PDF(Pubmed)
Abstract：
BACKGROUND: Healthcare corruption poses a significant threat to individuals, institutions, sectors, and states. Combating corruption is paramount for protecting patients, maintaining the healthcare system\'s integrity, and preserving public trust. As corruption evolves, takes new forms, and adapts to changing socio-political landscapes, understanding its manifestations is critical to developing effective anti-corruption strategies at individual and institutional levels.
OBJECTIVE: The aim was to comprehensively collate the manifestations of different types of corruption in healthcare to illustrate prevailing patterns and trends and to provide policymakers, practitioners, and researchers with practical insights to inform research agendas, regulatory and governance strategies, and accountability measures.
METHODS: We conducted a narrative review of scientific articles published between 2013 and 2022 using keyword searches in SCOPUS and EBSCO. We utilized the corruption typology proposed by the European Union and Thompson\'s Institutional Corruption Framework to systematically identify manifestations across different corruption types. The Prisma scheme was employed to document the selection process and ensure reproducibility.
RESULTS: Bribery in medical service provision was the most frequently investigated form of corruption, revealing rather uniform manifestations. Misuse of high-level positions and networks and institutional corruption also received considerable attention, with a wide range of misconduct identified in institutional corruption. Extending the analysis to institutional corruption also deepened the understanding of misconduct in the context of improper marketing relations and highlighted the involvement of various stakeholders, including academia. The pandemic exacerbated the vulnerability of the healthcare sector to procurement corruption. Also, it fostered new types of misconduct related to the misuse of high-level positions and networks and fraud and embezzlement of medical drugs, devices, and services.
CONCLUSIONS: The review spotlights criminal actions by individuals and networks and marks a notable shift towards systemic misconduct within specific types of corruption. The findings highlight the necessity of customized anti-corruption strategies throughout the healthcare sector. These insights are crucial for policymakers, practitioners, and researchers in guiding the formulation of legal frameworks at local and global levels, governance strategies, and research priorities.
OBJECTIVE: The aim was to comprehensively collate the manifestations of different types of corruption in healthcare to illustrate prevailing patterns and trends and to provide policymakers, practitioners, and researchers with practical insights to inform research agendas, regulatory and governance strategies, and accountability measures.
METHODS: We conducted a narrative review of scientific articles published between 2013 and 2022 using keyword searches in SCOPUS and EBSCO. We utilized the corruption typology proposed by the European Union and Thompson\'s Institutional Corruption Framework to systematically identify manifestations across different corruption types. The Prisma scheme was employed to document the selection process and ensure reproducibility.
RESULTS: Bribery in medical service provision was the most frequently investigated form of corruption, revealing rather uniform manifestations. Misuse of high-level positions and networks and institutional corruption also received considerable attention, with a wide range of misconduct identified in institutional corruption. Extending the analysis to institutional corruption also deepened the understanding of misconduct in the context of improper marketing relations and highlighted the involvement of various stakeholders, including academia. The pandemic exacerbated the vulnerability of the healthcare sector to procurement corruption. Also, it fostered new types of misconduct related to the misuse of high-level positions and networks and fraud and embezzlement of medical drugs, devices, and services.
CONCLUSIONS: The review spotlights criminal actions by individuals and networks and marks a notable shift towards systemic misconduct within specific types of corruption. The findings highlight the necessity of customized anti-corruption strategies throughout the healthcare sector. These insights are crucial for policymakers, practitioners, and researchers in guiding the formulation of legal frameworks at local and global levels, governance strategies, and research priorities.
摘要：
背景：医疗保健腐败对个人构成了重大威胁，机构,部门，和国家。打击腐败对于保护患者至关重要，保持医疗保健系统的完整性，维护公众信任。随着腐败的发展，采取新的形式，适应不断变化的社会政治环境，了解其表现形式对于在个人和机构层面制定有效的反腐败战略至关重要。
目标：目的是全面整理医疗保健中不同类型腐败的表现，以说明普遍存在的模式和趋势，并为政策制定者提供信息，从业者,以及具有实际见解的研究人员，监管和治理战略，和问责措施。
方法：我们使用SCOPUS和EBSCO中的关键词搜索对2013年至2022年之间发表的科学文章进行了叙述性审查。我们利用欧盟和汤普森的机构腐败框架提出的腐败类型来系统地识别不同腐败类型的表现。Prisma方案用于记录选择过程并确保可重复性。
结果：医疗服务中的贿赂是最常见的腐败形式，揭示了相当统一的表现。滥用高级职位和网络以及机构腐败也受到相当重视,在机构腐败中发现了广泛的不当行为。将分析扩展到机构腐败还加深了对不当营销关系背景下的不当行为的理解，并强调了各种利益相关者的参与，包括学术界。大流行加剧了医疗保健部门对采购腐败的脆弱性。此外，它助长了与滥用高级职位和网络以及欺诈和挪用医疗药物有关的新型不当行为，设备,和服务。
结论：该审查重点关注个人和网络的犯罪行为，并标志着特定类型腐败中系统性不当行为的显着转变。调查结果强调了整个医疗保健部门定制反腐败策略的必要性。这些见解对政策制定者至关重要，从业者,和研究人员指导地方和全球层面法律框架的制定，治理战略，和研究重点。
目标：目的是全面整理医疗保健中不同类型腐败的表现，以说明普遍存在的模式和趋势，并为政策制定者提供信息，从业者,以及具有实际见解的研究人员，监管和治理战略，和问责措施。
方法：我们使用SCOPUS和EBSCO中的关键词搜索对2013年至2022年之间发表的科学文章进行了叙述性审查。我们利用欧盟和汤普森的机构腐败框架提出的腐败类型来系统地识别不同腐败类型的表现。Prisma方案用于记录选择过程并确保可重复性。
结果：医疗服务中的贿赂是最常见的腐败形式，揭示了相当统一的表现。滥用高级职位和网络以及机构腐败也受到相当重视,在机构腐败中发现了广泛的不当行为。将分析扩展到机构腐败还加深了对不当营销关系背景下的不当行为的理解，并强调了各种利益相关者的参与，包括学术界。大流行加剧了医疗保健部门对采购腐败的脆弱性。此外，它助长了与滥用高级职位和网络以及欺诈和挪用医疗药物有关的新型不当行为，设备,和服务。
结论：该审查重点关注个人和网络的犯罪行为，并标志着特定类型腐败中系统性不当行为的显着转变。调查结果强调了整个医疗保健部门定制反腐败策略的必要性。这些见解对政策制定者至关重要，从业者,和研究人员指导地方和全球层面法律框架的制定，治理战略，和研究重点。
