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Corruption, public trust and medical autonomy in the public health sector of Montenegro: Taking stock of the COVID-19 influence

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  • Ivan Radević
  • Nikša Alfirević
  • Anđelko Lojpur

Abstract

In this paper, we analyze the influence of corruption perception, experiences of corruptive behavior, and healthcare autonomy on the public trust in Montenegrin healthcare, by surveying the general population before and after the global COVID-19 pandemic. By providing a quasi-replication of a previous empirical study of corruption and trust in the Croatian public healthcare sector, we introduce the COVID-19 pandemic as a new research context. Before the pandemic, we found a consistent and significant negative influence of the corruptive practices and the generally perceived level of corruption (corruption salience) on the trust in public healthcare. The emergence of COVID-19 had mixed effects: while there is a slightly higher effect of corruption salience to the preference of public healthcare, corruptive experiences still matter but are tolerated much higher than before the pandemic. Public assessment of the autonomy of the health system increases preference for public healthcare, both before and after the pandemic, although the emergence of COVID-19 somewhat lowers this effect. The obtained results point to the most significant challenges of the ‘post-COVID-19’ social context to public health policymaking and management of public healthcare institutions. These include focusing the public healthcare reforms on corruption, reducing waiting times for different diagnostics and medical procedures in the public healthcare system, and regulating the ‘dual practice’ (simultaneous work in public and private healthcare institutions).

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  • Ivan Radević & Nikša Alfirević & Anđelko Lojpur, 2022. "Corruption, public trust and medical autonomy in the public health sector of Montenegro: Taking stock of the COVID-19 influence," PLOS ONE, Public Library of Science, vol. 17(9), pages 1-18, September.
    • Handle: RePEc:plo:pone00:0274318
    DOI: 10.1371/journal.pone.0274318
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    References listed on IDEAS

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    1. Ho Fai Chan & Martin Brumpton & Alison Macintyre & Jefferson Arapoc & David A. Savage & Ahmed Skali & David Stadelmann & Benno Torgler, 2020. "How confidence in health care systems affects mobility and compliance during the COVID-19 pandemic," CREMA Working Paper Series 2020-11, Center for Research in Economics, Management and the Arts (CREMA).
    2. Line Neerup Handlos & Karen Fog Olwig & Ib Christian Bygbjerg & Marie Norredam, 2016. "Return Migrants’ Experience of Access to Care in Corrupt Healthcare Systems: The Bosnian Example," IJERPH, MDPI, vol. 13(9), pages 1-12, September.
    3. repec:plo:pone00:0240644 is not listed on IDEAS
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