Modernising the regulation of medical migration: moving from national monopolies to international markets [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
BMC Medical Ethics 13 (1):26- (2012)
Background Traditional top-down national regulation of internationally mobile doctors and nurses is fast being rendered obsolete by the speed of globalisation and digitisation. Here we propose a bottom-up system in which responsibility for hiring and accrediting overseas staff begins to be shared by medical employers, managers, and insurers. Discussion In this model, professional Boards would retain authority for disciplinary proceedings in response to local complaints, but would lose their present power of veto over foreign practitioners recruited by employers who have independently evaluated and approved such candidates' ability. Evaluations of this kind could be facilitated by globally accessible National Registers of professional work and conduct. A decentralised system of this kind could also dispense with time-consuming national oversight of continuing professional education and license revalidation, which tasks could be replaced over time by tighter institutional audit supported by stronger powers to terminate underperforming employees. Summary Market forces based on the reputation (and, hence, financial and political viability) of employers and institutions could continue to ensure patient safety in the future, while at the same time improving both national system efficiency and international professional mobility
|Keywords||Registration Medical councils Globalisation Bureaucracy CME/CPD Revalidation|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
D. Wright, N. Flis & M. Gupta (2008). The 'Brain Drain' of Physicians: Historical Antecedents to an Ethical Debate, C. 1960–79. Philosophy, Ethics, and Humanities in Medicine 3 (1):1-8.
Citations of this work BETA
No citations found.
Similar books and articles
Marc A. Rodwin (2010). Drug Advertising, Continuing Medical Education, and Physician Prescribing: A Historical Review and Reform Proposal. Journal of Law, Medicine & Ethics 38 (4):807-815.
Chiara Lepora & Joseph Millum (2011). The Tortured Patient: A Medical Dilemma. Hastings Center Report 41 (3):38-47.
Dick Bryan (1992). International Accumulation and the Contradictions of National Monetary Policy. Science and Society 56 (3):324 - 352.
Thomas Alured Faunce (2005). Will International Human Rights Subsume Medical Ethics? Intersections in the UNESCO Universal Bioethics Declaration. Journal of Medical Ethics 31 (3):173-178.
Marc A. Rodwin (2010). The Metamorphosis of Managed Care: Implications for Health Reform Internationally. Journal of Law, Medicine & Ethics 38 (2):352-364.
Ghiath Alahmad & Kris Dierickx (2012). What Do Islamic Institutional Fatwas Say About Medical and Research Confidentiality and Breach of Confidentiality? Developing World Bioethics 12 (2):104-112.
Donnie J. Self & Joy D. Skeel (1988). Professional Liability (Malpractice) Coverage of Humanist Scholars Functioning as Clinical Medical Ethicists. Journal of Medical Humanities and Bioethics 9 (2):101-110.
Douglass Cassel (2001). Human Rights and Business Responsibilities in the Global Marketplace. Business Ethics Quarterly 11 (2):261-274.
Jolanda Dwarswaard, Medard Hilhorst & Margo Trappenburg (2011). The Doctor and the Market: About the Influence of Market Reforms on the Professional Medical Ethics of Surgeons and General Practitioners in The Netherlands. [REVIEW] Health Care Analysis 19 (4):388-402.
R. D. Persaud (1991). What Future for Ethical Medical Practice in the New National Health Service? Journal of Medical Ethics 17 (1):10-18.
Added to index2012-10-06
Total downloads7 ( #401,726 of 1,789,994 )
Recent downloads (6 months)2 ( #318,432 of 1,789,994 )
How can I increase my downloads?