ABSTRACT

The scarcity of public sector healthcare resources and the vulnerability of service users make the conduct of health professionals critically important. Health regulators, in delivering their core objective of patient protection, use empirical evidence to identify professionals’ misconduct, improve their understanding of why misconduct occurs, and to maximize the effectiveness of regulatory actions that safeguard public trust in the healthcare system. This paper outlines the contribution of comparative academic analysis of three professions in the UK (doctors, nurses & midwives, and allied health professions) based on 6714 individual cases of professional misconduct. Three dynamic strands of ongoing impact are identified: “dialogue”, that creates an international multi-stakeholder community of interest; “knowledge generation”, which advances conceptual and empirical understanding of counterproductive work behaviour through sequential quantitative and qualitative study; and “dissemination”, where practical learning is utilized by regulators, employers and other academics.

摘要

公共部门医疗资源的稀缺和服务使用者的脆弱性使得医疗专业人员的行为变得至关重要。卫生监管机构在实现患者保护的核心目标时，使用经验证据来识别专业人员的不当行为，提高他们对不当行为发生原因的理解，并最大限度地提高监管行动的有效性，以保护公众对医疗保健系统的信任。本文基于 6714 起职业不当行为案例，概述了对英国三个职业（医生、护士和助产士以及相关卫生职业）的学术比较分析的贡献。确定了持续影响的三个动态方面：“对话”，它创建了一个国际多利益相关方利益社区；“知识生成”，通过连续的定量和定性研究，促进对适得其反的工作行为的概念和实证理解；和“传播”，监管者、雇主和其他学者利用实践学习。