The Role of Lobbying and Conflict of Interests on the Iranian Health System Decision-making
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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
Health systems attempt to fulfill health goals through evidence-based and value-oriented approaches, but decision-making in this sector is under the influence of some unknown and unexpected factors. The current study aimed at examining the role of lobbying and conflict of interests on the Iranian health system decision-making.
Methods
The literature review and interview with key experts were used in the current qualitative study to collect data. Thirty semi-structured interviews were carried out at micro, meso, and macro levels. Data were analyzed and interpreted through a mixed (inductive/deductive) thematic framework.
Results
Two themes and 6 subthemes were categorized based on the analyses; the theme of “the effects of conflict of interests on health system” with subthemes of effect on plans implementation, effect on intersector relations of national bodies, effect on public decisions, and also the theme of “effects of lobbying on health system” including subthemes of effect on attaining more budget or obtaining extra resources, effect on health technologies buying, and effect on implementation or non-implementation of special plans.
Conclusions
Conflict of interest indicates insufficient monitor of health system authorities, but lobbying can protect patients’ rights, if it is principally and ethically aligned with utilitarianism.
Language:
Persian
Published:
Hakim Health Systems research journal, Volume:20 Issue: 1, 2017
Pages:
27 to 34
magiran.com/p1794934  
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