View More View Less
  • 1 Public Enterprise “MTVC” (Training, Research and Development Centre) Vilnius Lithuania
  • | 2 Maastricht University Department of Health Services Research; CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands
  • | 3 Maastricht University Topinstitute Evidence-Based Education Research (TIER) Maastricht The Netherlands
Restricted access

Cross Mark

Patient payments have not been studied systematically in Lithuania. This limits the use of empirical evidence in policy making. More systematic and detailed evidence on the patient payments phenomena in Lithuania are needed to clarify who is seeking and paying for health care services, why, and how. This paper presents the main findings from a quantitative representative population survey on patient payments in Lithuania. The study results confirm the significant scope of the patient payment practices as well as the complexity of the issue. Overall attitudes towards informal cash payments are negative but there is a rather tolerant view on gifts-in-kind. In case of health problems, access to proper (good quality) treatment is crucial. When treatment is needed, Lithuanian patients are ready to pay irrespective of the legitimacy of the payments and despite of the significant financial burden that these payments may cause. Priorities for the quality of care and the protection of vulnerable groups against financial risks are important and should be addressed when discussing the design of patient payment policies in Lithuania. The lack of a transparent political and organizational arrangements and the failure to communicate properly with the general public are the main challenges for future policy.

  • Cockcroft, A. — Andersson, N. — Paredes-Solis, S. — Milne, D. — Mehi, S. — Roche, M. — Konceviciute, E. — Ledogar, R. J. (2008): An Inter-country Comparison of Unofficial Payments: Results of a Health Sector Social Audit in the Baltic States. BMC Health Services Research 8(15).

  • Lietuvos Respublikos Sveikatos Apsaugos Ministerija (2011): Papildomo Savanoriškojo Sveikatos Draudimo Analizė. Ataskaita [Analysis of Supplementary Voluntary Health Insurance. Report]. Vilnius: Lietuvos Respublikos Sveikatos Apsaugos Ministerija. Accessed at: www.sam.lt

    '', in Papildomo Savanoriškojo Sveikatos Draudimo Analizė. Ataskaita , (2011 ) -.

  • Lietuvos Statistikos Departamentas (2010): Gyventojų pajamos ir gyvenimo sąlygos. 2009 [Income and Living Conditions. 2009]. Vilnius: Statistikos Departamentas. Accessed at: www.stat.gov.lt

    '', in Gyventojų pajamos ir gyvenimo sąlygos. 2009 , (2010 ) -.

  • Transparency International Lietuvos Skyrius (2009): Diagnostinis Tyrimas Lietuvos Korupcijos Žemėlapis. 2008 [Diagnostic Research Lithuanian Map of Corruption. 2008]. Accessed at: www.transparency.lt

  • Valstybinė Ligonių Kasa prie Sveikatos Apsaugos Ministerijos (2011): Lietuvos Gyventojų Nuomonė apie Privalomojo Sveikatos Draudimo Sistemą, Ligonių Kasų ir Sveikatos Priežiūros Įstaigų Veiklą. 2009 ir 2010 Metai [Lithuanian Citizen Opinions on Obligatory Health Insurance System, Activities of Health Insurance Funds and Health care Institutions in 2009–2010]. Vilnius: Valstybinė Ligonių Kasa prie Sveikatos Apsaugos Ministerijos. Accessed at: www.vlk.lt

    '', in Lietuvos Gyventojų Nuomonė apie Privalomojo Sveikatos Draudimo Sistemą, Ligonių Kasų ir Sveikatos Priežiūros Įstaigų Veiklą. 2009 ir 2010 Metai , (2011 ) -.