Author/Editor		Bobokhojaeva, Zamira; Mathivet, Benoit; Egamov, Farrukh; Miraliev, Salohidin; Kodirov, Saidali
Title		Reducing the financial burden of patients during hospitalization
Translated title		Zmanjševanje finančnega bremena bolnikov med hospitalizacijo
Type		članek
Vol. and No.		Letnik 26, št. 3
Publication year		2010
Volume		str. 80-85
ISSN		1318-2927 - Asian philosophy
Language		eng
Abstract		The health care system of Tajikistan is characterized by the scarcity of public resources and hence by the predominant private out of pocket payment, formal and often informal in spite of the official guarantee of free and universal access to public health services. In 2007, the authorities introduced the Basic Benefit Package (BBP), in an attempt to reduce informal payments by establishing a predictable and transparent system of patient rights and obligations (official co-payments) and hence to reduce patient financial burden, especially for certain population groups such as exempt patients and for deliveries. The purpose of the present paper is to assess the impact of the BBP on patient financial burden, based on the results of patients' survey conducted shortly after the introduction of the new scheme in pilot districts, then again after fifteen months of implementation. Our analysis shows that the introduction of BBP in pilot districts contributed to partly protect patients again financial risks during hospitalization. Nevertheless informal payments are still present in pilot facilities despite the introduction of the formal co-payment.Za sistem zdravstvenega varstva v Tadžikistanu so značilni omejeni finančni viri. Prevladuje plačevanje zdravstvenih storitev neposredno iz žepa, ki je uradno, pogosto pa tudi neuradno, kljub vsesplošnim zagotovilom o prostem dostopu do zdavstvenih storitev za vse. Leta 2007 je vlada uvedla Osnovni paket zdravstvenega varstva (OPZV). Z uvedbo transparentnega sistema bolnikovih pravic in dolžnosti (uradno določena doplačila) je želela omejiti neformalne oblike plačevanja storitev in zmanjšati finančno obremenitev bolnikov, zlasti določenih skupin prebivalcev, npr. Bolnikov, ki so oproščeni obveznosti, in porodnic. V prispevku so avtorji želeli oceniti učinke OPZV na finančno obremenitev bolnikov na osnovi izsledkov raziskave, ki je potekala takoj po uvedbi novega programa in 15 mesecev kasneje na pilotnih področjih. Analiza je pokazala, da je OPVZ na pilotnih območjih delno zavaroval bolnike pred finančnimi tveganji med bivanjem v bolnišnici. Kljub temu pa so v pilotnih zdravstvenih ustanovah kljub uvedbi uradno določenega doplačila še vedno prisotne neformalne oblike plačil.
Keywords		financiranje zdravstva finančno breme upravičenosti doplačilo neuradno plačilo health financing financial burden entitlements co-payment informal payments