Abstract
The World Bank and the Albanian Ministry of Health report that the majority of Albanian citizens make illegal, under‐the‐table payments for health care. Qualitative studies have identified some factors associated with these informal payments, but the problem has not been systematically examined using established theoretical models. The purpose of this study was to examine and predict under‐the‐table payments using the theory of planned behavior (TPB). Self‐administered surveys were completed by 222 Albanian citizens. The constructs of the theory explained 34% of the variance in intentions to make under‐the‐table payments, with attitude toward the behavior making the strongest contribution. Using the TPB to examine the practice of making under‐the‐table payments has indicated specific areas that can be targeted by policy interventions.
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