Design-based regulation and patient safety: a regulatory studies perspective.
Design-based regulation and patient safety: a regulatory studies perspective.
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基于设计的监管和患者安全：监管研究的视角。
DOI：
10.1016/j.socscimed.2010.04.017
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Yeung K
中科院分区：
文献类型：
--
作者：
Yeung K
为确保患者安全而选择最佳监管方法是一个重要问题。在这篇综述文章中，我们展示了监管研究领域的见解如何为分析医药和医疗保健监管中的重要问题提供概念性工具。基于设计的监管通过自动执行的技术限制来运作。技术，通过具体化关于正确行为和行为的规则，不仅起着监管工具的作用，而且还可能编码特定的价值观和理性版本。正如在包括预防犯罪在内的以“守则”或“设计”为基础的监管这一更广泛领域的辩论所强调的那样，以设计为基础的做法可能会产生重大的社会、政治和道德影响。虽然基于设计的监管可能是一个有吸引力的解决方案，在那里有广泛的共识，什么是良好的医疗实践，它是相当多的问题，有争议的是什么构成了错误，谁拥有错误的定义。基于设计的监管涉及对专业机构和权威的挑战，并涉及有关医疗行业监管的更广泛的辩论。至关重要的是，患者安全技术的引入对设计中编码的价值观和动机敏感。
The optimal choice of regulatory approach for securing patient safety is an important problem. In this review article, we show how insights from the field of regulatory studies can provide a conceptual apparatus for analysis of important problems in the regulation of medicine and healthcare. Design-based regulation operates through technical constraints that are self-executing. Technology, by concretising rules about proper behaviour and conduct, not only functions as a regulatory instrument, but may also encode particular values and versions of rationality. As debates in the broader area of “code” or “design”-based regulation, including the crime prevention context have highlighted, design-based approaches may have significant social, political and ethical implications. Though design-based regulation can be an attractive solution where there is widespread agreement about what constitutes good medical practice, it is considerably more problematic where there is contestation about what constitutes an error and who owns the definition of an error. Design-based regulation involves challenges to professional agency and authority, and engages with wider debates about the regulation of the medical profession. It is vital that the introduction of patient safety technology is sensitive to the values and motives that get encoded in design.
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专业：第三个逻辑
DOI：
--
发表时间：
2001
期刊：
影响因子：
--
作者：
E. Freidson
通讯作者：
E. Freidson
影响因子：
--
作者：
Grout, J. R.
通讯作者：
Grout, J. R.
DOI：
--
发表时间：
2007
期刊：
影响因子：
--
作者：
B. Morgan;K. Yeung
通讯作者：
K. Yeung
DOI：
10.2307/3089126
发表时间：
2002
期刊：
Contemporary Sociology
影响因子：
--
作者：
Kathleen Auerhahn;Andrew von Hirsch;D. Garland;A. Wakefield
通讯作者：
A. Wakefield
影响因子：
3
作者：
de Laet, M;Mol, A
通讯作者：
Mol, A