Corruption in the physiotherapy sector in Iran: ‎common drivers and potential combating strategies

Shahabi, Saeed and Skempes, Dimitrios and Behzadifar, Masoud and Ahmadi, Ahmad (2020) Corruption in the physiotherapy sector in Iran: ‎common drivers and potential combating strategies. Journal European Journal of Physiotherapy.

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Background Globally, there is an unprecedented demand for physical rehabilitation services due to, among others, an ‎increase in non-communicable diseases, and the ageing of the population. Iran is no exception and epidemiological ‎trends suggest that population needs for physiotherapy services will rise significantly. However, inadequate insurance ‎coverage, weak stewardship, the predominant role of the private sector in service delivery, and inappropriate ‎supervision have created a favourable environment for corrupt practices in the Iranian physiotherapy sector.‎ Objectives To identify drivers of corruption and potential combating strategies for the physiotherapy sector from the ‎perspective of key stakeholders: physiotherapists, academics, and health policymakers.‎ Methods In-depth semi-structured interviews were performed to explore physiotherapists', academics', and health ‎policymakers' perceptions about corruption in Iranian physiotherapy sector. The individuals were recruited using ‎purposive and snowball sampling. Thematic content analysis was used to analyse transcripts and identify relevant ‎themes.‎ Results On the whole, 22 individuals (5 physiotherapists, 8 academics, and 9 health policymakers) agreed to take part ‎in the interviews. Several drivers and determinants of corruption in the physiotherapy sector as well as potential ‎combating strategies were identified across five categories: (1) government regulator function, (2) payer function, (3) ‎providers function, (4) suppliers function, and (5) patients function.‎ Conclusions Corruption represents a real threat in the physiotherapy sector in Iran impeding accessibility and ‎utilisation of rehabilitation services and therefore is a serious barrier to the achievement of Sustainable Developments ‎Goals. Development and adoption of effective anti-corruption strategies are therefore necessary.‎

Item Type: Article
Subjects: R Medicine > RZ Other systems of medicine
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: samira sepahvandy
Date Deposited: 16 Dec 2020 05:19
Last Modified: 16 Dec 2020 05:19

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