000 01475pab a2200181 454500
008 180718b2018 xxu||||| |||| 00| 0 eng d
100 _aCohen, Nissim
245 _aHow culture affects street-level bureaucrats? bending the rules in the context of informal payments for health care: the Israeli case
260 _c2018
300 _ap.175-187.
362 _aFeb
520 _aWhat is the role of culture in street-level bureaucrats? bending the rules and accepting informal payments for health care? The literature on street-level bureaucrats stresses the importance of both individual and organizational factors in understanding how they use their discretion but usually neglects the importance of the culture in determining how far they are willing to go in exercising this discretion. Using data from 102 in-depth interviews with doctors and nurses in Israel, and by linking the literature about street-level bureaucrats to that of the research on informal payments for health care, we demonstrate that the culture plays a key role in decisions about accepting such payments. According to our findings, such payments are a phenomenon rooted in the culture and range from the extreme case of bribery to the fuzzier area of making exceptions for favored and sympathetic clients. - Reproduced.
650 _aHealth care - Israel
650 _aPublic administration
650 _aBureaucracy
773 _aAmerican Review of Public Administration
909 _a117096
999 _c117090
_d117090