1کارشناسی ارشد مدیریت کسب و کار دانشگاه صنعتی شریف، تهران، ایران
2دانشیار مهندسی صنایع دانشگاه صنعتی شریف، تهران، ایران
3استادیار اقتصاد دانشگاه صنعتی شریف، تهران، ایران
چکیده
هدف از این پژوهش، بررسی مصادیق تعارض منافع در نظام سلامت ایران با تمرکز بر برخی مناصب وزارت بهداشت، درمان و آموزش پزشکی است. برای نیل به این هدف، از مصاحبه با افراد مرتبط با حوزه سلامت و همچنین مستندات مربوط به شرح وظایف مقام‌های مورد بررسی استفاده شده است. سپس با تطبیق تعریف استاندارد و مورد قبول صاحب‌نظران از تعارض منافع با شرح وظایف، اختیارات و مسئولیت‌های مناصب؛ مصادیق تعارض منافع برشمرده شده است. نتایج نشان‌گر این است که منشأ غالب مصادیق تعارض منافع در نظام حکمرانی و فساد احتمالی ناشی از آن را می‌توان در سه دسته جای داد. اولاً وظایف مناصب به گونه‌ای است که سهامداری، مدیرعاملی و عضویت در هیئت‌مدیره شرکت‌های تجاری مرتبط با حوزه سلامت موجب ایجاد تعارض منافع می‌شود. دلیل دوم آن است که حضور افراد ذی‌نفع در نظام حکمرانی سلامت مانند پزشکان، سر منشأ تعارض منافع است. در نهایت، ایرادات ساختاری همچون تلفیق ناظر و نظارت‌شونده یا سیاستگذار و مجری، دلیل دیگری برای عمده‌ترین تعارضات منافع موجود است.
1Department of Management, Faculty of Management & Economics, Sharif University of Technology, Tehran, Iran
2Department of Management, Faculty of Management & Economics, Sharif University of Technology, Tehran, Iran
3Assistant Professor, Department of Economics, Graduate School of Management & Economics, Sharif University of Technology, Tehran, Iran
چکیده [English]
This study investigates instances of conflict of interest in some job positions in Iran’s Ministry of Health, Treatment, &Medical Education. To do so, we interviewed people involved in the health field &reviewed the job descriptions. We have identified instances of conflict of interests in each position by adopting the prevailing definition of conflict of interests regarding the duties, authorities, &responsibilities. The results show that the main reasons for cases of conflict of interests &possible resulting corruption fall into three categories. First, the duties of positions are such that being a shareholder, CEO, &member of the board of directors of related private business corporations or institutions can cause a conflict of interests. The presence of stakeholders in the health governance system, such as doctors, is another source of conflict of interest. Finally, the conflict can occur due to structural defects such as supervisor &supervision integration or policy makers &performers.
کلیدواژه‌ها [English]
Health Governance System, Boards of Directors, Corruption, Conflict of Interest, Ministry of Health
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