Penney Christine, Wainwright Alison
Deputy Registrar and Chief Officer, Policy, Practice and Quality Assurance, College of Registered Nurses of British Columbia, Vancouver, BC.
Policy Research Coordinator, Policy, Practice and Quality Assurance, College of Registered Nurses of British Columbia, Vancouver, BC.
Healthc Pap. 2017;16(4):40-43. doi: 10.12927/hcpap.2017.25202.
Health professions regulators charged with the role of public protection are challenged to balance their mandate with appropriate policy interventions, particularly within a self-regulatory model. Applied strategically, emerging methods and trends in health systems and health professions regulation can inform regulatory practices in keeping with the regulator's role of reducing harm to the public. This requires a shift in thinking from a focus on how (i.e., resources and tools), to a focus on what, including clear problem identification, intended risks to be mitigated and consideration of outcomes and measurability of impact at the outset. Regulators should be enablers, not barriers to system change, but it is not their place to take on all of the challenges associated with monitoring and implementing interventions in response to health system evolution. Instead regulators must know their role, be willing to collaborate with other system players and work to implement regulatory interventions that complement rather than duplicate those better carried out by others.
负责保护公众的卫生专业监管机构面临着一项挑战，即要在履行其职责的同时，采取适当的政策干预措施，特别是在自我监管模式下。从战略角度应用卫生系统和卫生专业监管方面的新兴方法和趋势，可以为监管实践提供参考，使其符合监管机构减少对公众伤害的职责。这需要思维方式的转变，从关注如何做（即资源和工具），转向关注做什么，包括明确问题识别、要减轻的预期风险，以及从一开始就考虑结果和影响的可衡量性。监管机构应该成为系统变革的推动者，而不是障碍，但他们不应承担应对卫生系统演变而进行监测和实施干预措施所带来的所有挑战。相反，监管机构必须明确自己的角色，愿意与其他系统参与者合作，并努力实施补充而非重复他人更能有效执行的监管干预措施。
