David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Health Care Analysis 19 (4):352-364 (2011)
The lack of economic sustainability of most healthcare systems and a higher demand for quality and safety has contributed to the development of regulation as a decisive factor for modernisation, innovation and competitiveness in the health sector. The aim of this paper is to determine the importance of the principle of public accountability in healthcare regulation, stressing the fact that sunshine regulation—as a direct and transparent control over health activities—is vital for an effective regulatory activity, for an appropriate supervision of the different agents, to avoid quality shading problems and for healthy competition in this sector. Methodologically, the authors depart from Kieran Walshe’s regulatory theory that foresees healthcare regulation as an instrument of performance improvement and they articulate this theory with the different regulatory strategies. The authors conclude that sunshine regulation takes on a special relevance as, by promoting publicity of the performance indicators, it contributes directly and indirectly to an overall improvement of the healthcare services, namely in countries were citizens are more critical with regard to the overall performance of the system. Indeed, sunshine regulation contributes to the achievement of high levels of transparency, which are fundamental to overcoming some of the market failures that are inevitable in the transformation of a vertical and integrated public system into a decentralised network where entrepreneurialism appears to be the predominant culture.
|Keywords||Accountability Healthcare regulation Independent regulatory agencies Sunshine regulation|
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References found in this work BETA
Norman Daniels & James Sabin (1997). Limits to Health Care: Fair Procedures, Democratic Deliberation, and the Legitimacy Problem for Insurers. Philosophy and Public Affairs 26 (4):303–350.
Rui Nunes, Guilhermina Rego & Cristina Brandão (2009). Healthcare Regulation as a Tool for Public Accountability. Medicine, Health Care and Philosophy 12 (3):257-264.
Rui Nunes, Guilhermina Rego & Cristina Brandão (2007). The Rise of Independent Regulation in Health Care. Health Care Analysis 15 (3):169-177.
John Rawls (2009/2005). A Theory of Justice. In Steven M. Cahn (ed.), Exploring Ethics: An Introductory Anthology. Oxford University Press. 133-135.
John Rawls (2001). Justice as Fairness: A Restatement. Harvard University Press.
Citations of this work BETA
Rui Nunes & Guilhermina Rego (2014). Priority Setting in Health Care: A Complementary Approach. [REVIEW] Health Care Analysis 22 (3):292-303.
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