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https://doi.org/10.2478/crebss-2019-0011

Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?

Josip Franić   ORCID icon orcid.org/0000-0002-5383-1735 ; Institute of Public Finance, Zagreb, Croatia
Anton Kojouharov ; Center for the Study of Democracy, Sofia, Bulgaria

Puni tekst: engleski, pdf (287 KB) str. 49-63 preuzimanja: 177* citiraj
APA 6th Edition
Franić, J. i Kojouharov, A. (2019). Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?. Croatian Review of Economic, Business and Social Statistics, 5 (2), 49-63. https://doi.org/10.2478/crebss-2019-0011
MLA 8th Edition
Franić, Josip i Anton Kojouharov. "Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?." Croatian Review of Economic, Business and Social Statistics, vol. 5, br. 2, 2019, str. 49-63. https://doi.org/10.2478/crebss-2019-0011. Citirano 17.09.2021.
Chicago 17th Edition
Franić, Josip i Anton Kojouharov. "Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?." Croatian Review of Economic, Business and Social Statistics 5, br. 2 (2019): 49-63. https://doi.org/10.2478/crebss-2019-0011
Harvard
Franić, J., i Kojouharov, A. (2019). 'Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?', Croatian Review of Economic, Business and Social Statistics, 5(2), str. 49-63. https://doi.org/10.2478/crebss-2019-0011
Vancouver
Franić J, Kojouharov A. Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?. Croatian Review of Economic, Business and Social Statistics [Internet]. 2019 [pristupljeno 17.09.2021.];5(2):49-63. https://doi.org/10.2478/crebss-2019-0011
IEEE
J. Franić i A. Kojouharov, "Informal payments by patients in Croatia: benign custom or detrimental residue from socialism?", Croatian Review of Economic, Business and Social Statistics, vol.5, br. 2, str. 49-63, 2019. [Online]. https://doi.org/10.2478/crebss-2019-0011

Sažetak
Almost three decades after the collapse of the socialist system, numerous informal practices inherited from that period have remained deeply entrenched in the Croatian economy and society. Faced with burdensome regulations and complicated procedures, many citizens and companies opt to resolve their problems using string-pulling, bribery and undeclared work. However, there are many other informal means of conduct, which have not been given adequate attention so far. One of them is the practice of giving gratuity and gifts to medical practitioners for services that are already covered by health insurance, whose roots and the exact function are still not sufficiently understood. To start filling the gap, this paper explores which groups of citizens give out-of-pocket payments to doctors and nurses, as well as what motivates them to do so. The logistic regression analysis applied on data from the Special Eurobarometer Survey No 470, which was conducted in October 2017 on a stratified sample of 1,038 Croatians, reveals that these payments by no means represent a benevolent custom of expressing gratitude for healing. Even though a certain portion of citizens exercises this practice out of choice, informal payments more commonly occur following a direct request by medical staff or simply because the patient feels a pressure to do so. As revealed by the analysis, the majority of such transactions in Croatia highly resemble standard forms of bribery. In line with this, it is recipients rather than donors of gifts and cash supplements who should be targeted in endeavours to eradicate the phenomenon.

Ključne riječi
corruption; Croatia; healthcare; informal patient payments; logistic regression; out-of-pocket payments

Hrčak ID: 229671

URI
https://hrcak.srce.hr/229671

Posjeta: 371 *