Annex: Survey on the Extent of Hidden Payments in Greece

Annex: Survey on the extent of hidden payments in Greece Copyright: Souliotis K et al.

Α. GENERAL DATA

1. SEX male female

2. AGE GROUP  up to 25  26-35  36-50  51-65  65+

3. Place of residence (municipality)

4. Education Basic Intermediate Higher

University Post graduate PhD

5. Monthly income level up to 750 € 751 - 1.450 € 1.451 - 2.200 € 2.201 - 3.500 € 3.501 € +

6. Main source of income

employed retired self- employed other (pls. clarify)…………………......

7. Self-evaluation of economic status Very good good average poor very poor

8. Social Insurance Fund

9. Private insurance yes no Β. HEALTH SERVICES UTILIZATION AND REIMBURSEMENT

1. Over the past 12 months, have you used any health care services?

yes no

2. If yes, what for? (you may select more than one answers)

 visit to a physician [Α]  visit to a dentist [Β]  diagnostic tests [Γ]  hospitalization – treatment and follow up care [Δ]  hospitalization - surgery [Ε]  other (pls. clarify) ...... [Ζ]

3. For these services to whom did you go to? (You may select more than one answers – please note the reason why you turned to this specific service provider / Α,Β,Γ,Δ,Ε,Ζ)

A) PRIMARY HEALTH CARE (exc. hospitalizations)  (1) office-based physician or dentist (συμβεβλημένο ή μη με το ταμείο σας) [....]  (2) private diagnostic center (συμβεβλημένο ή μη με το ταμείο σας) [....]  (3) NHS primary Health Center [....]  (4) SIF owned health center [....] Β) HOSPITALIZATION (inc. day care)  (5) public hospital (University, NHS, SIF owned) [....]  (6) private clinic [....]

4. Did you pay out of pocket for any of those services?

 (1) yes [ ] no [ ] amount : ...... €  (2) yes [ ] no [ ] amount: ...... €  (3) yes [ ] no [ ] amount: ...... €  (4) yes [ ] no [ ] amount: ...... €  (5) yes [ ] no [ ] amount: ...... €  (6) yes [ ] no [ ] amount: ...... € 5. if yes, was a receipt issued to you for the amount paid out of pocket;

 (1) yes [ ] no [ ]  (2) yes [ ] no [ ]  (3) yes [ ] no [ ]  (4) yes [ ] no [ ]  (5) yes [ ] no [ ]  (6) yes [ ] no [ ]

6. If not, for what proportion of the amount paid did you get a receipt for? (select the answer and circle the number that correspond to the respective service providers)

 No receipt at all (providers: 1 2 3 4 5 6)  Receipt for less than half the amount, at a ....% (providers: 1 2 3 4 5 6)

 Receipt for more than half the amount, at a....% (providers: 1 2 3 4 5 6)

7. Who received the money you paid out of pocket?  physician (providers: 1 2 3 4 5 6 )  nurse (providers: 1 2 3 4 5 6 )  other staff (pls. clarify) ...... (providers: 1 2 3 4 5 6 )

8. Why did you pay out of pocket?  To gain access to services (providers: 1 2 3 4 5 6 )  To reduce waiting times (providers: 1 2 3 4 5 6 )  To receive better quality care (providers: 1 2 3 4 5 6 )

9. You paid this amount out of your pocket...  Prior to service provision, because it was asked of me (providers: 1 2 3 4 5 6 )  After service provision, because it was asked of me (providers: 1 2 3 4 5 6 )  Without being asked, to express my gratitude (providers: 1 2 3 4 5 6 )  Without being asked, because I considered it imperative (providers: 1 2 3 4 5 6 )

10. What is the impact of these out of pocket payments on your income and your living conditions; significant medium small no impact