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dc.contributor.authorChen, Bradley
dc.contributor.authorCammett, Melani Claire
dc.date.accessioned2013-04-09T20:23:43Z
dc.date.issued2012
dc.identifier.citationChen, Bradley, and Melani Cammett. 2012. Informal politics and inequity of access to health care in lebanon. International Journal for Equity in Health 11: 23.en_US
dc.identifier.issn1475-9276en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10521832
dc.description.abstractIntroduction: Despite the importance of political institutions in shaping the social environment, the causal impact of politics on health care access and inequalities has been understudied. Even when considered, research tends to focus on the effects of formal macro-political institutions such as the welfare state. We investigate how micro-politics and informal institutions affect access to care. Methods This study uses a mixed-methods approach, combining findings from a household survey (n = 1789) and qualitative interviews (n = 310) in Lebanon. Multivariate logistic regression was employed in the analysis of the survey to examine the effect of political activism on access to health care while controlling for age, sex, socioeconomic status, religious commitment and piety. Results: We note a significantly positive association between political activism and the probability of receiving health aid (p < .001), with an OR of 4.0 when comparing individuals with the highest political activity to those least active in our sample. Interviews with key informants also reveal that, although a form of “universal coverage” exists in Lebanon whereby any citizen is eligible for coverage of hospitalization fees and treatments, in practice, access to health services is used by political parties and politicians as a deliberate strategy to gain and reward political support from individuals and their families. Conclusions: Individuals with higher political activism have better access to health services than others. Informal, micro-level political institutions can have an important impact on health care access and utilization, with potentially detrimental effects on the least politically connected. A truly universal health care system that provides access based on medical need rather than political affiliation is needed to help to alleviate growing health disparities in the Lebanese population.en_US
dc.language.isoen_USen_US
dc.publisherBioMed Centralen_US
dc.relation.isversionofdoi:10.1186/1475-9276-11-23en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464946/pdf/en_US
dash.licenseLAA
dc.subjectInformal political institutionsen_US
dc.subjectHealth inequityen_US
dc.subjectMixed methods researchen_US
dc.subjectLebanonen_US
dc.titleInformal politics and inequity of access to health care in Lebanonen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalInternational Journal for Equity in Healthen_US
dash.depositing.authorCammett, Melani Claire
dc.date.available2013-04-09T20:23:43Z
dc.identifier.doi10.1186/1475-9276-11-23*
dash.contributor.affiliatedCammett, Melani


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