Regulation and governance

Regulation and governance

1. definitions

   • regulation
     • implementation strategy based on enforcement of certain activities
   • governance
     • strategy designed to achieve some level of active consent of individuals

2. Regulation

   • term typically used in the medical profession as the exercise of authority
   • establishment of enforceable rules that control or incentivise doctors behaviours
   • different from legal-judicial framework
     • can apply to organisational rules

3. Governance

   • In a wider social context outside of formalised organisations
     • regulation can lack specificity
       • can you regulate health behaviour of individuals?
   • focuses on the relationship of rule that exists between state and the public
   • further definition
     • allocation of authorities and functions, regulation of rights and obligations, effecting of policies and practices
       • explanation
         • exercising some coersive power to increase pattern of good results and decrease bad
       • In public health this applies to a strategy that operates via persuasion and appeals to people responsibilities as a citizen

4. State-Citizen relationship

   • arguments for deregulation
     • 'Rational theory'
     • 'Public choice theory'
   • complexities arise not from rational choices but from experiences outside the known or calculated elements of health risk
     • sickness and unemployment can affect behaviours outside what rational choice would suggest