Improving Transparency in Service Delivery to Fight Corruption? Mapping Multi-Stakeholder Voices on Digitization in the Indian Public Healthcare Sector

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-08-08 DOI:10.1177/00027642241268555

Anwesha Chakraborty, Ina Kubbe

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Abstract

In recent years, digital technologies have been recognized as essential for combating corruption in healthcare by academics and practitioners alike. Our study focuses on India, where healthcare policies increasingly emphasize digital public health services. We analyze multi-stakeholder perspectives emerging in the country post the 2020 launch of a national digital health plan. The study uses interviews, participant observation, and official video transcripts to critically appraise these perspectives. Although government actors view digital innovation as a panacea for issues like inclusion, transparency, and service delivery, other stakeholders raise concerns on wide-ranging issues. These include infrastructural and design challenges, unclear policies on data privacy, and the opaque role of private companies in providing digital solutions. Particularly, grassroots actors warn of new opportunities for corruption due to extensive digitization. This article explores the dichotomy between policy intentions and practical realities, highlighting the complex relationship between digital transformation in healthcare and corruption control.

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提高服务提供的透明度以打击腐败？了解多方利益相关者对印度公共医疗保健部门数字化的看法

近年来，学术界和从业人员都认为数字技术对于打击医疗保健领域的腐败至关重要。我们的研究聚焦于印度，该国的医疗政策越来越重视数字公共卫生服务。我们分析了该国在 2020 年推出国家数字医疗计划后出现的多方利益相关者的观点。本研究利用访谈、参与观察和官方视频记录对这些观点进行了批判性评估。尽管政府行为者将数字创新视为解决包容性、透明度和服务提供等问题的灵丹妙药，但其他利益相关者对广泛的问题提出了担忧。这些问题包括基础设施和设计方面的挑战、数据隐私政策不明确以及私营公司在提供数字解决方案方面的角色不透明。特别是，基层行动者警告说，广泛的数字化为腐败提供了新的机会。本文探讨了政策意图与实际情况之间的对立，强调了医疗数字化转型与腐败控制之间的复杂关系。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.