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

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. 

2019 ◽  
pp. 171-186
Author(s):  
Barbara B. Biesecker ◽  
Kathryn F. Peters ◽  
Robert Resta

The field of genetic counseling has historically valued the role of research. More recently, graduate programs have raised the standards for student thesis projects so that a greater percent are of publishable quality. The profession has acknowledged key research gaps, such as a lack of consensus on the primary client outcomes of counseling. Further, the National Society of Genetic Counselors has endorsed the importance of evidence that may be used to guide practice. Herein we present the role of genetic counselors as researchers and discuss approaches to designing research studies to answer key service delivery questions and patient-reported outcomes. To frame research in genetic counseling, health behavior and social psychology theories offer models for identifying key variables likely to predict client decisions and their outcomes. To date, studies in genetic counseling have been framed by the self-regulation model and the theory of planned behavior. A systematic review of randomized controlled trials in genetic counseling identified psychological well-being and gain in knowledge as the most prevalent patient outcomes. Evidence can be used to predict decisions to undergo genetic testing or follow up on results.


Author(s):  
P. A. Kalinichenko ◽  
M. V. Nekoteneva

This article is devoted to the analysis of diff erences in approaches and in choice of tools at the international (universal) and European (regional) levels of interaction between states in the regulation of relations in the fi eld of genomic research and the implementation of their results. The article analyzes specifi cs of approaches at the universal and regional level, including activities of the UN family bodies, the Council of Europe, the European Union in the fi eld of protecting human rights and human genomics. Special attention is paid to the role of international soft law in the development of legal regulation (self-regulation) in the mentioned fi eld. The materials of the article can be useful both in theoretical and practical jurisprudence, and may also be of interest for other areas of the human genome research (bioinformatics, medicine, human reproduction, etc.).


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
David Whitmore ◽  
Roland Furber

The standards to which UK Paramedics and Emergency Medical Technicians work have historically been driven by the employer rather than a professional body. This in effect has meant that the National Health Service (NHS) Ambulance Services decided how educational programmes were structured and delivered. The private sector in the UK has also tended to look towards the NHS standards as the yardstick for their staff, although there has been significant difficulty in gaining the NHS award by the private sector. The advent of professional registration in 2000, and crucially the enactment of The Health Professions Order 2001 that resulted in the setting up of the Health Professions Council (HPC), prompted a real drive to develop a true professional body for UK ambulance staff. That professional body is the British Paramedic Association – College of Paramedics (BPA). The BPA has, since those early days, pursued true professional self-regulation of education and practice standards. The BPA acknowledges the immense task it has set itself, but believes that it can and must be achieved in order that education and practice standards continue to develop and deliver what is felt to be in the best interests of patients. By engaging with the HPC, the unions, employers and, very importantly, higher education institutions, the BPA will truly fulfill the requirements of a professional body for UK ambulance staff.


Author(s):  
Math Noortmann ◽  
Juliette Koning

This chapter discusses the normative complexity of private security. It formulates a critique of the stigmatization of private security companies and of the emphasis in the literature on the limitations of legal regulation, highlighting the role of self-regulation in the form of corporate ethics and (international) branch standards. Based on a review of scholarly literature, (inter)national cases, and examples from fieldwork in South Africa, the chapter captures the growing plurality of actors and voices in a vastly diversifying private security sector. In order to overcome the traditional bias regarding private security and its corporate sector, the authors advocate an organizational anthropological approach to uncover regulatory alternatives and the ethical and normative diversity that is essential to a comprehensive understanding of the privatization of security.


2016 ◽  
Vol 40 (3) ◽  
pp. 525-529 ◽  
Author(s):  
John H. Coverdale ◽  
Laura Weiss Roberts ◽  
Richard Balon ◽  
Eugene V. Beresin ◽  
Alan K. Louie ◽  
...  

