Oetter Heidi M, Johansen Cynthia
Registrar and CEO, College of Physicians and Surgeons of BC, Vancouver, BC.
Registrar and CEO, College of Registered Nurses of BC, Vancouver, BC.
Healthc Pap. 2017;16(4):55-59. doi: 10.12927/hcpap.2017.25199.
In their article, Wilke and Tzountzouris (2017) describe the traditional and emerging approaches to professional regulation as restrictive (e.g., setting entry to practice requirements for registration), reactive (responding to complaints and where necessary restricting, suspending or revoking registration) or proactive (ensuring continuing competency and supporting registrants to adapt to changes in practice environments). They note the tension that exists with proactive approaches to regulation that can be seen as professional advocacy. We argue that by ensuring best practices in organizational governance and day-to-day regulatory operations that clearly situate the regulator to be acting solely in the public interest, regulatory colleges can manage the proactive regulatory approach and eliminate any perception of professional advocacy. This is critical for sustaining the professionally led model for health regulation that exists in Canada as it does today.
威尔克和佐恩祖里斯（2017年）在其文章中描述了传统的和新兴的专业监管方法，这些方法包括限制性的（例如，设定注册的执业准入要求）、反应性的（回应投诉，并在必要时限制、暂停或吊销注册）或前瞻性的（确保持续胜任能力，并支持注册人员适应实践环境的变化）。他们指出，前瞻性监管方法存在一种紧张关系，这种方法可能被视为专业倡导。我们认为，通过确保组织治理和日常监管运营中的最佳实践，明确表明监管机构仅为公共利益行事，监管学院可以管理前瞻性监管方法，并消除任何专业倡导的观念。这对于维持加拿大目前存在的由专业主导的健康监管模式至关重要。
