Cornett Becky Sutherland
The Ohio State University Medical Center, Columbus Ohio 43210, USA.
Semin Speech Lang. 2006 May;27(2):75-9. doi: 10.1055/s-2006-939938.
Most clinicians have difficulty participating in the political process. Patients/clients come first, and there is often little time to pursue information about the political and regulatory processes affecting clinical practice. Yet, such activity is imperative if speech-language pathologists and other practitioners want to achieve individual and collective professional goals and ensure sufficient funding for services to consumers. This article is an overview of politics, health-care policy, and regulation. Definitions are presented, and concepts regarding how politics become policy are cast in the familiar structure-process-outcome triad. Four types of regulation are discussed, and current regulatory initiatives are explained from the perspective of policy-makers. The discussion concludes by applying these concepts to issues and behaviors of specific interest to speech-language pathologists and sets the stage for the other articles in this publication.
大多数临床医生在参与政治进程方面存在困难。患者/客户是第一位的，而且往往几乎没有时间去了解影响临床实践的政治和监管进程的相关信息。然而，如果言语病理学家和其他从业者想要实现个人和集体的专业目标，并确保为消费者提供服务有足够的资金，那么这种活动是必不可少的。本文是对政治、医疗保健政策和监管的概述。给出了定义，并以熟悉的结构-过程-结果三元组来阐述政治如何成为政策的概念。讨论了四种监管类型，并从政策制定者的角度解释了当前的监管举措。通过将这些概念应用于言语病理学家特别感兴趣的问题和行为来结束讨论，并为本出版物中的其他文章奠定基础。
