Health Sector

Explore the challenges and strategies to deal with health sector corruption

Corruption in the health sector is especially critical in developing and transitional economies lacking in public resources. Corruption lowers the quality, equity, volume and effectiveness of health care. It increases the price of medical services, and discourages people to use and pay for them. This has a corrosive impact on a population's level of health.

This U4 Theme offers resources to:

Prof. Taryn Vian , Amy Studenic, and Kimberly Johnson at the Boston University School of Public Health have contributed substantively to this U4 Theme.

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Corruption in the health sector

  • 14th September 2015 - 2nd October 2015

Chinese drug salesmen tell BBC they 'routinely pay bribes'. British Broad Casting, 12 August 2013

GlaxoSmithKline executive confessed to paying bribes for doctors to prescribe their medicine and for hospitals to carry it. The bribes get absorbed into the cost of the companies and raises prices of the drugs. BBC interviewed five drug salesman who confirmed this practice. There is also corruption going on around the health sector, such as people selling appointments to see physicians. http://www.bbc.co.uk/news/world-asia-china-23677468
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Author: T. Vian
Release date: May 2012

Exploring the construction of transparency: an analysis of health managers’ narratives

Transparency can mitigate the risk of abuse in the health sector by clarifying rules and results of health care delivery and revealing interests of providers and policy makers. But before a culture of transparency can take root, it is important to understand how people perceive transparency and enact it in their organizational roles.  This formative research study proposes a framework and research methods for exploring transparency in organizations. The study elicited 21 stories about transparent behavior in health organizations and illustrates aspects of transparency and perceived benefits and drawbacks. Narrative analyses can help us understand beliefs about transparency held by key stakeholders, information which can be used to frame policies and behavior change strategies.

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Author: T. Vian, D., Brinkerhoff, F. Feeley, M. Salomon, N.T.K. Vien
Release date: October 2011

Confronting corruption in the health sector in Vietnam: patterns and prospects

This discussion paper synthesizes information on the causes and consequences of corruption in the health sector in Vietnam, with proposed strategies for increasing public engagement in order to strengthen anti-corruption results.This discussion paper synthesizes information on the causes and consequences of corruption in the health sector in Vietnam, with proposed strategies for increasing public engagement in order to strengthen anti-corruption results. A later version was published in the academic journal Public Administration and Development.2012; 32(1):49-63.

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