
Europe
Eastern Europe
Albania
description 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.
format Economic & Sector Work :: Health Sector Review
author World Bank
author_facet World Bank
author_sort World Bank
title Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
title_short Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
title_full Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
title_fullStr Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
title_full_unstemmed Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
title_sort albania - out-of-pocket payments in albania’s health system : trends in household perceptions and experiences 2002-2008
publisher World Bank
publishDate 2012
url 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
_version_ 1764385940768292864
spelling okr-10986-27842021-04-23T14:02:04Z Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008 World Bank 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 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. 2012-03-19T10:13:28Z 2012-03-19T10:13:28Z 2011-03-28 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 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank Economic & Sector Work :: Health Sector Review Europe and Central Asia Europe Eastern Europe Albania