Do the public think medical regulation keep them safe?
Publication in refereed journal


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AbstractObjective
To assess public knowledge and expectations of the ways to assess doctors’ competence to ensure patient safety.

Design setting and participants
Telephone survey of a random sample of 1000 non-institutionalized Hong Kong residents.

Measures and results
Only 5% of public were correct that doctors are not required to periodically be assessed, and 9% were correct that the doctors are not required to update knowledge and skills for renewing their license. These results echo international studies showing a low public knowledge of medical regulation. The public overwhelmingly felt a periodic assessment (92%) and requirements for continuous medical education (91%) were important processes for assuring doctors’ competence. A high proportion of the public felt that lay representation in the Medical Council was insufficient.

Conclusion
There is a significant gap between public expectations and understanding of the existing medical regulation and the actual policies and practices. Despite a lack of public knowledge, the public thought it important to have an ongoing structured monitoring and assessment mechanism to assure doctors’ competence. The public also expects a greater involvement in the regulatory processes as members of the Medical Council. There is a need to review and enhance the current regulatory system to meet public expectation and ensure accountability for the privilege and trust granted by the State in professional self-regulation. In the context of our complex health system, a thorough understanding on the dynamic interactions between different institutions and their complementary roles in a meta-regulatory framework is required in assuring patient safety.
All Author(s) ListYam CHK, Wong ELY, Grriffiths SM, Yeoh EK
Journal nameInternational Journal for Quality in Health Care
Year2018
Month3
Volume Number30
Issue Number2
Pages90 - 96
ISSN1353-4505
LanguagesEnglish-United Kingdom
Keywordsmedical regulation, monitoring and assessment mechanism, lay representation

Last updated on 2020-06-08 at 00:42