Health Care Analysis 19 (4):352-364 (2011)

Authors
Abstract
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
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s10728-010-0156-6
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 64,159
Through your library

References found in this work BETA

Justice as Fairness: A Restatement.John Rawls (ed.) - 2001 - Harvard University Press.
Justice as Fairness: A Restatement.C. L. Ten - 2003 - Mind 112 (447):563-566.
Justice as Fairness.John Rawls - 1958 - Philosophical Review 67 (2):164-194.
Justice as Fairness.John Rawls - 1998 - In James Rachels (ed.), Ethical Theory 2: Theories About How We Should Live. Oxford University Press.

View all 9 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Analytics

Added to PP index
2011-11-10

Total views
70 ( #154,667 of 2,454,833 )

Recent downloads (6 months)
1 ( #449,241 of 2,454,833 )

How can I increase my downloads?

Downloads

My notes