For a honest Maghreb care system. Systematic Review of the International Literature on Corruption in the Health care System

Tunis Med. 2019 Mar;97(3):397-406.

Abstract

Introduction: Corruption in the health care system is a universal phenomenon, putting at risk the health of populations. The purpose of this work was to synthesize the international literature on corruption in the health sector.

Methods: This is a systematic review of literature dealing with articles on health corruption practices, published between July 2008 and June 2018, via two search engines: PubMed and Google Scholar. The extracted data were narratively summarized in three major areas: defining the concept of corruption in health, its typology / manifestations and anti-corruption interventions.

Results: A total of 23 articles were selected for final analysis. The articles that defined health corruption shared two key aspects: "abuse of power" and "benefit". The main types of corruption were "abuse of therapeutic indication", followed by "bribes" and "falsification". The anti-corruption interventions were synthesized into seven types: creation of an independent multi-interventional agency, support for scientific research, law enforcement, awareness raising, detection, reporting and institutional commitment.

Conclusion: Based on the use of power, corruption in health is a complex phenomenon whose struggle requires a specific and contextualized strategy integrating information, detection and punishment.

Publication types

  • Systematic Review

MeSH terms

  • Access to Information / ethics
  • Africa, Northern / epidemiology
  • Deception
  • Delivery of Health Care / economics
  • Delivery of Health Care / ethics*
  • Delivery of Health Care / organization & administration
  • Delivery of Health Care / standards
  • Ethics, Medical*
  • Fraud / ethics
  • Fraud / statistics & numerical data*
  • Health Services Accessibility / economics
  • Health Services Accessibility / ethics*
  • Health Services Accessibility / organization & administration
  • Health Services Accessibility / standards
  • Health Services Misuse / statistics & numerical data
  • Humans
  • Physician-Patient Relations / ethics
  • Practice Patterns, Physicians'* / ethics
  • Practice Patterns, Physicians'* / statistics & numerical data
  • Professional Misconduct* / ethics
  • Professional Misconduct* / statistics & numerical data
  • Quackery / ethics
  • Quackery / statistics & numerical data