Rethinking the national quality framework: Improving the quality and safety of alcohol and other drug treatment in Australia

IF 3.2 2区 社会学 Q1 LAW
Simone M. Henriksen
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引用次数: 0

Abstract

The national quality framework (NQF) has been implemented to improve the safety and quality of alcohol and other drug (AOD) treatment and provide a nationally consistent approach to treatment quality in Australia. At the same time, concerns have been raised that, in the absence of appropriate regulatory structures to support the NQF, the quality and safety of AOD treatment services cannot be guaranteed in Australia. An effective enforcement strategy is critical to the ability of the NQF to provide a nationally consistent approach to the delivery of AOD treatment in Australia. The monitoring and enforcement strategy proposed by the NQF encompasses two different mechanisms. For specialist AOD treatment providers in receipt of government funding, monitoring and enforcement of the NQF will occur via contractual arrangements. For providers not in receipt of government funding, monitoring and enforcement will be managed by regulatory mechanisms as decided by each jurisdiction. This proposed enforcement strategy raises the question of whether contractual arrangements are the most effective mechanism for monitoring and enforcing the NQF in publicly funded specialist AOD treatment providers. This paper considers whether a licensing regime may address the shortcomings that arise from the proposed strategy. It argues that the pluralistic approach to the monitoring and enforcement of the NQF will result in substantive differences in how the NQF is enforced both within individual jurisdictions and on a broader national level. A licensing regime, therefore, would be a more appropriate monitoring and enforcement strategy.
重新思考国家质量框架:改善澳大利亚酒精和其他药物治疗的质量和安全
实施了《国家质量框架》,以提高酒精和其他药物治疗的安全性和质量,并为澳大利亚的治疗质量提供全国一致的办法。与此同时,由于缺乏适当的监管结构来支持NQF,澳大利亚的AOD治疗服务的质量和安全性无法得到保证,这引起了人们的关注。有效的执法战略对于国家质量基金在澳大利亚提供全国一致的AOD治疗方法的能力至关重要。NQF提出的监测和执法战略包括两种不同的机制。对于接受政府资助的专业AOD治疗提供者,将通过合同安排监测和执行NQF。对于未获得政府资助的供应商,监测和执法将由各司法管辖区决定的监管机制进行管理。这一拟议的执行策略提出了一个问题,即合同安排是否是在公共资助的AOD专科治疗提供者中监测和执行NQF的最有效机制。本文考虑牌照制度是否可以解决拟议策略所产生的缺点。它认为,监测和执行《国家安全框架》的多元化做法将导致在个别司法管辖区和在更广泛的国家一级执行《国家安全框架》的方式存在实质性差异。因此,许可证制度将是一种更适当的监测和执法战略。
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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来源期刊
CiteScore
7.80
自引率
10.00%
发文量
57
期刊介绍: Regulation & Governance serves as the leading platform for the study of regulation and governance by political scientists, lawyers, sociologists, historians, criminologists, psychologists, anthropologists, economists and others. Research on regulation and governance, once fragmented across various disciplines and subject areas, has emerged at the cutting edge of paradigmatic change in the social sciences. Through the peer-reviewed journal Regulation & Governance, we seek to advance discussions between various disciplines about regulation and governance, promote the development of new theoretical and empirical understanding, and serve the growing needs of practitioners for a useful academic reference.
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