Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations
Informal payments to healthcare professionals in post-soviet health systems persisted, despite the healthcare reforms. That is true in independent Tajikistan, where the increase in those payments has been associated with increased forgone care and the deterioration of trust towards health profession...
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| Format: | Article |
| Language: | English |
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Association Recherche & Régulation
2020-01-01
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| Series: | Revue de la Régulation |
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| Online Access: | https://journals.openedition.org/regulation/15856 |
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| author | Sandra Pellet |
| author_facet | Sandra Pellet |
| author_sort | Sandra Pellet |
| collection | DOAJ |
| description | Informal payments to healthcare professionals in post-soviet health systems persisted, despite the healthcare reforms. That is true in independent Tajikistan, where the increase in those payments has been associated with increased forgone care and the deterioration of trust towards health professionals which has been. What is the role played by the different informal payment practices? Are they a source of mistrust or a means of restoring trust? Are informal payments adjusted to patients’ income or a source of inequality? Contrary to popular belief, informal payments do not make the system progressive. The poorest are more likely to forgo care. Different strategies are then put in place by households: informal solidarity, reliance on traditional medicine, mobilization of social capital. What if migration was part of these strategies to improve their access to healthcare? |
| format | Article |
| id | doaj-art-0781a354cb88472ea2737cc6158e898b |
| institution | Kabale University |
| issn | 1957-7796 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Association Recherche & Régulation |
| record_format | Article |
| series | Revue de la Régulation |
| spelling | doaj-art-0781a354cb88472ea2737cc6158e898b2025-01-30T14:25:36ZengAssociation Recherche & RégulationRevue de la Régulation1957-77962020-01-012610.4000/regulation.15856Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrationsSandra PelletInformal payments to healthcare professionals in post-soviet health systems persisted, despite the healthcare reforms. That is true in independent Tajikistan, where the increase in those payments has been associated with increased forgone care and the deterioration of trust towards health professionals which has been. What is the role played by the different informal payment practices? Are they a source of mistrust or a means of restoring trust? Are informal payments adjusted to patients’ income or a source of inequality? Contrary to popular belief, informal payments do not make the system progressive. The poorest are more likely to forgo care. Different strategies are then put in place by households: informal solidarity, reliance on traditional medicine, mobilization of social capital. What if migration was part of these strategies to improve their access to healthcare?https://journals.openedition.org/regulation/15856healthcare systemhealth care utilizationinformal paymentsequitymigrationremittances |
| spellingShingle | Sandra Pellet Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations Revue de la Régulation healthcare system health care utilization informal payments equity migration remittances |
| title | Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations |
| title_full | Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations |
| title_fullStr | Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations |
| title_full_unstemmed | Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations |
| title_short | Inégalités dans l’accès et dans le financement des soins au Tadjikistan : le rôle des stratégies informelles et des migrations |
| title_sort | inegalites dans l acces et dans le financement des soins au tadjikistan le role des strategies informelles et des migrations |
| topic | healthcare system health care utilization informal payments equity migration remittances |
| url | https://journals.openedition.org/regulation/15856 |
| work_keys_str_mv | AT sandrapellet inegalitesdanslaccesetdanslefinancementdessoinsautadjikistanleroledesstrategiesinformellesetdesmigrations |