Healthy Skepticism Library item: 5435

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Healy J, Braithwaite J.
Designing safer health care through responsive regulation.
Med J Aust 2006 May 15; 184:(10):
http://www.mja.com.au/public/issues/184_10_150506/hea11015_fm.html

Abstract:

Self-regulation by the health professions, while improving, is no longer enough; external drivers for safer health care include governments, funders and consumers. Enforced self-regulation is often more promising than a “command and control” strategy. Research evidence on the responsive regulatory pyramid and its options offers lessons for health care policy makers and managers. Start at the base of the regulatory pyramid – try persuasion first; move up the pyramid to secure compliance, and then be willing to move back down. Use existing capacities and structures, and if possible avoid new bureaucracies of control.

Keywords:
Australia Government Regulation Guideline Adherence Hospitals/standards* Humans Medical Errors/prevention & control* Models, Organizational Organizational Culture Persuasive Communication Quality Assurance, Health Care/legislation & jurisprudence Quality Assurance, Health Care/organization & administration Quality Assurance, Health Care/standards* Safety Management/legislation & jurisprudence Safety Management/organization & administration Safety Management/standards*