Regulação do profissional de saúde na Austrália: uma visão de antípodas
| Autor | Cameron Stewart Bec |
| Cargo | Bacharel em Economia; Bacharel em Direito; Graduado em Jurisprudência; Graduado para Prática Legal. Professor de Direito da Saúde e Ética na Sydney Law School da University of Sydney. Sydney, Austrália |
| Páginas | 205-276 |
Tema em Debate/ Artigo Original
R. Dir. sanit., São Paulo v.19 n.3, p. 205-276, nov. 2018/fev. 2019
DOI: http://dx.doi.org/10.11606/issn.2316-9044.v19i3p205-276
Cameron Stewart Bec
HEALTH PRACTITIONER REGULATION IN
AUSTRALIA: A VIEW FROM THE ANTIPODES
Received: 11/22/2018. Approved: 03/11/2019.
1University of Sydney. Sydney, Australia.
Correspondence: cameron.stewart@sydney.edu.au
206
Bec C. S.
R. Dir. sanit., São Paulo v.19 n.3, p. 205-276, nov. 2018/fev. 2019
ABSTRACT
is article reviews health practitioner regulation in Australia. It starts with a review of the
constitutional powers to regulate healthcare in the Australian Federal system and the system of
rights to access health that have been created. e article then examines the current National
Law, which was an attempt to create a uniform regulatory system for healthcare practitioners
in Australia. e paper examines the working of that system and current data on its operation
and concludes with looking to future challenges for the system.
Keywords:
Australia; Australian Access to Health System; Health Workforce Regulation.
RESUMO
Este artigo analisa a regulação dos prossionais de saúde na Austrália. Começa descrevendo os
poderes constitucionais para regular os serviços de saúde na federação australiana e o sistema
criado de direitos de acesso à saúde. O artigo examina a atual Lei Nacional de Regulação do
Prossional de Saúde, que tenta criar um sistema regulatório uniforme para os prossionais
de saúde na Austrália. O trabalho investiga o funcionamento desse sistema e os dados atuais
sobre sua operação, concluindo com um olhar sobre seus desaos futuros.
Palavras-chave:
Austrália; Acesso ao Sistema de Saúde Australiano; Regulação das Prossões de Saúde.
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Health practitioner regulation in Australia
R. Dir. sanit., São Paulo v.19 n.3, p. 205-276, nov. 2018/fev. 2019
Introduction
Australia has, in recent times, made enormous changes to the structure of
its health workforce regulation. In 2009 the Australian Federal government and
the various State and Territory governments created the National Registration and
Accreditation Scheme (NRAS), which was Australia’s rst attempt at creating a
nation-wide system of health workforce regulation. e NRAS created a framework
of laws referred to as the Australian Health Practitioner Regulation National
Law1 (National Law) to implement the scheme which each State and Territory
implemented with the co-operation of nine (later 14, and now 15) dierent health
professions. e system regulation accreditation, registration and professional disci-
pline. e system has been described as ‘polycentric’ given it involves nine dierent
governments, 15 professions, eight health care complaints bodies and nine dierent
tribunal systems2.
is article begins by giving a basic outline of the Australian polity and its
constitutional arrangements. It then proceeds to look at the specic constitutional
arrangements for the delivery of healthcare and the division of responsibility between
the Australian Federal government and the Australian States and Territories. e
article then examines the National Law, an attempt at creating a uniform system of
registration and professional discipline for healthcare in Australia. e article exam-
ines the structures of the regulation, the systems of complaints and notications,
the disciplinary processes, and the regulation of unregistered health practitioners,
bringing together the latest data on the National Law’s activities. e article con-
cludes with some thoughts on future directions for the National Law.
I. A short outline of the Australian legal system
Australia is a constitutional monarchy made up of a federation of six former
British colonies: New South Wales, Queensland, South Australia, Tasmania, Victoria
and Western Australia. It has a total population of 25 million people, with most of
the population living on the eastern coastal fringe3. e original colony, New South
Wales, was established by the British Crown on 26 January 1788, and the other
colonies were established over the next century. e Commonwealth of Australia,
a federated body made up of the six colonies, was formed in 1901, aer peaceful
1QUEENSLAND GOVERNMENT. . Reprint current from
1 December 2018 to date. Available at: .au/view/html/inforce/current/act-
2009-045>. Accessed in: 28 March 2019.
2BENNETT, Belinda, CARNEY, Terry, CHIARELLAI, Mary, WALTON, Merrilyn, KELLY, Patrick, SATCHELL Claudette,
BEAUPERT, Fleur. Australia’s national registration and accreditation scheme for health practitioners: a
national approach to polycentric regulation?, v.40, n. 2, p. 140-181, 2018.
3AUSTRALIAN BUREAU OF STATISTICS. . Mar 2018. Available at:
www.abs.gov.au/AUSSTATS/abs@.nsf/mf/3101.0>. Accessed in: 10 Nov. 2018.
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