Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, China.
Trinity College for Arts & Sciences, Duke University, Durham, NC, USA.
Int J Health Policy Manag. 2020 Mar 1;9(3):128-132. doi: 10.15171/ijhpm.2019.104.
Holistic and multi-disciplinary responses should be prioritized given the depth and breadth through which corruption in the healthcare sector can cover. Here, taking the Peruvian context as an example, we will reflect on the issue of corruption in health systems, including corruption with roots within and outside the health sector, and ongoing efforts to combat it. Our reflection of why corruption in health systems in settings with individual and systemic corruption should be an issue that is taken more seriously in Peru and beyond aligns with broader global health goals of improving health worldwide. Addressing corruption also serves as a pragmatic approach to health system strengthening and weakens a barrier to achieving universal health coverage and Sustainable Development Goals related to health and justice. Moreover, we will argue that by pushing towards a practice of normalizing the conversation about corruption in health has additional benefits, including expanding the problematization to a wider audience and therefore engaging with communities. For young researchers and global health professionals with interests in improving health systems in the early career stages, corruption in health systems is an issue that could move to the forefront of the list of global health challenges. This is a challenge that is uniquely multi-disciplinary, spanning the health, economy, and legal sectors, with wider societal implications.
鉴于医疗领域腐败的深度和广度,应优先采取整体和多学科的应对措施。在这里,我们以秘鲁为例,反思卫生系统中的腐败问题,包括卫生部门内外的腐败问题,以及正在进行的反腐败努力。我们之所以认为在存在个人和体制腐败的情况下,卫生系统中的腐败应该是秘鲁乃至更广泛地区需要更加重视的问题,这与改善全球健康的更广泛全球卫生目标是一致的。解决腐败问题也是加强卫生系统的务实方法,它削弱了实现全民健康覆盖和与健康及正义相关的可持续发展目标的一个障碍。此外,我们将认为,推动将卫生领域腐败问题的讨论正常化具有额外的好处,包括将问题扩大到更广泛的受众,从而与社区接触。对于有志于在职业生涯早期阶段改善卫生系统的年轻研究人员和全球卫生专业人员来说,卫生系统中的腐败是一个可能成为全球卫生挑战首要问题的挑战。这是一个独特的多学科挑战,涉及卫生、经济和法律部门,以及更广泛的社会影响。