Revolving doors and conflicts of interest in health regulatory agencies in Brazil

Regulatory health agencies exist in most public health systems (PHS) and play a crucial role in enacting regulation and overseeing economic activities in order to ensure the quality of health systems, goods and services.1 Multiple practices of corruption such as bribery or fraud have been reported i...

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Detalles Bibliográficos
Autores: Scheffer, Mário C, Pastor-Valero, Maria, Russo, Giuliano, Hernández-Aguado, Ildefonso
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Miguel Hernández de Elche
Repositorio:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dspace.umh.es:11000/30516
Acceso en línea:https://hdl.handle.net/11000/30516
Access Level:acceso abierto
Palabra clave:Revolving doors
conflicts of interest in health
Regulation of health
CDU::6 - Ciencias aplicadas::61 - Medicina
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spelling Revolving doors and conflicts of interest in health regulatory agencies in BrazilScheffer, Mário CPastor-Valero, MariaRusso, GiulianoHernández-Aguado, IldefonsoRevolving doorsconflicts of interest in healthRegulation of healthCDU::6 - Ciencias aplicadas::61 - MedicinaRegulatory health agencies exist in most public health systems (PHS) and play a crucial role in enacting regulation and overseeing economic activities in order to ensure the quality of health systems, goods and services.1 Multiple practices of corruption such as bribery or fraud have been reported in health policy and systems.2 Public health agencies are particularly susceptible to ‘regulatory capture’,3 4 a process by which an agency advances the special interests of the industries and of other actors it is entrusted with regulating. One of the mechanisms that can potentially lead to an agency capture is the so-called ‘revolving door’,5 the situation where an exchange of roles between public regulators and regulated institutions may result in health policy decisions which are biased in favour of industry interests. Revolving doors have previously been described in the USA and Europe, with an emphasis on legislative, energy, financial and patent agencies. However, there is little empirical evidence on the scale and scope of this problem in PHS. In this commentary, we explore the extent of the revolving doors phenomenon in Brazil by analysing the professional trajectories of public agents who held high positions at the two key health regulatory agencies in the country between 1999 and 2018.BMJ Publishing GroupDepartamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecología202420242020info:eu-repo/semantics/articleapplication/pdf5application/pdfhttps://hdl.handle.net/11000/30516reponame:REDIUMH. Depósito Digital de la UMHinstname:Universidad Miguel Hernández de ElcheIngléshttps://doi.org/10.1136/bmjgh-2020-002325info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:dspace.umh.es:11000/305162026-05-27T13:36:21Z
dc.title.none.fl_str_mv Revolving doors and conflicts of interest in health regulatory agencies in Brazil
title Revolving doors and conflicts of interest in health regulatory agencies in Brazil
spellingShingle Revolving doors and conflicts of interest in health regulatory agencies in Brazil
Scheffer, Mário C
Revolving doors
conflicts of interest in health
Regulation of health
CDU::6 - Ciencias aplicadas::61 - Medicina
title_short Revolving doors and conflicts of interest in health regulatory agencies in Brazil
title_full Revolving doors and conflicts of interest in health regulatory agencies in Brazil
title_fullStr Revolving doors and conflicts of interest in health regulatory agencies in Brazil
title_full_unstemmed Revolving doors and conflicts of interest in health regulatory agencies in Brazil
title_sort Revolving doors and conflicts of interest in health regulatory agencies in Brazil
dc.creator.none.fl_str_mv Scheffer, Mário C
Pastor-Valero, Maria
Russo, Giuliano
Hernández-Aguado, Ildefonso
author Scheffer, Mário C
author_facet Scheffer, Mário C
Pastor-Valero, Maria
Russo, Giuliano
Hernández-Aguado, Ildefonso
author_role author
author2 Pastor-Valero, Maria
Russo, Giuliano
Hernández-Aguado, Ildefonso
author2_role author
author
author
dc.contributor.none.fl_str_mv Departamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecología
dc.subject.none.fl_str_mv Revolving doors
conflicts of interest in health
Regulation of health
CDU::6 - Ciencias aplicadas::61 - Medicina
topic Revolving doors
conflicts of interest in health
Regulation of health
CDU::6 - Ciencias aplicadas::61 - Medicina
description Regulatory health agencies exist in most public health systems (PHS) and play a crucial role in enacting regulation and overseeing economic activities in order to ensure the quality of health systems, goods and services.1 Multiple practices of corruption such as bribery or fraud have been reported in health policy and systems.2 Public health agencies are particularly susceptible to ‘regulatory capture’,3 4 a process by which an agency advances the special interests of the industries and of other actors it is entrusted with regulating. One of the mechanisms that can potentially lead to an agency capture is the so-called ‘revolving door’,5 the situation where an exchange of roles between public regulators and regulated institutions may result in health policy decisions which are biased in favour of industry interests. Revolving doors have previously been described in the USA and Europe, with an emphasis on legislative, energy, financial and patent agencies. However, there is little empirical evidence on the scale and scope of this problem in PHS. In this commentary, we explore the extent of the revolving doors phenomenon in Brazil by analysing the professional trajectories of public agents who held high positions at the two key health regulatory agencies in the country between 1999 and 2018.
publishDate 2020
dc.date.none.fl_str_mv 2020
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/11000/30516
url https://hdl.handle.net/11000/30516
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1136/bmjgh-2020-002325
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
5
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:REDIUMH. Depósito Digital de la UMH
instname:Universidad Miguel Hernández de Elche
instname_str Universidad Miguel Hernández de Elche
reponame_str REDIUMH. Depósito Digital de la UMH
collection REDIUMH. Depósito Digital de la UMH
repository.name.fl_str_mv
repository.mail.fl_str_mv
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