Lewis Maureen
Human Development, World Bank, Washington, DC, USA.
Health Aff (Millwood). 2007 Jul-Aug;26(4):984-97. doi: 10.1377/hlthaff.26.4.984.
Informal, under-the-table payments to public health care providers are increasingly viewed as a critically important source of health care financing in developing and transition countries. With minimal funding levels and limited accountability, publicly financed and delivered care falls prey to illegal payments, which require payments that can exceed 100 percent of a country's median income. Methods to address the abuse include establishing official fees, combined with improved oversight and accountability for public health care providers, and a role for communities in holding providers accountable.
在发展中国家和转型国家，向公共医疗服务提供者进行的非正式的、私下的支付日益被视为医疗保健融资的一个极其重要的来源。由于资金水平极低且问责有限，公共资助和提供的医疗服务容易受到非法支付的影响，这些非法支付的金额可能超过一个国家中位数收入的100%。解决这种滥用行为的方法包括确定官方收费标准，同时加强对公共医疗服务提供者的监督和问责，并让社区发挥作用促使提供者承担责任。
