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dc.contributor.authorMcDonald, Fiona
dc.date.accessioned2010-09-09T13:57:30Z
dc.date.available2010-09-09T13:57:30Z
dc.date.issued2010-09-09
dc.identifier.urihttp://hdl.handle.net/10222/13051
dc.description.abstractDid governments in different countries regulate common concerns about patient safety differently? If so how and why did they do this? This thesis undertakes a historical comparison of the regulation of patient safety in Britain and Canada between 1980 and 2005. These jurisdictions began the period with very similar regulatory frameworks, but by 2005 there were distinct differences in each jurisdiction‘s regulatory response to patient safety. Britain was very actively regulating all aspects of service provision within its health system in the name of patient safety, whereas Canada‘s regulatory direction showed adherence to the 1980s model with only scattered incremental developments. This thesis assesses the broader sociopolitical context and the structure of the health systems in each jurisdiction and concludes there are differences in the logics of these systems that established a foundation for future regulatory divergence. It is argued that between 1980 and 2005 there were two factors that influenced regulatory directionality in each jurisdiction: changing political norms associated with the development of neoliberalism and the New Public Management; and events or scandals associated with the provision of health services. The differing levels of penetration of both the changing political norms into governance cultures and of scandals into the public and political consciousness are critical to explaining regulatory differences between jurisdictions. The thesis concludes that what and how governments chose to regulate is a function of the perceived need for action and the dominant social and political norms within that society. Context is everything in the formulation of regulatory approaches to address pressing social problems.en_US
dc.language.isoenen_US
dc.subjectPatient safety, Health system law, adverse events, patient safety lawen_US
dc.titlePatient Safety Law: Regulatory Change in Britain and Canadaen_US
dc.date.defence2010-07-26
dc.contributor.departmentFaculty of Lawen_US
dc.contributor.degreeDoctor in the Science of Lawen_US
dc.contributor.external-examinerProfessor L Sossinen_US
dc.contributor.graduate-coordinatorProfessor R Devlinen_US
dc.contributor.thesis-readerAssistant Professor W Laheyen_US
dc.contributor.thesis-readerAssociate Professor K Murrayen_US
dc.contributor.thesis-supervisorProfessor Jocelyn Downieen_US
dc.contributor.ethics-approvalNot Applicableen_US
dc.contributor.manuscriptsNot Applicableen_US
dc.contributor.copyright-releaseNot Applicableen_US
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