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- Title
Actors in conflict of interest in Iran's health system: Ranking and policy recommendations for conflict of interest management.
- Authors
Khanjankhani, Khatere; Takian, Amirhossein; Shamsi Gooshki, Ehsan; Mohammadi, Seyed‐Mehrdad; Arab, Mohammad
- Abstract
We conducted this study to rank conflict of interest (COI) actors in Iran's health system. Based on a review of relevant literature, we extracted a list of 27 actors within seven categories who play roles in the COI in the health system. We considered three criteria for ranking the actors: the actor's interest, power, and authority concerning COI. Each actor scored one to five on the Likert scale in every criteria. Using descriptive statistics, each actor's mean and standard deviation of its scores were calculated in these three indicators. The actors were ranked using the fuzzy TOPSIS method. The results showed the leading players in abusing the COI in the health system of Iran are the "Food and Drug Organization" and the "Parliament." The role and capacity of civil society and nongovernmental organizations as essential arms of oversight and transparency should not be overlooked. The government needs to enhance its efforts, we envisage, to utilize the capability of these actors by opening a dialog with them and providing the necessary training for COI. Key points: The Food and Drug Organization and the Parliament are the leading players in conflict of interest (COI) management in the Iranian health system.As the central legislative body in the country, the Parliament might have the most significant effect on COI management through appropriate and transparent law‐making.It is necessary to consider mechanisms for selecting people with the least COI in policy and decision‐making positions.The government needs to foster its efforts to make the best use of the energy and capability of civil society to manage COI.
- Subjects
IRAN; CONFLICT of interests; CONFLICT management; TOPSIS method; NONGOVERNMENTAL organizations; HEALTH policy
- Publication
World Medical & Health Policy, 2023, Vol 15, Issue 4, p476
- ISSN
1948-4682
- Publication type
Article
- DOI
10.1002/wmh3.561