Merkur Sherry, Mossialos Elias, Long Morgan, McKee Martin
London School of Economics and Political Science.
Clin Med (Lond). 2008 Aug;8(4):371-6. doi: 10.7861/clinmedicine.8-4-371.
Despite the increasing attention on patient mobility, there remains a lack of European-level interest in assuring the sustained competence of health professionals. Specifically, the existing European legal framework fails to recognise the introduction of periodic revalidation and requirements to participate in continuing professional development in some countries. This study shows that the definitions and mechanisms of revalidation vary significantly across member states. While some countries, eg Austria, Germany and Spain, look to continuing medical education as a means to promote recertification and quality of care, other countries, eg Belgium, France and the Netherlands, also incorporate peer review. In the UK the proposed revalidation scheme would include elements of relicensure through appraisal and feedback as well as physician recertification. Divergence between countries also exists in monitoring and enforcement. The European Commission should explore the implications for professional mobility of the diversity in the regulation of the medical profession.
尽管对患者流动性的关注日益增加，但在确保卫生专业人员持续胜任能力方面，欧洲层面仍缺乏关注。具体而言，现有的欧洲法律框架未能认可在一些国家引入定期重新验证以及参与持续专业发展的要求。本研究表明，重新验证的定义和机制在各成员国之间存在显著差异。一些国家，如奥地利、德国和西班牙，将继续医学教育视为促进重新认证和医疗质量的一种手段，而其他国家，如比利时、法国和荷兰，则还纳入了同行评审。在英国，提议的重新验证计划将包括通过评估和反馈进行再次注册以及医生重新认证的要素。各国在监测和执法方面也存在差异。欧盟委员会应探讨医疗行业监管多样性对专业人员流动的影响。
