Curbing system leakages: the health sector and licensing in Estonia

The Baltics social audit measured the public's perception of the social phenomenon of corruption and their concrete experience with corrupt practices in the health care and licensing sectors. Final sample was 3388 households, 7526 people. The goal was to help reduce system leakages that result from petty corruption and to suggest actionable steps to improve the situation in the health and licencing sectors.

Results
  • Licensing 91% of applicants paid for the licence/permit.
  • 8% of applicants gave unofficial payment or gift for licence/permit.
  • Mostly paid inspector or admin staff Rating of government health services and perception of corruption in the services - corruption high/v high – 33% and Corruption not high/v high – 38%
  • Suggestions for change to government health services - 39% willing to pay to have the change in government health services.
  • Suggestions for change to family doctor services - 31% willing to pay for the change in family doctor service.
  • Suggestions for change to specialist doctor services - 40% willing to pay for the change in specialist doctor services. 59% of households answered they would be willing to pay to avoid a waiting list for surgery or other hospital treatment.
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