| Competition and compromise in negotiating the new governance of medical performance: the clinical governance and revalidation policies in the UK. | |
| | |
MedLine Citation:
|
PMID: 19467169 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This article explores the development of two policies for the governance of medical performance in the UK: the Department of Health's (DH) clinical governance policy and the medical profession's revalidation policy. After discussing the institutional context in which each of these policies emerged, we examine how and why they were constructed. While the clinical governance policy was in large part a swift reaction to high-profile cases of medical misconduct in the late 1990s, revalidation was the profession's response to the politicisation of its self-regulatory apparatus. The profession took notably longer than the DH to piece together its policy as a result of internal disagreements about the role clinical standards should play in the evaluation of a doctor's fitness to practice. Following the Fifth Report of the Shipman Inquiry in late 2004, the government stepped in and eventually introduced legislation that modifies the profession's policy. With clinical governance, the state - via arms-length regulatory organisations - has entered the clinic in new ways, strengthening hierarchy-based forms of governance in the governance of medical performance. However, the success of hierarchical forms of governance is likely to be restricted by the lack of a clear system of sanctioning and the state's reliance on a lengthy chain of command in the National Health Service for the implementation of clinical standards. |
| | |
Authors:
|
Laura Fenton; Brian Salter |
Related Documents
:
|
6756799 - Oxipor vhc lotion versus tegrin in the treatment of psoriasis. 15533269 - Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity an... 1802189 - Teaching of clinical nutrition at the university of crete, school of medicine, greece. 12361769 - Bioastronautics: optimizing human performance through research and medical innovations. 6425519 - Consultative total parenteral nutrition teams: the effect on the incidence of total par... 16600959 - How can nutrition education contribute to competency-based resident evaluation? 2364479 - Malaria incidence and prevention among european and north american travellers to kenya. 2668509 - A comparison of protrusive interocclusal records to pantographic tracings. 21913739 - Identification and management of in-hospital drug-induced delirium in older patients. |
Publication Detail:
|
Type: Journal Article Date: 2009-05-26 |
Journal Detail:
|
Title: Health economics, policy, and law Volume: 4 ISSN: 1744-134X ISO Abbreviation: - Publication Date: 2009 Jul |
Date Detail:
|
Created Date: 2009-07-02 Completed Date: 2009-09-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101247224 Medline TA: Health Econ Policy Law Country: England |
Other Details:
|
Languages: eng Pagination: 283-303 Citation Subset: IM |
Affiliation:
|
PhD Candidate, Department of Sociology, York University, Toronto, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Clinical Competence
/
legislation & jurisprudence*,
standards* Competitive Behavior* Government Regulation* Great Britain Negotiating* Physicians / legislation & jurisprudence*, standards* Policy Making* State Medicine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Negotiating reform at an arm's length from the state: Disease Management Programmes and the introduc...
Next Document: The interplay between central and sub-central levels: the development of a systemic standard based p...