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监管者与监管规定:谁来监管监管者?(正如老尤维纳利斯常说的“Quis custodiet ipsos custodes”)

Regulators and regulations: who will guard the guards? (or 'Quis custodiet ipsos custodes' as old Juvenal used to say).

作者信息

Kelleher Martin

出版信息

Dent Update. 2015 Jun;42(5):406-10. doi: 10.12968/denu.2015.42.5.406.

DOI:10.12968/denu.2015.42.5.406
PMID:26964442
Abstract

Overbearing regulators with their various labyrinthine regulations have had adverse impacts on dentists and their teams' behaviours. This has produced the perverse outcomes of demoralizing dental teams as well as reducing their capacity and/or desire to deliver compassionate oral healthcare. These adverse outcomes do not seem to have benefited patients, or dentists, or their teams, in any sensible or measurable way. CPD/CLINICAL RELEVANCE: The vastly increased burdens on the UK dental profession of intrusive, bullying regulations, emanating from the various UK agencies, such as the supposedly fair and independent GDC, but including the increasingly politically controlled NHS and the CQC, have had unfortunate, perverse, effects on many dentists' clinical practices and affected dental teams' desires, or willingness, to be as compassionate as they used to be about helping to solve some patients' dental or oral problems.

摘要

专横的监管机构及其各种错综复杂的规定对牙医及其团队的行为产生了不利影响。这产生了适得其反的结果,使牙科团队士气低落,同时降低了他们提供富有同情心的口腔医疗服务的能力和/或意愿。这些不良后果似乎并未以任何合理或可衡量的方式使患者、牙医或其团队受益。继续职业发展/临床相关性:来自英国各机构(如号称公平独立的英国牙科理事会,但包括政治控制日益加强的英国国家医疗服务体系和英国医疗保健监管局)的侵入性、霸凌性规定给英国牙科行业带来了大幅增加的负担,对许多牙医的临床实践产生了不幸的、适得其反的影响,并影响了牙科团队像过去那样富有同情心去帮助解决一些患者牙齿或口腔问题的愿望或意愿。

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