Design and implementation of mitigation plans (anti-corruption tools and measures)

Health sector application of other available tools

Anti-corruption tools must always be adapted to the context of the problem they are meant to address. Therefore, any anti-corruption tool or practice can be considered for application in the health sector, as long as it is adapted, and extensive online literature shows how tools are adapted in this way. 

To learn more, please refer to the resources referenced below. More links are available in “Additional Resources,” particularly the TI website and its toolbox of extensive resources.

Table 4.1 Policies and practices addressing corruption in healthcare

Polices and Practices    
No Type Category
4.2.1 Anti-corruption legislation General
4.2.2 Anti-corruption institutions General
4.2.3 Anti-corruption-in-health-strategy General
4.3.1 Fraud in healthcare control I - DGEC General
4.3.2 Fraud in healthcare control II - CNAMTS General
4.3.3 Fraud in healthcare control III - NHS General
4.3.4 Collaboration between competent authorities and the public - IGAS General
4.4.1 Increase in salaries of healthcare providers I Medical service delivery 
4.4.2 Increase in salaries of healthcare providers II Medical service delivery 
4.4.4 Formalise informal payments Medical service delivery 
4.4.5 Introduce transparent waiting lists Medical service delivery 
4.4.6 Increase penalties for bribery Medical service delivery 
4.4.7 Doctor´s initiative against bribery Medical service delivery 
4.5.1 Break the cycle of systemised corruption Procurement corruption
4.5.2 Include the healthcare sector in general procurement regulations Procurement corruption
4.5.3 Centralise the maximum price of pharmaceuticals Procurement corruption
4.6.1 Prescribe main active substances  Improper marketing relations
4.6.2 Code of Conduct for medical devices  Improper marketing relations
4.6.3 Self-regulation of the pharmaceutical industry  Improper marketing relations
4.6.4 Sunshine Act à la Européenne  Improper marketing relations
4.6.5 Conditioned self-regulation in the pharmaceutical sector Improper marketing relations
4.7.1 Awareness campaign and reporting line Critical patient involvement
4.7.2 Investigative Journalism database  Critical patient involvement
4.7.3 Civil society reporting website Critical patient involvement
4.7.4 Transparent waiting lists Critical patient involvement

Table. Policies and practices addressing corruption in healthcare.
Source: EC 2013: 98.