Page 170 - Human Rights

Faculty of Nursing
Adult care Nursing Department

Therefore, the choice of the regulatory model is related to the existence of a set of conditions

favorable for producing effective results.

The compliance model applies to providers with a strong ethical culture. However, it is well proven

that these organizations are not always effective in complying with their objectives or efficient in
resource allocation.

This model specifically requires guidelines, codes of conduct, charters of rights, and general
recommendations for certain performance standards to be met.

An inconvenience of the systematic implementation of compliance, as a regulatory operational

model, is the likelihood of the development of the phenomenon known as creative compliance.

Creative compliance refers to the possibility of developing a formal adjustment between

regulatory objectives and regulators’ practices without the required compensation for
performance improvement (Boyer and Sail lard 2002).

An undesirable consequence of the compliance model is that the apparent compliance with the

recommendations issued can generate added costs for the healthcare organization without the

corresponding change to its organizational culture.

The institution adapts to the required standard with a great deal of creativity without actually
improving the performance or quality of the services rendered.

The regulated organization’s strategy may eventually entail formal compliance to the

recommendations issued by the regulator, without a true and meaningful organizational change
in accordance with approved standards and regulators’ instructions.

Therefore, compliance alone is not an effective healthcare regulatory model; however, while other

supervising mechanisms remain necessary, the more publicity there is on the activity of the
healthcare providers, the more probable is the success of this model.

148 Academic Year 2025/2026