What is it about?

The aim of this paper is to explain the prevalence of informal payments for health services in Southeast Europe through the lens of institutional theory as resulting from formal institutional failures which lead to an asymmetry between the laws and regulations (formal institutions) and the unwritten rules (informal institutions), making informal payments acceptable.

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Why is it important?

Reporting on a 2013 Eurobarometer survey of the propensity to make informal payments for health services in Southeast Europe, a strong association is found between the degree to which formal and informal institutions are unaligned and the prevalence of informal payments. The relationship between informal payments and formal institutional imperfections is then explored to identify the structural conditions which lead to this institutional asymmetry, and thus the propensity to make informal payments.

Perspectives

This paper reveals that informal payments for health services are more likely in some countries than others, and identifies the structural conditions that lead to such payments being more likely

Professor Colin C Williams
University of Sheffield

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This page is a summary of: Evaluating the prevalence of informal payments for health services in Southeast Europe: an institutional approach, Journal of Southeast European and Black Sea Studies, July 2018, Taylor & Francis, DOI: 10.1080/14683857.2018.1487138.
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