2020 ◽  
Vol 11 ◽  
Author(s):  
Man Yee Ho ◽  
Daryl R. Van Tongeren ◽  
Jin You

Author(s):  
Marianne Ojo

As well as highlighting the importance of effectively engaging different actors and implementing and enforcing rules, principles and standards, at various levels, this chapter contrasts the pyramids of regulatory and punitive strategies, Nestle's pyramid of Shared Value, and Carroll's pyramid of Corporate Social Responsibility in deriving an optimal mix of how regulation should be applied. In deriving such a regulatory mix and recommendation, acknowledgement is accorded to Ayres and Braithwaite's argument that “the greatest challenge facing regulatory design is not to be found at the apex of the pyramid of regulatory strategies – where a variety of well-tested punitive strategies exist – nor at the base of the pyramid, where there is experience of successes and failures of the free market, but that the need for innovation is at the intermediate levels of the pyramid of regulatory strategies. In so doing, the Enforced Self-Regulation Model which involves and incorporates the role of governments in self-regulation, is implemented in recommending desired regulatory designs.


2007 ◽  
Vol 17 (03) ◽  
pp. 375-398 ◽  
Author(s):  
Jerry D. Goodstein ◽  
Andrew C. Wicks

ABSTRACT:The globalization of society erodes established ideas about the division of labor between the political and economic spheres and calls for a fresh view concerning the role of business in society. Some multinational corporations have started to change their role from one of simply following the rules to one ofcreatingthe rules of the economic game. They already have assumed responsibilities that once were regarded as belonging to government. They engage in the production of public goods (e.g., public health, education), and in self-regulation to fill global gaps in legal regulation and to promote societal peace and stability. Some corporations do not simply comply with societal standards in legal and moral terms; they engage in discursive social and political processes that aim atsettingorredefiningthose standards in a changing, globalizing world. Those activities go beyond the mainstream understanding of stakeholder responsibility and corporate social responsibility.


Lex Russica ◽  
2019 ◽  
pp. 16-29
Author(s):  
I. V. Ershova

The article provides a brief insight into the history and reviews the current state of the health camps and health resorts in Russia. The conclusion is drawn that over the centuries Russia has developed traditions of health and resort recreation. The author suggests that some elements of the Soviet model of the relationship between the State and health resorts be extrapolated to the modern legal ground. The paper expresses the opinion about the possibility of using the legal mechanism of health resorts self-regulation. The legal status of health resorts is considered, the spectrum of functions and services performed by them is described. The author has classified services provided into basic (medical, temporary accommodation, nutrition) and supplementary (tourist, household, entertainment, sports and recreational, trade services) services. It has been proved that the specificity of the sanatorium-resort tourist product involves the complexity of the services it includes. Their integration and merger gives a synergistic effect, which leads to an increase in the efficiency of recreation and recovery as the main goal of tourism. The paper describes the system of requirements applied to regulate the work of health camps and health resorts. The paper demonstrates the importance of health resorts, determines their place in the tourist market, dwells on the specifics of health resorts in the sphere of tourism. The author focuses on the problems and contradictions of the legal regulation of activities of health resorts, ways of their minimization. Empirically, the research is founded on statistical data and the results of the author’s questionnaires used to question different parties involved . Analysis of the results of the survey showed that most respondents do not associate health resorts with tourism. However, under Russian and international regulations, health camps and health resorts are referred to medical tourism, the main specificity of which is that it involves medical treatment. The author provides arguments in favor of the necessity of systematic work aimed to explain obvious advantages of health tourism. Attention is drawn to the role of health camps and resorts in achieving the program goals of the State.


Author(s):  
Mariya S. Chekalina

The article presents the results of the study of the conditionality of the components of forecasting the regulatory-will qualities of the personality among men who are ready and not ready for professional self-determination. In the article, the author reveals the specifics of the competence of forecasting in higher education. In the article, the author identifies two areas in the framework of which the competence of forecasting is considered – as a personal quality and as a "through" skill required in any professional activity. As a result of empirical research, differences were revealed in the conditionality of readiness for professional self-determination, depending on the development of forecasting components. Thus, for students unready for professional self-determination, such components of self-regulation as "planning", "programming", "evaluating results", "flexibility", "independence", are caused by changes in mood, well-being, activity. For students ready for professional self-determination, these same components of self-regulation are determined by the strength of the intentions of young men, the development of volitional qualities, the ability of individual regulation of activity and all regulatory links. Making a conclusion, the author focuses on the role of a teacher at a higher educational organisation in the development of forecasting competence.


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