A Practitioner's View of Institutional Corruption Through the Lens of the Health Care System

A Practitioner's View of Institutional Corruption Through the Lens of the Health Care System
Author: Reuben Guttman
Publisher:
Total Pages: 0
Release: 2019
Genre:
ISBN:

This essay examines institutional corruption - how the behavior of individuals can change dramatically when lulled into complicity under the guise of institutional allegiance. It argues that institutions have a way of corrupting even those who are inherently principled, often through corporate compliance and integrity programs designed to lead employees to believe that impropriety is actually impossible. The key argument in this essay is that where impropriety is orchestrated from the top and is integral to the corporation's business model, no internal compliance and ethics programs will be equipped to halt the wrongdoing - they may in fact be designed that way. Taking the example of pharmaceutical companies marketing drugs off-label, it suggests that buying influence over the standard of care is the ultimate goal. Patients or prescribing doctors are pushed to make decisions based on a standard of care that is tainted by corporate interest, and perhaps unwittingly, patients are put at unnecessary risk for minimal, if any, benefit. Pharmaceutical companies deputize sales representatives to encourage off-label prescription by instructing them that the very practice of off-label marketing is illegal - convincing representatives that their conduct must be legal if the corporation itself is directing the practice.The essay concludes with a series of policy suggestions to increase corporate accountability, particularly within the healthcare sector - an industry most at risk for fraud and corruption.

Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II

Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II
Author: Kıymet Tunca Çalıyurt
Publisher: Springer Nature
Total Pages: 256
Release: 2023-11-02
Genre: Business & Economics
ISBN: 9819955025

This book continues the discussion from Volume I on the risks organizations face in order to succeed with a special focus on the challenges brought on by the COVID-19 virus crisis. Taking on an interdisciplinary focus, the book brings together research from academics and practitioners from all over the world. Topics considered range from corruption in the health sector and COVID-19, eHealth efforts of countries during the pandemic, and fiscal policies and transparency in data sharing for effective management of the pandemic to a path forward to achieve health for all.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships

Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships
Author: Anna Laskai
Publisher: Springer
Total Pages: 290
Release: 2021-05-21
Genre: Social Science
ISBN: 9783030447922

​This book discusses the influence of the pharmaceutical industry on the practice of medicine, and the observed and potential pitfalls of such partnerships. It argues that the pharmaceutical industry has become indispensable to many of the activities of the medical profession across the pharmaceutical product lifecycle, and examines the regulatory, ethical, professional and institutional difficulties that arise from these interactions. With data drawn from over 80 qualitative accounts from medical, pharmaceutical, regulatory and healthcare professionals, this book uses both Hungary and the Netherlands as case studies to demonstrate the potential problem of undue pharmaceutical industry influence within the relationships fostered with the profession of medicine. Chapters systematically describe the lifecycle of a pharmaceutical product from research to distribution, demonstrating the interdependency of industry and medicine. Arguing that the medical profession should be a buffer between the pharmaceutical industry interests and patient interests, the book explores how undue industry influence weakens the ability of the medical profession to do so. Using the theory of institutional corruption, the book aims to analyze how conflict of interest and the weakening of institutional imperatives is a result of institutional interactions rather than individual actions. Appropriate for students and researchers of the pharmaceutical industry, corporate corruption, and those working in NGOs and policy making, this unique volume is an comprehensive look at the complex relationship between medicine and pharmacy.

Psychiatry Under the Influence

Psychiatry Under the Influence
Author: R. Whitaker
Publisher: Springer
Total Pages: 397
Release: 2015-04-23
Genre: Social Science
ISBN: 113751602X

Psychiatry Under the Influence investigates the actions and practices of the American Psychiatric Association and academic psychiatry in the United States, and presents it as a case study of institutional corruption.

Critical Psychiatry

Critical Psychiatry
Author: Sandra Steingard
Publisher: Springer
Total Pages: 225
Release: 2018-12-24
Genre: Medical
ISBN: 3030027325

This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.

Institutional Corruption

Institutional Corruption
Author: Seumas Miller
Publisher: Cambridge University Press
Total Pages: 333
Release: 2017-10-12
Genre: Law
ISBN: 0521869463

This book integrates theoretical accounts of corruption with practical approaches to combating corruption in various public- and private-sector settings.

Gender and Corruption

Gender and Corruption
Author: Helena Stensöta
Publisher: Springer
Total Pages: 307
Release: 2018-03-27
Genre: Political Science
ISBN: 3319709291

The link between gender and corruption has been studied since the late 1990s. Debates have been heated and scholars accused of bringing forward stereotypical beliefs about women as the “fair” sex. Policy proposals for bringing more women to office have been criticized for promoting unrealistic quick-fix solutions to deeply rooted problems. This edited volume advances the knowledge surrounding the link between gender and corruption by including studies where the historical roots of corruption are linked to gender and by contextualizing the exploration of relationships, for example by distinguishing between democracies versus authoritarian states and between the electoral arena versus the administrative branch of government—the bureaucracy. Taken together, the chapters display nuances and fine-grained understandings. The book highlights that gender equality processes, rather than the exclusionary categories of “women” and “men”, should be at the forefront of analysis, and that developments strengthening the position of women vis-à-vis men affect the quality of government.

The Economics of Public Health Care Reform in Advanced and Emerging Economies

The Economics of Public Health Care Reform in Advanced and Emerging Economies
Author: Mr.David Coady
Publisher: International Monetary Fund
Total Pages: 381
Release: 2012-04-13
Genre: Business & Economics
ISBN: 1475583788

Using cross-country analysis and case studies, this book provides new insights and potential policy responses for the key fiscal policy challenges that both advanced and emerging economies will be facing.

A History of Public Health

A History of Public Health
Author: George Rosen
Publisher: JHU Press
Total Pages: 441
Release: 2015-04
Genre: Medical
ISBN: 1421416018

For seasoned professionals as well as students, A History of Public Health is visionary and essential reading.