Regulation of the Postgraduate Medical Education

123 Pages Posted: 28 May 2009 Last revised: 6 Jul 2009

See all articles by Eveline Berende

Eveline Berende

affiliation not provided to SSRN

Matthias Dehn

Dutch Healthcare Authority

Katalin Katona

Dutch Healthcare Authority; Tilburg Law and Economics Center (TILEC)

Ilaria Mosca

Tilburg Law and Economics Center (TILEC); Dutch Healthcare Authority

Date Written: March 1, 2009

Abstract

In this paper we analyse three aspects of the postgraduate medical education programmes – financing, quality assurance, and workforce planning – and investigate whether these activities should be regulated by the government or left to market forces. To answer this question we rely on the framework offered by different regulation theories. The approaches of the public interest, contract, capture and enforcement theory have all been used. From our analysis it appears that the enforcement theory offers the best means to deal with this market. Our findings show that governmental intervention is desirable in the financing of postgraduate medical education; to guarantee qualitatively good educational programmes both regulation and enforced self-regulation can be used according to the specific situation of a country; and the planning of workforce via regulation is especially important in that group of professions, like specialists, exhibiting time lags. We further investigate the situation of the postgraduate medical education programme in two countries, Belgium and England, to understand how the issues of financing, quality assurance, and workforce planning in these two different set-ups have been tackled.

Keywords: education of medical specialists, quality of education, financing of education, workforce planning

JEL Classification: I11, I18, I21

Suggested Citation

Berende, Eveline and Dehn, Matthias and Katona, Katalin and Mosca, Ilaria, Regulation of the Postgraduate Medical Education (March 1, 2009). TILEC Discussion Paper No. 2009-013, Available at SSRN: https://ssrn.com/abstract=1392221 or http://dx.doi.org/10.2139/ssrn.1392221

Eveline Berende (Contact Author)

affiliation not provided to SSRN ( email )

Matthias Dehn

Dutch Healthcare Authority ( email )

Postbus 3017
Utrecht, 3502 GA
Netherlands

Katalin Katona

Dutch Healthcare Authority ( email )

Postbus 3017
Utrecht, 3502 GA
Netherlands

Tilburg Law and Economics Center (TILEC)

Warandelaan 2
Tilburg, 5000 LE
Netherlands

Ilaria Mosca

Tilburg Law and Economics Center (TILEC) ( email )

Warandelaan 2
Tilburg, 5000 LE
Netherlands

Dutch Healthcare Authority ( email )

Postbus 3017
Utrecht, 3502 GA
Netherlands

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