Just informal patient payments are not enough, 'personal connections' and knowledge of the 'rules' are also required: a logistic regression analysis of informal practices in health care in Ukraine

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dc.contributor.authorLevenets, Olenaen_US
dc.contributor.authorStepurko, Tetianaen_US
dc.contributor.authorPolese, Abelen_US
dc.contributor.authorPavlova, Milenaen_US
dc.contributor.authorGroot, Wimen_US
dc.date.accessioned2025-03-20T09:04:54Z
dc.date.available2025-03-20T09:04:54Z
dc.date.issued2025
dc.description.abstractIn Ukraine, patients and their family members face numerous barriers to health care services. In response, they use coping strategies, that are manifold and complex activities aimed at overcoming these barriers, the financial burden of the treatment, and the poor quality of health care services. These activities include formal and informal practices. Based on representative survey data from 2015 (N = 2,022), we identify patterns in the use of coping strategies, specific coping strategies used to secure good quality consultation and treatment, and analyse opinions and actions towards coping practices. We further analyse the factors associated with the last experience of coping and look at patterns of connection building. We find that the chances of using both money and connection as a coping strategy are higher for people with incomplete higher and highest levels of education. The size of this effect increases with the level of education. Older people, people with better health, and people with a higher opinion of the state use informal practices less, while women are more active in developing connections. The closer the relationship is with a medical doctor, the higher is the chance that such connection will be used in case of health service consumption.en_US
dc.identifier.citationJust informal patient payments are not enough, 'personal connections' and knowledge of the 'rules' are also required: a logistic regression analysis of informal practices in health care in Ukraine / Olena Levenets, Tetiana Stepurko, Abel Polese, Milena Pavlova, Wim Groot // Health Economics, Policy and Law. - 2025. - P. 1-21. - https://doi.org/10.1017/S1744133124000215en_US
dc.identifier.issn1744-1331
dc.identifier.issn1744-134X
dc.identifier.urihttps://doi.org/10.1017/S1744133124000215
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/34066
dc.language.isoenen_US
dc.relation.sourceHealth Economics, Policy and Lawen_US
dc.statusfirst publisheden_US
dc.subjectbarriers to health careen_US
dc.subjectcoping strategiesen_US
dc.subjectinformal patient paymentsen_US
dc.subjectinformal practicesen_US
dc.subjectUkraineen_US
dc.subjectarticleen_US
dc.titleJust informal patient payments are not enough, 'personal connections' and knowledge of the 'rules' are also required: a logistic regression analysis of informal practices in health care in Ukraineen_US
dc.typeArticleen_US
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