在孟加拉国、广泛地收取卫生机构的非法定费用是“寻租”行为的一种普遍形式。非法定费用来自以现金形式支付的医疗服务费用、直接购买药品的费用、内外科必需品费用以及服务可及性费用。利用观察与访谈方式 ,本研究探讨了孟加拉国三类卫生机构 (初级卫生机构 ,地区医院以及医学院附院 )中法定费用与非法定费用之间的关系。同时估计了这些机构中不同收入阶层和不同付款人类型的支付水平 ,从而强调了与非法定费用有关的潜在的公平、价格以及机构问题。不仅具有明显的收入与公平效果 ,同样还显示了与病人有关的满意度、对质量的理解以及与卫生服务的支付能力有关的直接作用。从而推断出在孟加拉国 ,卫生部门改革六个领域中的机构与非法定费用的作用 ;法定政策的替代、降低福利产品的生产、对高收入的重新分配、被曲解的人类资源的发展、无效率机构的增加以及市场改革的障碍 In Bangladesh, the widespread and illegal collection of health facilities is a common form of “rent-seeking” behaviour. Non-legal costs come from the cost of medical services paid in cash, the cost of direct drug purchases, the cost of internal surgical necessities, and the availability of services. Using observation and interviewing methods, this study explored the relationship between statutory fees and non-statutory costs in the three types of health institutions in Bangladesh (primary health institutions, district hospitals, and medical school affiliated hospitals). At the same time, the payment levels of different income classes and different payer types in these institutions are estimated, thereby emphasizing the potential fairness, price, and institutional issues associated with non-statutory fees. Not only does it have significant income and fairness results, it also shows the patient-related satisfaction, understanding of quality, and the direct role of the ability to pay for health services. It concludes that in Bangladesh, the role of institutions and non-statutory fees in the six fields of health sector reform; the substitution of statutory policies, the reduction of the production of welfare products, the redistribution of high income, the development of misinterpreted human resources, and the absence of Increased efficiency institutions and barriers to market reform