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Health Economics and Management

Informal payments - definitions and concepts

Krasimira Laleva, Elka Atanasova

Abstract

Informal payments became an interesting issue in the context of healthcare reforms and a very widespread
phenomenon in the healthcare sector that has been observed in many transition countries of Central and Eastern Europe, Asia and Africa. Some studies have been conducted to clearly identify informal payments to overcome this complex problem with many „faces`. The latter includes a variety of names to denote the phenomenon: gratuities, gratitude payments, under-the-counter payments, unofficial payments and etc. The concepts mentioned in the current article such as illegality, informality, and corruption have a negative impact in
the understanding of the informal payment. The main strategies of the world literature to deal with this phenomenon are summarized.

Keywords

informal payments, unofficial payments; illegality; informality; corruption;

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DOI: http://dx.doi.org/10.14748/hem.v70i4.5945

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