A structured policy review of the principles of professional self-regulation

2013 ◽  
Vol 60 (1) ◽  
pp. 13-22 ◽  
Author(s):  
D.C. Benton ◽  
M.A. González-Jurado ◽  
J.V. Beneit-Montesinos
Keyword(s):  
Self Regulation ◽  
Policy Review ◽  
Professional Self

scholarly journals The Development of Self-Regulation in Four UK Professional Communities

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Stan Lester
Keyword(s):  
United Kingdom ◽  
Prior Experience ◽  
Self Regulation ◽  
Academic Discourse ◽  
Professional Communities ◽  
Professional Groups ◽  
The United Kingdom ◽  
Professional Self

Professional self-regulation is often conceptualised as involving the delegation of state powers to professional groups.  An examination of four groups in the United Kingdom provides examples of self-regulation that have developed, with one partial exception, without the support of any statutory framework. Some common aspects of self-regulation are identified along with some differences that relate to how the professions have evolved, and to their operating contexts. Significant influences include how the profession is situated among adjacent groups, the degree of demand from clients and employers for qualified practitioners, and potentially whether the occupation is suitable as an initial career or requires  a measure of maturity and prior experience. An argument is made for greater recognition, both through practical examples and in academic discourse of self-regulation that is initiated and furthered voluntarily through negotiation between professions, their members and their clients rather than via legislative powers. 

scholarly journals Control Measures for Continuous Deep Sedation Until Death: A Framing Analysis of the Views of Physicians

2021 ◽  
pp. 104973232110376
Author(s):  
Stijn Vissers ◽  
Lenzo Robijn ◽  
Sigrid Dierickx ◽  
Freddy Mortier ◽  
Joachim Cohen ◽  
...  
Keyword(s):  
Deep Sedation ◽  
Self Regulation ◽  
Interesting Case ◽  
Control Measures ◽  
External Control ◽  
Framing Analysis ◽  
Structured Interviews ◽  
Continuous Deep Sedation ◽  
Sound Control ◽  
Professional Self

Physicians have been subject to increasing external control to improve their medical practice, and scholars have theorized extensively about their opposition to such control. However, little empirical attention has been paid to the views and reasoning that lie behind this opposition. An in-depth understanding is necessary for enhancing the effectiveness and efficiency of external controls, and continuous deep sedation until death (CDS) is an interesting case in this regard. This study aims to explore how physicians frame control measures for CDS. We conducted 47 semi-structured interviews with Belgian physicians in 2019. A qualitative framing analysis was performed to analyze their views and reasoning. This study reveals that physicians approach CDS practice and control measures with different emphases. Controlling by mechanisms of professional self-regulation and state governance are put forward as appropriate means to improve CDS practice. Policymakers should take into consideration physicians’ frames to develop sound control measures.

scholarly journals Self-regulation and medical direction

2018 ◽  
Vol 23 (3) ◽  
pp. 233-242 ◽  
Author(s):  
Peter O’Meara ◽  
Gary Wingrove ◽  
Michael McKeage
Keyword(s):  
Quality Management ◽  
North America ◽  
Self Regulation ◽  
Clinical Governance ◽  
Independent Practice ◽  
Content Type ◽  
Study Approach ◽  
Regulatory Systems ◽  
Regulatory Frameworks ◽  
Professional Self

Purpose The purpose of this paper is to describe and analyse two approaches to paramedic service clinical governance and quality management from the perspective of two groups of paramedics and paramedic managers working in North America. Design/methodology/approach A case study approach was utilised to describe and analyse paramedic service medical direction in North America and contrast this with the professional self-governance and clinical governance systems operating in other high-income countries. Researchers interviewed participants at two remote North American sites, then completed transcription and thematic analysis. Findings Participants identified three themes: first, resourcing, regulatory frameworks and fragmentation; second, independent practice facilitators and barriers; and third, paramedic roles and professionalisation. Those trained outside North America tended to identify self-regulation and clinical governance as the preferred approach to quality management. Few participants had considered paramedicine becoming a self-regulating health profession. Originality/value In North America, the “medical direction” model is the dominant approach employed to ensure optimal patient outcomes in paramedic service delivery. In contrast, other comparable countries employ paramedic self-regulatory systems combined with clinical governance to achieve the same ends. This is one of two studies to examine medical direction from the perspective of paramedics and paramedic managers.

Professional Self-regulation-Another Enron Casualty?

2002 ◽  
Vol 33 (3) ◽  
pp. 100-101
Author(s):  
Jan Jones-Schenk ◽  
Patricia S Yoder-Wise
Keyword(s):  
Self Regulation ◽  
Professional Self

scholarly journals Regulation of health professions in Ontario: self-regulation with statutory- based public accountability

2019 ◽  
Vol 19 (3) ◽  
pp. 124-204
Author(s):  
Trudo Lemmens ◽  
Kanksha Mahadevia Ghimire
Keyword(s):  
Indigenous Health ◽  
Self Regulation ◽  
Health Professions ◽  
Legal Regulation ◽  
Self Interest ◽  
Professional Self ◽  
Regulation Model ◽  
Regulatory Model ◽  
Regulated Health Professions Act

The paper explores the model of regulation of health professionals in Ontario, Canada; a self-regulation model built around a detailed statutory scheme. The core of the paper consists of a discussion of Ontario’s Regulated Health Professions Act and of the key components of 26 specific health profession acts that have been enacted under its umbrella. The paper explores the role of the regulatory colleges, the role of the Ministry of Health in determining scope of practice and other components of medical practice, and the disciplinary and appeal procedures. Some other specific issues are also briefly touched upon, such as the integration into the profession of internationally trained physicians, and the government’s role in ensuring access to specialists across the province. A final section looks at the challenges and the limitations of the Ontario model, through a number of health professions-related controversies that reveal gaps in self-regulation, including: failure to set and enforce proper educational and practice standards in specific areas; failure to conduct timely investigations into potential misconduct by professionals; and failure to question professionals in a position of power. The paper also discusses briefly the implications of recognizing through legal regulation some alternative and complementary medical practices, and the challenge of regulating indigenous health care practitioners. It concludes that the primary limitations of the regulatory model arise on account of professional self-interest and power-relations impacting procedural issues, and the complexity of the regulatory model that may potentially undermine quality control. 

scholarly journals Professional Self-Regulation and the Public Interest in Canada

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Tracey L. Adams
Keyword(s):  
Public Interest ◽  
Consumer Choice ◽  
Self Regulation ◽  
Regulatory Change ◽  
The Public ◽  
Business Interests ◽  
Professional Groups ◽  
Professional Self ◽  
Anglo American ◽  
Definition Of

The regulation of professional groups has often been justified as being in the public interest. In recent decades, policymakers in Anglo-American countries have questioned whether self-regulating professions have truly served the public interest, or whether they have merely acted in their own interests. This paper draws on legislative records and policy reports to explore meanings attached to professional self-regulation and the public interest in Canada by state actors over the past 150 years. The findings point to a shift in the definition of the public interest away from service quality and professional interests, towards efficiency, human rights, consumer choice, and in some contexts business interests. Changing views of the public interest contribute to regulatory change.

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