Reforming 'Regulatory Reform': A Progressive Framework for Agency Rulemaking in the Public Interest

Democratic Rulemaking

10.1093/oxfordhb/9780199684250.013.014 ◽

2017 ◽

Cited By ~ 1

Author(s):

John M. de Figueiredo ◽

Edward H. Stiglitz

Keyword(s):

Empirical Evidence ◽

Deliberative Democracy ◽

Public Interest ◽

Future Research ◽

Democratic Values ◽

The Public ◽

Voter Preferences ◽

Theoretical Approaches ◽

Agency Rulemaking ◽

Elected Representatives

This chapter examines to what extent agency rulemaking is democratic. It identifies four major theoretical approaches to administrative rulemaking: the unitary executive theory, emphasizing presidential control and accountability; the structure and process school of thought, emphasizing congressional control; the insulation perspective, holding that the public interest and democratic values are often best advanced by limiting political control over administrative agencies; and the deliberative perspective, arguing that rulemaking is the “best hope” for achieving a vision of deliberative democracy. Each theory is evaluated in light of two normative benchmarks: a “democratic” benchmark based on voter preferences, and a “republican” benchmark based on the preferences of elected representatives. It then evaluates how the empirical evidence lines up in light of these two approaches. The chapter concludes with a discussion of avenues for future research.

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Protecting the Public Interest when Regulating Health Professionals Providing Virtual Care: A Scoping Review Protocol

10.21203/rs.3.rs-789608/v1 ◽

2021 ◽

Author(s):

Kathleen Leslie ◽

Sophia Myles ◽

Tracey L Adams ◽

Catharine Schiller ◽

Jacob Shelley ◽

...

Keyword(s):

Scoping Review ◽

Public Interest ◽

Health Professionals ◽

Digital Health ◽

Grey Literature ◽

Regulatory Reform ◽

Health Profession ◽

Rapid Expansion ◽

The Public ◽

Virtual Care

Abstract Background: Virtual care is transforming the nature of healthcare, particularly with the accelerated shift to telehealth and virtual care during the COVID-19 pandemic. Health profession regulators face intense pressures to safely facilitate this type of healthcare while upholding their legislative mandate to protect the public. Challenges for health profession regulators have included providing practice guidance for virtual care, changing entry to practice requirements to include digital competencies, facilitating interjurisdictional virtual care through licensure and liability insurance requirements, and adapting disciplinary procedures. This scoping review will examine the literature on how the public interest is protected when regulating health professionals providing virtual care.Methods: This review will follow the Joanna Briggs Institute (JBI) scoping review methodology. Academic and grey literature will be retrieved from health sciences, social sciences, and legal databases using a comprehensive search strategy underpinned by Population-Concept-Context (PCC) inclusion criteria. Articles published in English since January 2015 will be considered for inclusion. Two reviewers will independently screen titles and abstracts and full-text sources against specific inclusion and exclusion criteria. Discrepancies will be resolved through discussion or by a third reviewer. One research team member will extract relevant data from the selected documents and a second will validate the extractions.Discussion: Results will be presented in a descriptive synthesis that highlights implications for regulatory policy and professional practice, as well as study limitations and knowledge gaps that warrant further research. Given the rapid expansion of virtual care provision by regulated health professionals in response to the COVID-19 pandemic, mapping the literature on how the public interest is protected in this rapidly evolving digital health sector may help inform future regulatory reform and innovation.Review registration: This protocol is registered with the Open Science Framework (10.17605/OSF.IO/BD2ZX).

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Professional Health Regulation in the Public Interest

10.1332/policypress/9781447332268.001.0001 ◽

2018 ◽

Keyword(s):

Quality Assurance ◽

Public Interest ◽

Health Professionals ◽

Health Professions ◽

Regulatory Reform ◽

Healthcare Systems ◽

Reform Agenda ◽

The Public ◽

Professional Health ◽

Sociology Of Health

There are significant variations in how healthcare systems and health professionals are regulated globally. One feature that they increasingly have in common is an emphasis on the value of including members of the public in quality assurance processes. While many argue that this will help better serve the public interest, others question how far the changing regulatory reform agenda is still dominated by medical interests. Bringing together leading academics worldwide, this collection compares and critically examines the ways in which different countries are regulating healthcare in general, and health professions in particular, in the interest of users and the wider public. It is the first book in the Sociology of Health Professions series.

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