Khan Amir Jahan, Malik Muhammad Ashar
Department of Economics, Institute of Business Administration, Karachi, Pakistan.
Community Health Sciences Department, Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2020 Oct;70(10):1811-1818. doi: 10.47391/JPMA.910.
The newly established provincial healthcare commissions in Pakistan have started certification of healthcare providers. The policy-makers perceive that without third-party certification or licencing the healthcare quality will be suboptimal in the country. This paper reviews the current literature on third-party certification and studies objectives and progress of the largest healthcare commission in Pakistan. It analyses the certification role of the Punjab Healthcare Commission and draw lessons for future regulation and strengthening of the quality reporting process. It also documents the short-term and long-term trade-off resulting from the enforcement of quality certification in the absence of appropriate alternative investment in medical training and care provisions in the country for uncertified providers. The paper concludes with a roadmap for future research to improve healthcare regulation in Pakistan.
巴基斯坦新成立的省级医疗委员会已开始对医疗服务提供者进行认证。政策制定者认为,若无第三方认证或许可,该国的医疗质量将不尽人意。本文回顾了有关第三方认证的现有文献,研究了巴基斯坦最大的医疗委员会的目标和进展。分析了旁遮普邦医疗委员会的认证作用,并为未来的监管及加强质量报告流程吸取经验教训。还记录了在该国未对未经认证的提供者进行适当替代医疗培训和护理投资的情况下,实施质量认证所产生的短期和长期权衡。本文最后给出了一份未来研究路线图,以改善巴基斯坦的医疗监管。