Chiu Patrick, Leslie Kathleen, Jang Gina, Adams Tracey L, Thiessen Natalie, Kung Janice Y
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada.
PLoS One. 2025 Mar 17;20(3):e0319507. doi: 10.1371/journal.pone.0319507. eCollection 2025.
Health practitioner regulation plays a fundamental role in public protection by overseeing and governing healthcare professionals to ensure they deliver safe health services. It also serves as a strategic lever to strengthen broader health system goals such as improving the accessibility of services, the sustainability of health workforces, and health system resilience. Although the goals of health practitioner regulation are easily articulated, achieving and evaluating these goals are far more challenging. Performance measurement and evaluation of professional regulators and regulatory systems are critical to improving regulatory processes and functions. This is especially important where there is rising government, public, and professional skepticism and mistrust of the effectiveness and efficiency of regulators across global jurisdictions. Although there is evidence that some health practitioner regulators and regulatory systems engage in performance measurement and evaluation, the similarities and differences remain unclear. The objective of this scoping review is to explore the nature, extent, and range of scholarship related to health practitioner regulatory performance measurement and evaluation. It will explore existing performance measurement and evaluation frameworks; the key principles and areas of focus of these frameworks; and the indicators, metrics and outcomes used to evaluate performance. The review will be conducted in accordance with the JBI guidelines for scoping reviews and will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Database searches will include Ovid MEDLINE, Ovid EMBASE, CINAHL, Scopus, and Web of Science Core Collection. Gray literature will be identified through leading regulatory organizations, consortiums, and think tanks. Two independent reviewers will screen titles and abstracts followed by full-text and disagreements will be resolved by a third reviewer. Data will be analyzed using descriptive statistics and conventional content analysis. Results will be presented using evidence tables and a narrative summary. Open Science Framework Registration: https://doi.org/10.17605/OSF.IO/WABTF.
健康从业者监管通过监督和管理医疗保健专业人员，确保他们提供安全的健康服务，在保护公众方面发挥着基础性作用。它也是加强更广泛的卫生系统目标的战略杠杆，如提高服务的可及性、卫生人力的可持续性以及卫生系统的复原力。尽管健康从业者监管的目标很容易阐述，但实现和评估这些目标则要困难得多。对专业监管机构和监管系统进行绩效衡量和评估对于改进监管流程和职能至关重要。在全球各司法管辖区，政府、公众和专业人士对监管机构的有效性和效率的怀疑与不信任日益增加的情况下，这一点尤为重要。尽管有证据表明一些健康从业者监管机构和监管系统进行了绩效衡量和评估，但它们之间的异同仍不明确。本综述的目的是探讨与健康从业者监管绩效衡量和评估相关的学术研究的性质、范围和领域。它将探讨现有的绩效衡量和评估框架；这些框架的关键原则和重点领域；以及用于评估绩效的指标、度量标准和结果。本综述将按照JBI循证综述的范围综述指南进行，并将按照系统综述和Meta分析扩展的范围综述的首选报告项目进行报告。数据库检索将包括Ovid MEDLINE、Ovid EMBASE、CINAHL、Scopus和科学引文索引核心合集。灰色文献将通过主要的监管组织、联盟和智库来识别。两名独立的评审员将筛选标题和摘要，随后进行全文筛选，分歧将由第三名评审员解决。将使用描述性统计和传统内容分析对数据进行分析。结果将以证据表和叙述性总结的形式呈现。开放科学框架注册：https://doi.org/10.17605/OSF.IO/WABTF 。
