University of Windsor, 167 Ferry St., Windsor, Ontario, N9A0C5, Canada.
University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9C4E1, Canada.
Soc Sci Med. 2017 Apr;178:28-37. doi: 10.1016/j.socscimed.2017.02.003. Epub 2017 Feb 3.
This study assesses informal payments (IPs) in 29 transitional countries using a fully comparable household survey. The countries of the former Soviet Union, especially those in the Caucasus and Central Asia, exhibit the highest scale of IPs, followed by Southern Europe, and then Eastern Europe. The lowest and the highest scale of IPs were in Slovenia (2.7%) and Azerbaijan (73.9%) respectively. We found that being from a wealthier household, experiencing lower quality of healthcare in the form of long waiting times, lack of medicines, absence of personnel, and disrespectful treatment, and having relatives to help when needed, are associated with a higher odds ratio of IPs. Conversely, working for the government is associated with a lower odds ratio of IPs. Living in the countries of the former Soviet Union and in Mongolia is associated with the highest likelihood of IPs, and this is followed by the countries of the Southern Europe. In contrast, living in the countries of Eastern Europe is associated with the lowest likelihood of IPs.
本研究使用完全可比的家庭调查评估了 29 个转型国家的非正式支付(IP)情况。前苏联国家,特别是高加索和中亚国家,表现出最高的 IP 规模,其次是南欧,然后是东欧。IP 规模最低和最高的分别是斯洛文尼亚(2.7%)和阿塞拜疆(73.9%)。我们发现,来自较富裕家庭、经历较长等待时间、缺乏药物、人员缺失和不尊重治疗以及在需要时依靠亲戚帮助的人,其支付 IP 的可能性更高。相反,为政府工作与支付 IP 的可能性较低有关。在前苏联国家和蒙古生活与支付 IP 的可能性最高相关,其次是南欧国家。相比之下,在东欧国家生活与支付 IP 的可能性最低相关。