HIGHLIGHTS
SUMMARY
When health system financing is largely financed by informal payments, providers find sufficient incentive to provide more attractive but unnecessary services that lead to greater production inefficiencies. Considering the importance of the issue and to help health system planners and policy makers plan and make reforms in this field, this study was conducted to identify the causes of informal payments in the Iranian health system. In this study, informal payments are amounts of money or anything related to gifts, etc. that are taken outside the defined system of tariffs in the health system or . . .

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