240058 Role of Information in Improving Health Care Service Delivery: Evidence from the Moldovan Patient Satisfaction Survey

Tuesday, November 1, 2011

Manouchehr Mokhtari, PhD , Department of Family Science, School of Public Health University of Maryland College Park, College Park, MD
Mamak Ashtari, MBA , School of Public Health, MGTCP, College Park, MD
Paucity of information on the informal market for health services hampers the governments' efforts in performing their desirable roles in informing, regulating, mandating, financing and providing health services to their people. Analysis of data from a large patient satisfaction survey of almost 20,000 patients fills a significant void in understanding informal payments in Moldova and, possibly, in other countries in transition. A probability model of informal payments supports the idea that knowledge and information have profound impact on reducing frequency of informal payments. The patients who: a) knew the services they are entitled to, b) got acquainted with the list of paid services and their prices, and, c) observed posted price lists of paid services, all had lower likelihood of leaving informal payments than others. Thus, informing patients, which is the least expensive and intrusive role of the governments, could significantly reduce informal payments in the health care system of the countries in transition.

Learning Areas:
Administration, management, leadership
Biostatistics, economics
Communication and informatics
Implementation of health education strategies, interventions and programs
Program planning
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Identify informal payment as additional cost to the patients in the healthcare system. 2. Design a model to explain and analyze informal payments to healthcare workers. 3. Evaluate and list procedures for reducing out-of-pocket costs relating to informal system, thereby strengthening the healthcare system.

Keywords: Access to Health Care, Evidence Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee health strengthening projects in the countries in transition, and I an associate professor at the School of Public Health, University of Maryland - College Park.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.