Informal payments in the health sector: A case study from Turkey

Tatar M., Ozgen H., Sahin B., Belli P., Berman P.

HEALTH AFFAIRS, vol.26, no.4, pp.1029-1039, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 4
  • Publication Date: 2007
  • Doi Number: 10.1377/hlthaff.26.4.1029
  • Journal Name: HEALTH AFFAIRS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.1029-1039
  • Hacettepe University Affiliated: Yes


The practice of making informal payments in the health sector is common in a number of countries. It has become an important policy issue around the world. These payments can jeopardize governments' attempts to improve equity and access to care and policies targeted to the poor. It is widely believed that a considerable amount of out-of-pocket payment in the health sector in Turkey is informal. To examine this issue, we used a questionnaire adopted from a wider international study. We concluded that informal payments in Turkey are significant and have important implications for health care reform.