Tenth International Conference on Health, Wellness & Society

Abstract

According to the Corruption Perceptions Index (CPI) 2018, Iran ranked 148 among 183 countries. In this review, we shed light on corruption in Iran’s health system from the legal, ethical, and policy-making viewpoints and recommend some practical strategies to combat. This is a scoping review based on Vian’s conceptual model of corruption in the health sector to evaluate and analyze corruption in Iran’s health system. Review of the literature and documents without any time limitation were conducted in several databases including PubMed, Scopus, Web of Science, Google Scholar, and Farsi sources including Iran Medex, SID and Magiran, and also the official websites of the Ministry of Health and news agencies. Unfortunately, to the best of our review, there is less published evidence about the extent and types of corruption in Iran’s health system. Based on Vian’s model, reviewed literature revealed that Iran’s health system is prone to corruption. This system is monopolistic and self- authorized, low transparent and accountable, and required law enforcement in many areas. Evidence to clarify the situation of a citizen’s voice was not found. Based on this study, evidences show corruption in financing, service provision and resource generation of Iran’s health system. It could affect its performance and responsiveness. To combat, Iran should apply multiple strategies such as: improving good governance, strengthening the legal system over the health system, reducing monopoly stepwise and manageable, enhancing community participation, and finally updating ethics’ codes in the health system.