Factors affecting the informal payments in public and teaching hospitals

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Aboutorabi Ali; GHIASIPOUR MARYAM; REZAPOUR AZIZ; POURREZA ABOLGHASEM; SARABI ASIABAR ALI; Tanoomand Asghar

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Journal: Medical Journal of The Islamic Republic of Iran Year:2016 | Volume:30 | Issue:1 Page(s): 26-35

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Title

Factors affecting the informal payments in public and teaching hospitals

Author(s)

Keywords

Informal payment

Corruption

Iran

Under the table payment

Abstract

Background: Informal payments in the health sector of many developing countries are considered as a major impediment to health care reforms. Informal payments are a form of systemic fraud and have adverse effects on the performance of the health system. In this study, the frequency and extent of Informal payments as well as the determinants of these payments were investigated in general hospitals affiliated to Tehran University of Medical Sciences. Methods: In this cross-sectional study, 300 discharged patients were selected using multi-stage random sampling method. First, three hospitals were selected randomly; then, through a simple random sampling, we recruited 300 discharged patients from internal, surgery, emergency, ICU & CCU wards. All data were collected by structured telephone interviews and questionnaire. We analyzed data using Chi-square, Kruskal-Wallis and Mann-Whitney tests. Results: The results indicated that 21% (n=63) of individuals paid informally to the staff. About 4% (n=12) of the participants were faced with Informal payment requests from hospital staff. There was a significant relationship between frequency of Informal payments with marital status of participants and type of hospitals. According to our findings, none of the respondents had Informal payments to physicians. The most frequent Informal payments were in cash and were made to the hospitals’ housekeeping staff to ensure more and better services. There was no significant relationship between the Informal payments with socio-demographic characteristics, residential area and insurance status. Conclusion: Our findings revealed that many strategies can be used for both controlling and reducing Informal payments. These include training patients and hospitals’ staff, increasing income levels of employees, improving the quantity and quality of health services and changing the entrenched beliefs that necessitate Informal payments.

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APA: Copy

Aboutorabi, Ali, GHIASIPOUR, MARYAM, REZAPOUR, AZIZ, POURREZA, ABOLGHASEM, SARABI ASIABAR, ALI, & Tanoomand, Asghar. (2016). Factors affecting the informal payments in public and teaching hospitals. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), 30(1), 26-35. SID. https://sid.ir/paper/294614/en

Vancouver: Copy

Aboutorabi Ali, GHIASIPOUR MARYAM, REZAPOUR AZIZ, POURREZA ABOLGHASEM, SARABI ASIABAR ALI, Tanoomand Asghar. Factors affecting the informal payments in public and teaching hospitals. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)[Internet]. 2016;30(1):26-35. Available from: https://sid.ir/paper/294614/en

IEEE: Copy

Ali Aboutorabi, MARYAM GHIASIPOUR, AZIZ REZAPOUR, ABOLGHASEM POURREZA, ALI SARABI ASIABAR, and Asghar Tanoomand, “Factors affecting the informal payments in public and teaching hospitals,” MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), vol. 30, no. 1, pp. 26–35, 2016, [Online]. Available: https://sid.ir/paper/294614/en

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