Absent voices compromise the effectiveness of nursing home regulation: a critique of regulatory reform in the UK nursing home industry.
Absent voices compromise the effectiveness of nursing home regulation: a critique of regulatory reform in the UK nursing home industry.
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缺席的声音损害了疗养院监管的有效性：对英国疗养院行业监管改革的批评。
DOI：
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发表时间：
2001
影响因子：
2.4
通讯作者：
Allyson M Pollock
中科院分区：
文献类型：
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作者：
S. Kerrison;Allyson M Pollock
在过去的十年里，英国的医疗服务一直面临着对用户更加负责的压力。目前，英格兰超过一半的医疗床位属于私有化疗养院部门，该部门的监管正在进行改革。然而，这些改革并未反映出对用户问责的要求。在其他部门，消费者参与监管机构和程序被视为监管企业成功的重要因素。但在护理部门，使用者及其代表都没有被赋予参与国家护理标准委员会或监管程序的法律的权利。本文认为，未能让用户参与，不仅使监管企业面临被行业俘获的风险，而且还将削弱新委员会的合法性。
Over the last decade there has been consistent pressure for the healthcare services in the UK to become more accountable to users. Now over half the healthcare beds in England are in the privatised nursing home sector, and regulation of the sector is under reform. Yet requirements for user accountability have not been reflected in these reforms. In other sectors, consumer involvement in regulatory agencies and processes is seen as important to the success of the regulatory enterprise. But in the care sector neither users nor their representatives have been given legal rights of involvement in the National Care Standards Commission or in regulatory processes. This paper argues that failure to involve users not only places the regulation enterprise at risk of capture by the industry, but will also weaken the legitimacy of the new Commission.