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

World Bank

dc.creator	World Bank
dc.date	2012-03-19T10:13:28Z
dc.date	2012-03-19T10:13:28Z
dc.date	2011-03-28
dc.date.accessioned	2023-02-17T20:41:41Z
dc.date.available	2023-02-17T20:41:41Z
dc.identifier	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
dc.identifier	http://hdl.handle.net/10986/2784
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/243149
dc.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.
dc.language	English
dc.publisher	World Bank
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ABILITY TO PAY
dc.subject	ACCOUNTABILITY MECHANISMS
dc.subject	ADEQUATE RESOURCES
dc.subject	AFFORDABILITY
dc.subject	BANKS
dc.subject	BASIC NEEDS
dc.subject	BRIBE
dc.subject	BRIBES
dc.subject	CAPITAL INVESTMENTS
dc.subject	CARE ACCESS
dc.subject	CATASTROPHIC HEALTH EXPENDITURE
dc.subject	CLINICS
dc.subject	CORRUPTION
dc.subject	COST OF HEALTH CARE
dc.subject	COST OF SERVICES
dc.subject	COSTS OF TREATMENT
dc.subject	CULTURAL NORMS
dc.subject	DEMAND FOR HEALTH
dc.subject	DEMAND FOR HEALTH CARE
dc.subject	DISCRIMINATION
dc.subject	DRUGS
dc.subject	EARNINGS
dc.subject	EDUCATIONAL ATTAINMENT
dc.subject	EMPLOYMENT
dc.subject	EMPOWERMENT
dc.subject	EQUITY IN ACCESS
dc.subject	EXPENDITURES
dc.subject	EXTENDED FAMILIES
dc.subject	FAMILIES
dc.subject	FEE FOR SERVICE
dc.subject	FEE-FOR-SERVICE
dc.subject	FINANCIAL ASSISTANCE
dc.subject	FINANCIAL RISKS
dc.subject	FREE CARE
dc.subject	HEALTH AFFAIRS
dc.subject	HEALTH CARE COSTS
dc.subject	HEALTH CARE FACILITIES
dc.subject	HEALTH CARE FINANCING
dc.subject	HEALTH CARE PROVIDERS
dc.subject	HEALTH CARE SECTOR
dc.subject	HEALTH CARE SERVICES
dc.subject	HEALTH CARE SYSTEM
dc.subject	HEALTH CARE SYSTEMS
dc.subject	HEALTH CARE SYSTEMS IN TRANSITION
dc.subject	HEALTH CENTERS
dc.subject	HEALTH CENTRE
dc.subject	HEALTH CENTRES
dc.subject	HEALTH COSTS
dc.subject	HEALTH ECONOMICS
dc.subject	HEALTH EXPENDITURE
dc.subject	HEALTH EXPENDITURES
dc.subject	HEALTH FACILITIES
dc.subject	HEALTH FINANCE
dc.subject	HEALTH FINANCING
dc.subject	HEALTH INDICATORS
dc.subject	HEALTH INSTITUTIONS
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH INSURANCE CONTRIBUTIONS
dc.subject	HEALTH INSURANCE COVERAGE
dc.subject	HEALTH INSURANCE SYSTEM
dc.subject	HEALTH ORGANIZATION
dc.subject	HEALTH POLICY
dc.subject	HEALTH POSTS
dc.subject	HEALTH PROVIDERS
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICE
dc.subject	HEALTH SERVICE DELIVERY
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEMS
dc.subject	HEALTH-CARE
dc.subject	HEALTH-CARE SYSTEM
dc.subject	HEALTHCARE
dc.subject	HOSPITAL BEDS
dc.subject	HOSPITAL CARE
dc.subject	HOSPITALS
dc.subject	HOUSEHOLD EXPENDITURE
dc.subject	HOUSEHOLD INCOMES
dc.subject	HOUSEHOLDS
dc.subject	HUMAN CAPITAL
dc.subject	HUMAN DEVELOPMENT
dc.subject	HYGIENE
dc.subject	ILLNESS
dc.subject	INCOME
dc.subject	INCOME COUNTRIES
dc.subject	INCOME GROUPS
dc.subject	INFORMAL PAYMENTS
dc.subject	INFORMATION CAMPAIGNS
dc.subject	INPATIENT ADMISSION
dc.subject	INPATIENT CARE
dc.subject	LOW INCOME
dc.subject	MARKET ECONOMY
dc.subject	MEDICAL CARE
dc.subject	MEDICAL DOCTORS
dc.subject	MEDICAL ETHICS
dc.subject	MEDICAL EXPENSES
dc.subject	MEDICAL FEES
dc.subject	MEDICAL SPECIALISTS
dc.subject	MEDICAL STAFF
dc.subject	MEDICATION
dc.subject	NATIONAL HEALTH
dc.subject	NURSES
dc.subject	NUTRITION
dc.subject	OLDER PEOPLE
dc.subject	OUTPATIENT CARE
dc.subject	OUTPATIENT SERVICES
dc.subject	PATIENT
dc.subject	PATIENTS
dc.subject	PAYMENTS FOR HEALTH SERVICES
dc.subject	PEOPLES
dc.subject	PHYSICIAN
dc.subject	PHYSICIANS
dc.subject	POCKET PAYMENTS
dc.subject	POCKET PAYMENTS FOR HEALTH CARE
dc.subject	POLICY RESEARCH
dc.subject	PREGNANT WOMEN
dc.subject	PREPAYMENT MECHANISMS
dc.subject	PRIMARY CARE
dc.subject	PRIMARY HEALTH CARE
dc.subject	PRIVATE FEES
dc.subject	PRIVATE HEALTH INSURANCE
dc.subject	PRIVATE HOSPITALS
dc.subject	PRIVATE SECTOR
dc.subject	PRIVATE SERVICES
dc.subject	PROBABILITY
dc.subject	PUBLIC ADMINISTRATION
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HEALTH EXPENDITURES
dc.subject	PUBLIC HEALTH SPENDING
dc.subject	PUBLIC HOSPITAL
dc.subject	PUBLIC HOSPITALS
dc.subject	PUBLIC SCHOOL
dc.subject	PUBLIC SECTOR
dc.subject	REHABILITATION
dc.subject	RISK MANAGEMENT
dc.subject	SAVINGS
dc.subject	SOCIAL HEALTH INSURANCE
dc.subject	SOCIAL WELFARE
dc.subject	TECHNICAL SUPPORT
dc.subject	TREATMENTS
dc.subject	TUBERCULOSIS
dc.subject	UNION
dc.subject	UNIVERSAL ACCESS
dc.subject	URBAN AREAS
dc.subject	USER FEES
dc.subject	VULNERABLE PEOPLE
dc.subject	WORKERS
dc.title	Albania - Out-of-Pocket Payments in Albania’s Health System : Trends in Household Perceptions and Experiences 2002-2008
dc.type	Economic & Sector Work :: Health Sector Review
dc.coverage	Europe and Central Asia
dc.coverage	Europe
dc.coverage	Eastern Europe
dc.coverage	Albania