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Information Journal Paper

Title

INFORMAL PAYMENTS IN IRAN: A CROSS- SECTIONAL STUDY PRIOR TO IMPLEMENTATION OF THE HEALTH SYSTEM REFORM

Pages

  34-47

Abstract

INFORMAL PAYMENTs in clinics raise ethical concerns in healthcare delivery. This cross-sectional questioner survey aims to evaluate the prevalence and related factors of INFORMAL PAYMENT in healthcare system in Iran.The study was carried out in 2013, prior to the implementation of the government' Health System Reform among physicians with different specialties. The questionnaire were distributed among the participants during the congresses and continuing medical education programs.In results; of the total specialist physicians, 276 returned the questionnaires. The response rate was 81.17%. and out of 276 returned questionnaires 257 fulfilled the inclusion criteria. The prevalence of INFORMAL PAYMENTs, among the physicians who were susceptible to receiving INFORMAL PAYMENTs, was relatively high (63.8%). The physicians who practiced in the private sector, as well as physicians who practiced in Tehran and those who had a positive attitude towards the INFORMAL PAYMENTs, received more INFORMAL PAYMENTs. From the viewpoint of the respondents, the main cause of INFORMAL PAYMENTs was unrealistic/unfair tariffs and the main consequence of INFORMAL PAYMENTs was the rising costs of patient care. This study showed that, unfortunately, more than half of the participants did not believe or did not decisively consider INFORMAL PAYMENTs as unethical. This confirms the importance of physicians’ education about the unethical practice of INFORMAL PAYMENTs. However, compare to private sectors, more supervision in public sector may be the main cause of less prevalence of INFORMAL PAYMENTs in public hospitals. In conclusion: Developing ethical guidelines to prevent INFORMAL PAYMENTs as well as more realistic and fair tariffs would help to decrease the incidence of INFORMAL PAYMENTs.

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    APA: Copy

    PARSA, MOJTABA, LARIJANI, BAGHER, ARAMESH, KIARASH, NEDJAT, SAHARNAZ, FOTOUHI, AKBAR, YEKANINEJAD, MIR SAEED, & EBRAHIMIAN, NEJATOLLAH. (2017). INFORMAL PAYMENTS IN IRAN: A CROSS- SECTIONAL STUDY PRIOR TO IMPLEMENTATION OF THE HEALTH SYSTEM REFORM. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, 9(6), 34-47. SID. https://sid.ir/paper/135515/en

    Vancouver: Copy

    PARSA MOJTABA, LARIJANI BAGHER, ARAMESH KIARASH, NEDJAT SAHARNAZ, FOTOUHI AKBAR, YEKANINEJAD MIR SAEED, EBRAHIMIAN NEJATOLLAH. INFORMAL PAYMENTS IN IRAN: A CROSS- SECTIONAL STUDY PRIOR TO IMPLEMENTATION OF THE HEALTH SYSTEM REFORM. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE[Internet]. 2017;9(6):34-47. Available from: https://sid.ir/paper/135515/en

    IEEE: Copy

    MOJTABA PARSA, BAGHER LARIJANI, KIARASH ARAMESH, SAHARNAZ NEDJAT, AKBAR FOTOUHI, MIR SAEED YEKANINEJAD, and NEJATOLLAH EBRAHIMIAN, “INFORMAL PAYMENTS IN IRAN: A CROSS- SECTIONAL STUDY PRIOR TO IMPLEMENTATION OF THE HEALTH SYSTEM REFORM,” JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, vol. 9, no. 6, pp. 34–47, 2017, [Online]. Available: https://sid.ir/paper/135515/en

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