1st Edition

Improving Health Care Safety and Quality
Reluctant Regulators

ISBN 9781138248663
Published February 26, 2017 by Routledge
350 Pages

USD $59.95

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Book Description

Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars.

Table of Contents

Contents: Preface: why this book?; Introduction: why regulate?; How safe is health care?; Regulatory actors: who governs health care?; Regulating the health professions; Safety cultures and safety systems; Regulating staff: internal management; Regulating organizations: external reviews; Regulation by enforcement: laws, money and monitoring; Regulation by patients; Responsive regulation: trust and transparency; Index.

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Judith Healy is at the RegNet, Research School of Pacific and Asian Studies, The Australian National University, Australia.


'Judith Healy draws on a wealth of international experience in her quest for safe and effective health systems. Her insightful and detailed analysis provides a solid basis for her advocacy of responsive regulation, a model that recognises that most health professionals do things right but sometimes need a little help.' Martin McKee, London School of Hygiene and Tropical Medicine, UK & European Observatory on Health Systems and Policies 'This book is a most valuable addition to the Australian safety and quality in health care literature. Starting with a punchy, balanced yet somewhat unsettling preface, Judith Healy explores her thesis that "improving health care involves multiple regulators and multiple strategies, in other words networked governance" through the ten chapters of this substantial book.' Chris Baggoley, Australian Commission on Safety and Quality in Health Care ’... a useful read and resource for healthcare managers and professionals and government actors.’ International Journal of Health Planning and Management