Skip to main content
. 2002 Apr 20;324(7343):967–970. doi: 10.1136/bmj.324.7343.967

Table 3.

Comparison of deterrence and compliance models of regulation

Feature Deterrence Compliance
Setting in which model most often found Where regulator deals with a large number of small organisations, heterogeneous in nature, and with a strong business culture (private sector, competitive, profit maximising, risk taking, etc) Where regulator deals with a small number of large organisations, homogeneous in nature, and with a strong ethical culture (public sector, professionalism, voluntarism, not for profit organisations, etc)
Regulator's view of regulated organisations Amoral calculators, out to get all they can, untrustworthy Mostly good and well intentioned, if not always competent
Regulated organisations' view of regulatory agency Policeman, enforcer—feared and often respected, usually disliked Consultant, supporter—not seen as a threat or problem, may be respected and liked
Temporal perspective Retrospective (identify, investigate and deal with problems when they have happened) Prospective (aim to prevent problems occurring through early intervention and support)
Use of regulatory standards and inspection Many detailed and explicit written standards, often with statutory force; approach to inspection and enforcement highly focused on standards May have detailed written standards and policies often accompanied by guidance on implementation; standards play a less prominent part in interactions with regulated organisations
Enforcement, and use of sanctions or penalties Part of routine practice, valued for deterring penalised and other regulated organisations Seen as the last resort, used only when persuasion exhausted
Provision of advice and support to regulated organisations Not part of the regulator's role—seen as risking regulatory capture and having conflict of interest with policing and punishing role Essential part of regulator's role—valued as opportunity to understand, build cooperative relationships, and influence performance
Relationship between regulator and regulated organisations Distant, formal, and adversarial Close, friendly, and cooperative
Costs of regulation High cost to regulator and regulated organisations in inspection and enforcement Lower costs, particularly in inspection and enforcement, though costs to regulator of providing advice and support to regulated organisations can be higher
Likely advantages Regulated organisations pay attention to regulator, take it seriously, and respond readily to its initiatives Regulators and regulated organisations work together on improvement and collaborate effectively; costs of regulation are minimised
Likely disadvantages Creative compliance, resistance, and lobbying by regulated organisations are likely to subvert purpose of regulation. Very high costs associated with sustained inspection and enforcement Regulation may lack teeth and may be seen as weak, with limited ability to make unwelcome changes happen in regulated organisations. Regulator may be seen as too close to or allied with the organisations it regulates