Sa�l�k Hizmetlerinde Resmi Olmayan �demelerin Nedenleri: Sistematik Bir �al��ma

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Sa�l�k Hizmetlerinde Resmi Olmayan �demelerin Nedenleri: Sistematik Bir �al��ma [Journal of Health and Nursing Management]

Journal of Health and Nursing Management. 2023; 10(2): 273-287 | DOI: 10.54304/SHYD.2023.98159

Sa�l�k Hizmetlerinde Resmi Olmayan �demelerin Nedenleri: Sistematik Bir �al��ma

�pek Camuz Berber¹, Elif T�rkan Arslan²
¹�zmir Katip �elebi �niversitesi, �ktisadi ve �dari Bilimler Fak�ltesi, Sa�l�k Y�netimi B�l�m�, Sa�l�k Hizmetleri Ana Bilim Dal�, �zmir, T�rkiye
²�zmir Katip �elebi �niversitesi, �ktisadi ve �dari Bilimler Fak�ltesi, Sa�l�k Y�netimi B�l�m�, Sa�l�k Ekonomisi ve Politikas� Ana Bilim Dal�, �zmir, T�rkiye

Ama�: Bu �al��ma, resmi olmayan �demelerin nedenlerini hem sa�l�k hizmetini kullananlar hem de sa�l�k hizmetini sunanlar a��ndan ortaya koymak amac�yla yap�lm��t�r.
Y�ntem: Bu amaca y�nelik olarak; Web Of Science (WOS), Scopus ve PubMed veri tabanlar�nda �informal payment�, �informal patient payment�, �under the counter payment�, �under the table payment�, �envelope payment�, �red envelope�, �red package� ve �health� anahtar s�zc�kleri kullan�larak tarama yap�lm�� ve resmi olmayan �demelerin nedenlerini ele alan �al��malar incelenmi�tir.
Bulgular: Ara�t�rmada, kabul edilme �l��tlerini kar��layan 14 makale kapsaml� bir �ekilde incelenmi�tir. Verilerin analizi i�in, ara�t�rmac�lar taraf�ndan standart bir veri toplama formu geli�tirilmi�tir. Veri toplama formunda, �al��man�n yazar�/yazarlar�, y�l�, amac�, y�ntemi, �rneklemi ve �rneklem b�y�kl��, resmi olmayan �demelerin nedenlerine y�nelik bulgulara yer verilmi�tir. Ara�t�rmac�lar taraf�ndan ara�t�rma kapsam�na al�nan �al��malar, forma g�re �zetlenmi�tir.
Sonu�: Ara�t�rman�n sonucunda hem hizmet sunucular�n�n (doktor, hem�ire vb.) hem de hizmet kullan�c�lar�n�n (hasta-hasta yak�n�) bu t�r �demelerde rol oynad��; hizmet sunucular�n�n daha �ok maddi gerek�elerle resmi olmayan �demeleri istedikleri veya kabul ettikleri; hizmet kullan�c�lar�n�n ise kaliteli ve iyi bir sa�l�k hizmetinden yoksun kalmaktan korktuklar� ve h�zl� bir �ekilde hizmetlere ula�mak istedikleri i�in bu t�r �demeleri teklif ettikleri g�r�lm��t�r.

Anahtar Kelimeler: Hasta, resmi olmayan/informal �deme, masa alt� �deme, zarf �deme.

Causes of Informal Payments in Healthcare Services: A Systematic Review

�pek Camuz Berber¹, Elif T�rkan Arslan²
¹�zmir Katip Celebi University, Faculty Of Economics And Administrative Sciences, Department Of Healthcare Management, �zmir, T�rkiye
²�zmir Katip Celebi University, Faculty of Economics and Administrative Sciences, Department of Health Economics and Policy, �zmir, T�rkiye

Aim: In this study, it is aimed to reveal the reasons for informal payments in terms of both health service users and health care providers.
Method: For this purpose, a search was conducted using the keywords " informal payment", " informal patient payment", "under the counter payment", "under the table payment", "envelope payment", " �red envelope�, �red package� and �health� and studies dealing with the causes of resmi olmayan payments were examined.
Results: The 14 articles that met the inclusion criteria were extensively reviewed. For the analysis of the data, a standard data collection form was developed by the researchers. In the data collection form, the author(s) of the study, year, purpose, method, sample and sample size, and the reasons for informal payments were included. Studies included in the research by the researchers were summarized according to the form.
Conclusion: As a result of the research, it was determined that both service providers (doctor, nurse etc.) and service users (patient-patient relatives) played a role in such payments; It has been observed that service providers demand or accept informal payments mostly for financial reasons, and service users offer such payments because they are afraid of not getting quality/good service and want to provide faster access to services.

Keywords: Patient, informal payment, under the table payment, envelope payment.

�pek Camuz Berber, Elif T�rkan Arslan. Causes of Informal Payments in Healthcare Services: A Systematic Review. Journal of Health and Nursing Management. 2023; 10(2): 273-287

Sorumlu Yazar: �pek Camuz Berber, T�rkiye

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