澳大利亚先前注销的卫生专业人员的恢复:风险、患者安全和公共利益的法律决定

Q3 Social Sciences Federal Law Review Pub Date : 2023-02-20 DOI:10.1177/0067205x221146334
J. Millbank
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引用次数: 1

摘要

澳大利亚每年约有60名注册保健从业人员因严重的不当行为或不太常见的损害或刑事定罪而被取消注册。除非该从业员成功地将日后的申请恢复至注册簿,否则取消注册仍有效。虽然撤销登记的决定是在公开法庭程序中作出的,并有公布的理由,但在澳大利亚,大多数关于恢复登记的决定都是由专业委员会私下作出的。本研究调查了86名医疗从业人员的现有复职决定,以分析澳大利亚的卫生监管系统在决定寻求复职的已注销医疗从业人员现在是否“适合和适当”再次执业时,如何确定公共利益和公共安全问题。有相当多的判例法规定了保健专业人员适合行医的意义,以及可以对其进行评估的程序。但是,在恢复调查的结构、在程序中协助申请人或确保决策的一致性方面,特别是提请注意更广泛的公共保护因素方面,立法内容或行政指导非常少。通过引入关于如何应用公共保护这一最重要目标的结构化指导,将改进恢复的决定。文章还建议,所有恢复决定都公开进行,并公布原因,这将提高公众对恢复过程的理解和信心。
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Reinstatement of Previously Deregistered Health Professionals in Australia: Legal Determinations of Risk, Patient Safety, and Public Interest
Each year approximately 60 registered health practitioners in Australia have their registration cancelled for reasons of serious misconduct or, less commonly, impairment or criminal conviction. Cancellation remains in force unless the practitioner successfully brings a later application to be restored to the register. While the decision to deregister takes place in a public tribunal process, with published reasons, throughout most of Australia determinations concerning reinstatement are undertaken by professional Boards in private. This research examines available reinstatement decisions concerning 86 health practitioners to analyse how the health regulatory system in Australia determines questions of public interest and public safety when deciding whether deregistered health practitioners who seek reinstatement are now ‘fit and proper’ to practise their profession again. There is a considerable body of case law on the meaning of fitness to practise for health professionals, and the process by which it can be assessed. However, there is remarkably little legislative content or administrative guidance to structure the reinstatement inquiry, assist applicants in the process or to ensure consistency of decision-making, in particular by drawing attention to broader public protection factors. Reinstatement determinations would be improved through the introduction of structured guidance on how to apply the paramount objective of public protection. The article also suggests that having all reinstatement determinations take place in public with published reasons would improve public understanding of, and confidence in, the reinstatement process.
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Federal Law Review
Federal Law Review Social Sciences-Law
CiteScore
1.00
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27
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