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Designing safer health care through responsive regulation
Author(s) -
Healy Judith,
Braithwaite John
Publication year - 2006
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2006.tb00364.x
Subject(s) - safer , persuasion , bureaucracy , health care , compliance (psychology) , control (management) , business , pyramid (geometry) , public relations , public economics , risk analysis (engineering) , political science , computer security , economics , psychology , computer science , law , management , social psychology , politics , physics , optics
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.