Management in Health, Vol 16, No 3 (2012)

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Silvia FLORESCU, Constanţa Mihăescu PINȚIA, Mihaela GĂLĂON, Vasilica CONSTANTINESCU


Regarding the willingness to pay a copayment, there is a limited willingness to pay because of: low level of incomes, extended poverty, low quality, already low access and addressability to health services. This opposing attitude towards co-payments varied from one group of health care consumers to another, the opposition being more intense in the groups of pensioners, mothers and disabled persons. Some of them agree that, for providing adequate healthcare, some additional funding would be necessary, because if relied only on the contributions to the social health insurance, it cannot be completely covered.  The patients consider that any co-payment could be abusive without a basic package clearly defined. Most of focus group participants agree that co-payments should be applied for the abusing and excess users of health services, or requesting a medical referral without recommendation from a MD. Exemptions should include the following: children up to a certain age, partially for the pregnant women, severly disabled persons, very poor, pensioners according to their income threshold. Respondents doubt that the money collected through co-payments will be used for the health system and for the patients.

They doubt about the fact that money will be really used for the improvement of health services delivery. They have basic doubts regarding the fairness of money use, not believing that the public institution and state objectives favour them. Some of them want these payments to be used for rewarding the doctors hoping in diminishing of unofficial payments.


Keywords: patient payment, co-payment, informal patient, health care consumers, opinion.

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Journal published by SNSPMS