Ensuring Accountability through Health Professional Regulatory Bodies: The Case of Conflict of Interest

Zelisko, Debra; Baumann, Andrea; Gamble, Brenda; Laporte, Audrey; Deber, Raisa

doi:10.12927/hcpol.2014.23850

Cited by 7 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Allen, in addition to accountability to internal stakeholders, introduced accountability to external stakeholders such as regulatory bodies and local communities [25]. Regulatory bodies maintain standards of the profession through formal and informal mechanisms and hold their physicians accountable to the patient, public, non-professional bodies and the government (such as the Ministry of Health) and they in turn are answerable to the same stakeholders [28,33]. Regarding accountability to the local community, Buchman et al, discussed the physician's unique position in the society and de ned accountability as "the social contract that medicine has with the society" [34].…”

Section: Resultsmentioning

confidence: 99%

Towards Understanding Accountability for Physicians Practice in India

Mathew

Klabbers

2022

Preprint

View full text Add to dashboard Cite

The lack of accountability is considered to be a major cause of the crisis in health care in India. Physicians as key stakeholders in the health care delivery system have traditionally been accountable for health concerns at the doctor-patient interface. Following social and organizational dynamics, the interpretations of accountability have broadened and shifted in recent literature, expanding accountability to the community, national and global levels and to social domains. The objective of this study is to provide a comprehensive framework of accountability in medical practice that can be used as a vehicle for further contextualized research and policy input. Through literature review, this paper is presented in two parts. First, a description of accountability of a physician inclusive of the social domains is extracted by posing three pertinent questions: who is accountable? accountability to whom? and accountability for what? which addresses the roles, relationships with other stakeholders and domains of accountability. Second, a framework of accountability of a physician is designed and presented to illustrate the professional and social domains. This study revealed a shift from individual physician’s accountability to collective accountability involving multiple stakeholders through complex reciprocal and multi-layered mechanisms inclusive of the social dimensions. We propose a comprehensive framework of accountability of the physician to include the social domains that is multidimensional and integrative of all stakeholders. We discuss the utility of the framework in the Indian health care system and how this can facilitate further research in understanding the social dimensions of all stakeholders.

show abstract

Section: Resultsmentioning

confidence: 99%

Towards Understanding Accountability for Physicians Practice in India

Mathew

Klabbers

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Owing to the nature of work performed or type of work environment within which a provider practices, standards of behaviour may be difficult to measure and in theory, may be best addressed by appealing to professionalism. (Zelisko et al 2014, 113).Therefore, as Green and Hrab (2003) and Lahey (2012) observe, self‐regulation is a privilege not to be taken lightly, especially when a profession is considered critical to society. Maintaining the privilege of self‐regulation requires “effective and transparent mechanisms to deal with allegations of professional misconduct against members, including facilitating the filing of complaints by members of the public and publicizing the findings of discipline proceedings” (Tomaszewski et al 2016, 405).…”

Section: Background and Contextual Framingmentioning

confidence: 99%

Making Disciplinary Information about Professional Accountants Available to the Public in Ontario*

Odartey‐Wellington

Wardley

2022

Accounting Perspectives

View full text Add to dashboard Cite

The literature notes popular perceptions that accounting scandals are on the rise and that the accounting profession has a trust deficit. Following the unification of accounting designations in Canada in 2014, this paper draws on legitimacy theory and the practices of other professional bodies to examine how the accounting profession in Ontario communicates its accountability regime to build public trust and protect the interests of lay clients. It has been suggested that previous accounting disciplinary regimes lacked transparency to communicate member offenses to the public and thus protected members from public scrutiny. This study reveals that the Chartered Professional Accountants of Ontario has evolved its public awareness regime to create easier public access to member disciplinary details, thus engaging both pragmatic and moral legitimacy. However, more needs to be done to ensure consistency with the public interest objectives of maintaining public trust, transparency, and public awareness.

show abstract

“…The results were published in a special issue of Healthcare Policy in 2014 Berta, Laporte and Wodchis 2014;Bytautas et al 2014;Deber 2014aDeber , 2014bDenis 2014;Gamble, Bourne and Deber 2014;Kirsch 2014;Kraetschmer et al 2014;Kromm et al 2014;Mitchell, Nicklin and MacDonald 2014;Mukhi, Barnsley and Deber 2014;Peckham 2014;Schwartz et al 2014;Steele Gray et al 2014a;Wyers, Gamble and Deber 2014;Zelisko et al 2014). Other related studies focused on home and community care (Steele Gray et al 2017;Steele Gray et al 2014b) and public health (Schwartz and Deber 2016).…”

Section: Brief Description Of the Health Policy Reformmentioning

confidence: 99%