Satchell Claudette S, Walton Merrilyn, Kelly Patrick J, Chiarella Elizabeth M, Pierce Suzanne M, Nagy Marie T, Bennett Belinda, Carney Terry
Aust Health Rev. 2016 Jun;40(3):353-4. doi: 10.1071/AH15050_CO.
In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.
2005年，澳大利亚生产力委员会提出建议，应建立全国健康注册制度和统一的全国认证制度。2010年7月1日，卫生从业人员国家注册与认证计划（NRAS）生效，澳大利亚卫生从业人员监管局（AHPRA）成为卫生专业人员监管的单一国家监督机构。它受《卫生从业人员监管国家法》（《国家法》）管辖。虽然所有州和领地都加入了NRAS进行注册和认证，但新南威尔士州没有加入处理投诉的计划，而是保留了其现有的共同监管投诉处理系统。所有其他州和领地都加入了《国家法》规定的国家通报（投诉）计划。由于NRAS的引入带来了围绕投诉管理的新流程和治理方式，这些流程和治理方式适用于除新南威尔士州以外的所有州和领地的所有受监管卫生专业人员，而新南威尔士州的投诉管理基本保持不变，因此有必要对这些不同的国家和新南威尔士州处理卫生专业人员投诉/通报的方法进行比较分析，这不仅是为了让消费者了解情况，也是为了评估不同司法管辖区在投诉/通报决策方面的一致性。本文描述了NRAS和新南威尔士州计划在投诉/通报处理方面的异同，并简要讨论了其他司法管辖区随后可能发生的变化。
