Wasting with intention: Fraud, abuse, corruption and other integrity violations in the health sector

This chapter discusses fraud, abuse, corruption and other integrity violations that divert resources from the health care system and as such are wasteful. The first section explains why the health sector is prone to integrity violations and gathers evidence on the scale of the problem in OECD countries. The second section analyses in more details integrity violations in service delivery and financing and reviews how OECD countries detect, prevent and tackle them. The third section points to the most common inappropriate business practices observed across health care systems and maps some of the regulatory and self-regulatory approaches used by countries to limit such practices.