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Controlling corruption in order to improve global health

机译:控制腐败以改善全球健康

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摘要

Corruption can take various forms, including frank bribery and the corruption of knowledge. Prominent in the health field is corruption associated with the pharmaceutical industry. This can impair true freedom to choose optimal therapeutic strategies by misrepresenting less qualified yet more expensive ("pseudo-innovative") products, resulting in increased expenditures without improvement in the quality, efficacy or safety of the health care supplied. Promotion of products is legitimate, but the border to corruption is not easily discernible and is readily violated. Senior management within the pharmaceutical industry has to become aware of the destructive consequences of corruptive and other improper promotional activities and be prepared to fight them through implementing Codes of Conduct.Medical health care professionals are the main targets for corrupt practices on the part of the pharmaceutical industry. They need to be sensitized against disinformation and material influences which can impede professional care,. Professional and self-governing institutions have to develop Codes of Conduct and strategies to guarantee transparency and the independence of advisory functions.National legislation should be promoted to create or extend anti-corruption law to members of professional medical societies or self-governing bodies in health care. Governments should recognize the need for patients' participation and public control at all levels of health care systems, also in the so-called private sector, and establish the necessary legal framework,
机译:腐败有多种形式,包括坦率的贿赂和知识的腐败。在卫生领域突出的是与制药业有关的腐败。这可能会通过错误地展示质量较低但价格较昂贵(“伪创新”)的产品来损害选择最佳治疗策略的真正自由,从而导致支出增加而又不改善所提供医疗保健的质量,功效或安全性。促销产品是合法的,但腐败的边界不易辨认,也容易受到侵犯。制药行业的高级管理层必须意识到腐败和其他不当促销活动的破坏性后果,并准备通过实施《行为准则》与之抗衡。医疗保健专业人员是制药方面腐败行为的主要目标行业。必须使他们对可能阻碍专业护理的虚假信息和重大影响敏感。专业和自治机构必须制定行为守则和战略以确保透明度和咨询职能的独立性;应促进国家立法,以建立反腐败法律或将反腐败法律扩展至专业医学团体或卫生领域的自治机构关心。各国政府应认识到需要患者参与和公共控制,包括所谓的私营部门在内的所有各级卫生保健系统,并建立必要的法律框架,

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