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罗马尼亚公共卫生系统腐败的历史根源——路径依赖与传染效应。

Historical origins of corruption in the Romanian public health system - path dependency and contagion effect.

作者信息

Plopeanu Aurelian-Petruş

机构信息

Department of Social Sciences and Humanities, Institute of Interdisciplinary Research, "Alexandru Ioan Cuza" University of Iasi, Romania, Iași, Romania.

出版信息

Health Econ Rev. 2024 Aug 7;14(1):63. doi: 10.1186/s13561-024-00543-1.

DOI:10.1186/s13561-024-00543-1
PMID:39110289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308148/
Abstract

BACKGROUND

In this paper, we estimate the long-lasting influence of the former Habsburg Empire's border on the territory of Romania, specifically on the prevalence of corrupt behaviour and practices in health services.

METHODS

Employing microdata from the 2016 Life in Transition Survey and applying ordered probit regression, we explore the hypothesis that the geographical proximity of respondents' residences to the former imperial border-restricting the analysis within a bandwidth of 50 km, 75 km or even 100 km on either side - significantly influences current individual tendencies towards corrupt behaviour.

RESULTS

The results indicate that individuals in Transylvania living in the immediate vicinity of the former border of the Habsburg Empire (no more than 75 km away) show a higher propensity towards corrupt behaviours, similar to those from Moldova and Wallachia who reside in the same bandwidth but to the east of the former historical border. Interestingly, on one hand, after a series of tests with various relevant factors, the contagion effect is observed from right to left, meaning from those in Moldova and Wallachia towards those in Transylvania, and not the other way around as might be expected based on other previous studies. On the other hand, individuals living more than 75 kms west of the former historical border show clear reluctance to engage in informal payments and gift-giving when interacting with the public health system as patients.

CONCLUSION

By rigorously controlling for various variables that comprehensively show different legacies of the communist regime, our results confirm the persistence of these influences across different bandwidths, thereby corroborating the hypothesis of path dependence influenced by the former Habsburg Empire.

摘要

背景

在本文中,我们估计了前哈布斯堡帝国边境对罗马尼亚领土的长期影响,特别是对卫生服务中腐败行为和做法的流行程度的影响。

方法

利用2016年转型期生活调查的微观数据并应用有序概率回归,我们探讨了这样一个假设,即受访者居住地与前帝国边境的地理接近程度(将分析限制在边境两侧50公里、75公里甚至100公里的带宽范围内)会显著影响当前个人的腐败行为倾向。

结果

结果表明,特兰西瓦尼亚地区居住在前哈布斯堡帝国边境附近(不超过75公里)的个人表现出更高的腐败行为倾向,类似于摩尔多瓦和瓦拉几亚地区居住在相同带宽但在前历史边境以东的人。有趣的是,一方面,在对各种相关因素进行一系列测试后,观察到了从右到左的传染效应,即从摩尔多瓦和瓦拉几亚地区的人到特兰西瓦尼亚地区的人,而不是像之前其他研究所预期的那样相反。另一方面,居住在前历史边境以西75公里以外的个人在作为患者与公共卫生系统互动时,明显不愿意进行非正式支付和送礼。

结论

通过严格控制各种全面显示共产主义政权不同遗留影响的变量,我们的结果证实了这些影响在不同带宽范围内的持续性,从而证实了受前哈布斯堡帝国影响的路径依赖假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ac/11308148/d32873271c6e/13561_2024_543_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ac/11308148/d32873271c6e/13561_2024_543_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ac/11308148/d32873271c6e/13561_2024_543_Fig1_HTML.jpg

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