Department of Sociology, The University of Western Ontario, London, Ontario, N6A 5C2, Canada.
Hum Resour Health. 2020 Oct 20;18(1):72. doi: 10.1186/s12960-020-00501-y.
There is no widespread agreement over what form healthcare professional regulation should take, and the evidence base concerning the effectiveness and fairness of regulatory systems and practices is limited. Those urging policy change argue there is a need to modernize; however, there is much we can learn from reviewing the history of healthcare professional regulation.
An overview of the history of regulation in Canada, with consideration of the United States of America and the United Kingdom, is provided. Self-regulating professions emerged in the nineteenth century, influenced by a variety of stakeholders responding to local concerns for healthcare quality, access and professional training. Regulatory practices changed over the course of the twentieth and twenty-first centuries in response to changing stakeholders and shifting interests.
Reviewing the history of healthcare professional regulation reveals lessons to inform policy in a range of settings.
对于医疗保健专业人员监管应采取何种形式，尚未达成广泛共识，而且关于监管系统和实践的有效性和公平性的证据基础也很有限。那些呼吁政策变革的人认为有必要实现现代化；然而，从审查医疗保健专业监管的历史中，我们可以学到很多东西。
本文概述了加拿大的监管历史，并考虑了美国和英国的情况。自我监管的专业在 19 世纪出现，受到各种利益相关者的影响，他们对医疗保健质量、可及性和专业培训的当地关切做出了回应。监管实践在 20 世纪和 21 世纪发生了变化，以应对不断变化的利益相关者和不断变化的利益。
审查医疗保健专业监管的历史揭示了在各种情况下为政策提供信息的经验教训。
