Pacijenti, neformalna davanja i prevencija korupcije u zdravstvu

Generally speaking corruption in healthcare is a part of wider social corruption, and it needs to be influenced on both sides, outside and within the health system. This approach also points to responsible entities in preventing and sanctioning corruption, both within and outside the health system. In Serbia, one part of it is insufficiently understood. The health system and the working process in health care is very complex and it should not be burdened by solving the problem of corruption in a classical way. Detection and repressive measures in this sense should be left to the competent authorities. On the side of health authorities and institutions, measures of prevention should be implemented, whether concrete actions or the raising of responsible behavior, as well as ethical and professional standards in the performance of health activities. Disciplinary courts and ethics committees in healthcare institutions can not directly address the corruption cases because they do not even process them, but they should respond to controversial behavior that suits the occurrence of corruption, either in a direct or indirect way. The patient’s position and informal gifts (payments) are often sensitive in practice and can affect his right to access and quality of healthcare. In addition to what is seen and in accordance with regulations, it may be compelled to reach for additional giving in the form of performances of cash, gifts, making performances and other benefits. All analyzes, surveys and other measurements of the effects of the fight against corruption are, as a rule, the result of summing up certain conclusions and adapting the recommendations. In order to projections of the future state and the greater success, the recommendations of the general rank, and then of a special rank, ie specifically related to a certain area, such as health, which may be less or less susceptible to corruption, are taken into account. In general terms, it starts from the findings and recommendations of the Council of Europe, which are given to each country to fulfill: - a clear and effective implementation of the Anti-Corruption Law; - independent judicial monitoring of cases; - legality in the public procurement system. It is necessary to harmonize all activities, including recommendations, in order to reach them