Austin Zubin
Professor and Murray Koffler Chair in Management, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON.
Healthc Pap. 2017;16(4):50-54. doi: 10.12927/hcpap.2017.25200.
Regulators face unique pressures to balance competing priorities related to patient safety, public accountability, and practitioners' expectations. Historically, the collegial model of self-regulation has been used as a tool for risk management, to recognize the importance of profession- and context-specific judgment in complex, ambiguous clinical situations. Increasingly, as public accountability concerns have grown dominant within regulatory bodies, this collegial model has shifted toward a more antagonistic relationship between the regulators and the regulated. Wilkie and Tzountzouris (2017) highlight one profession's journey toward embedding professionalism within regulatory practices and policies through application of a right-touch regulatory philosophy. Given the complexity of regulatory work, this shift required significant strategic and deliberative thinking. The challenges of facilitating this sort of cultural shift in the role of a regulator are significant, but so too are the potential gains associated with a more engaged relationship between regulators and their practitioners.
监管机构面临着独特的压力，需要平衡与患者安全、公共问责制以及从业者期望相关的相互竞争的优先事项。从历史上看，同行自我监管模式一直被用作风险管理工具，以认识到在复杂、模糊的临床情况下特定职业和背景判断的重要性。随着公共问责制问题在监管机构中日益占据主导地位，这种同行模式已朝着监管者与被监管者之间更具对抗性的关系转变。威尔基和佐恩祖里斯（2017年）强调了一个行业通过应用适度监管理念，在监管实践和政策中融入专业精神的历程。鉴于监管工作的复杂性，这种转变需要重大的战略和审慎思考。在监管者角色中推动这种文化转变的挑战巨大，但监管者与其从业者之间更积极参与的关系所带来的潜在收益也同样巨大。
