Saks Mike
Healthc Pap. 2017;16(4):25-29. doi: 10.12927/hcpap.2017.25205.
This contribution comments selectively on the themes of the lead paper by Wilkie and Tzountzouris (2017) on aspects of Canadian healthcare regulation that impact on the crucial agenda of public protection. In a more skeptical sociopolitical climate in the modern world, these authors particularly highlight the need to ensure professional attitudes and behaviours enhance and sustain safe patient care - using the recent stance on professionalism of the College of Medical Laboratory Technologists of Ontario as an illustration of good practice. It is argued, though, that this important analysis could be sharpened further both academically and practically with greater awareness of the theoretical complexity surrounding this area and by drawing more fully on comparative international exemplars - particularly in relation to medicine in Britain, on which this paper focuses. The commentary concludes by noting that - notwithstanding its many merits - the lead paper could usefully show greater recognition of cognate research on health regulation in the Canadian context and, as British research has clearly indicated, professional impediments to the translation of formally designated regulatory frameworks into practice on the ground. In addition, there needs to be more awareness of the impact of the wider environment in which physicians and other healthcare professionals operate.
本论文选择性地评论了威尔基和佐恩祖里斯（2017年）的主导论文中关于加拿大医疗保健监管方面的主题，这些主题影响着公共保护这一关键议程。在现代世界中更具怀疑态度的社会政治氛围下，这些作者特别强调需要确保专业态度和行为能加强并维持安全的患者护理——以安大略省医学检验技术人员学院最近的专业主义立场为例，说明良好做法。然而，有人认为，通过更深入地认识围绕该领域的理论复杂性，并更充分地借鉴国际比较范例——特别是与本文所关注的英国医学相关的范例，这一重要分析在学术和实践上都可以进一步深化。评论最后指出，尽管主导论文有诸多优点，但它可以更有效地认识到加拿大背景下关于健康监管的相关研究，并且正如英国研究明确表明的那样，要认识到将正式指定的监管框架转化为实际操作中的专业障碍。此外，需要更多地认识到医生和其他医疗保健专业人员所处的更广泛环境的影响。
