Regulatory Body Perspectives on Complaints and Disciplinary Action Processes for Health Professionals

Ai-Leng Foong-Reichert, Sherilyn J D Houle, K. Grindrod
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Abstract

Previous Canadian reviews of physician, pharmacist, and dentist disciplinary action have noted differences in discipline outcomes across professions and provinces. The objective of this study was to compare the disciplinary action process across provinces and professions, and to describe the perspectives of health professional regulatory bodies on the disciplinary action process. Participation from medicine, pharmacy, nursing, and dentistry registrars or complaints directors from 10 Canadian provinces was sought. One-on-one, semi-structured interviews were conducted by telephone or video call. Nineteen interviews with regulators were conducted—8 pharmacy, 5 nursing, 5 medicine, and 1 dentistry. Complaints and discipline processes followed a similar overall pathway with some differences. Differences in process were largely due to differences in health regulation legislation and were noted across professions, across provinces, and within a province. Participants tended to be more aligned with regulators within their province rather than regulators of the same profession across the country. To our knowledge, this paper is the first to describe Canadian health professional regulatory body perspectives on the complaints and discipline process. More research is needed to better understand the factors that affect discipline outcomes and to ultimately improve complaints and discipline processes.
监管机构对卫生专业人员投诉和纪律处分程序的看法
加拿大以往对医生、药剂师和牙医纪律处分的审查注意到,不同专业和省份的纪律处分结果存在差异。本研究旨在比较各省和各专业的纪律处分程序,并描述卫生专业监管机构对纪律处分程序的看法。 研究寻求加拿大 10 个省的医学、药学、护理学和牙科学注册人员或投诉主管的参与。通过电话或视频通话进行了一对一的半结构化访谈。 与监管人员进行了 19 次访谈,其中 8 次为药剂师访谈,5 次为护士访谈,5 次为医学访谈,1 次为牙医访谈。投诉和纪律处分过程的总体路径相似,但也存在一些差异。流程上的差异主要是由于卫生监管立法的不同造成的,在不同行业、不同省份和同一省份内都存在这种差异。参与者倾向于与本省的监管机构保持一致,而不是与全国范围内同一专业的监管机构保持一致。 据我们所知,本文首次描述了加拿大卫生专业监管机构对投诉和纪律程序的看法。我们需要开展更多研究,以更好地了解影响纪律处分结果的因素,并最终改进投诉和纪律处分程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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