Coping Mechanisms of Ukrainian Patients: Bribes, Gifts, Donations, and Connections

Olena Levenets, Tetiana Stepurko, Milena Pavlova, Wim Groot

Research output: Chapter in Book/Report/Conference proceedingChapterAcademic


Bribes, gifts, donations and personal connections are part and parcel of the health care systems in many eastern european countries, including ukraine. These informal practices and payments can be often considered as byproducts of poor health care provision, including gaps in access to medical care and service quality. The chapter interprets them as coping strategies employed by ukrainian health care users and their families to ensure a satisfactory medical treatment; it illustrates the different modalities through which such self-help approach is implemented; it finally argues that a tradeoff exists between individual patients’ satisfaction and the sustainability of future health care reforms.
Original languageEnglish
Title of host publicationGovernance Beyond the Law
Place of PublicationCham
PublisherPalgrave Macmillan
ISBN (Electronic)978-3-030-05039-9
ISBN (Print)978-3-030-05038-2
Publication statusPublished - 2019

Publication series

SeriesInternational Political Economy Series

Cite this