Page 166 - Human Rights

Faculty of Nursing
Adult care Nursing Department

5.5 Public Accountability and Sunshine Regulation

The complexity of the healthcare system necessitates that healthcare providers are held

accountable. Doing so effectively ensures that the two essential objectives of the healthcare sector

regulation are achieved, namely, to promote healthy competition among providers and to uphold

important social values such as the right to information and the freedom of choice.

Public accountability is essential to com bat the threat posed by encrypted data and to publicize

performance indicators for each healthcare organization.

Evidence-based performance indicators (i.e., social, economic, and quality) are necessary to

accomplish these objectives.

For instance, a repercussion of a bad score may be growing waiting lists for surgery that can be
more properly managed with accountability procedures.

The term accountability within this context refers to the need to make the decision-making

process in all stages of the healthcare system visible and transparent, as well as the method for
achieving transparency.

At all levels of the healthcare system, important decisions are made concerning the amount of and

way that resources are used.

According to Norman Daniels, the way these decisions are made is informative for evaluating the
fairness of a healthcare system (Daniels and Sabin 2002).

Each citizen has the right to know the underlying drivers of the decision-making process and to be

an active participant in this process.

This partnership implies that information asymmetry is reduced through informed consent,
although the patient physician relationship will always be directed by professional values.

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