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Beleid en Maatschappij

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Aflevering 3, 2006 Alle samenvattingen uitklappen

Willem Trommel
Willem Trommel is universitair hoofddocent bestuurssociologie aan de Universiteit Twente Correspondentieadres: Universiteit Twente, faculteit BBT, Postbus 217, 7500 AE Enschede, e-mail: w.a.trommel@utwente.nl
Artikel

Vraaggestuurd organiseren

Professioneel management van vraagsturing in publieke dienstverlening

Auteurs Mirko Noordegraaf
SamenvattingAuteursinformatie

    'Demand-based organising' has become popular throughout public domains, sometimes complementing, sometimes working against 'fact-based' and 'market-based' organising. This raises critical questions, about ways in which 'customer' and client demands are and can be known, and how multiple demands can be aggregated. In addition, it is difficult to link demand-based strategies to public service contexts, full of professional practices. How do public managers cope with such contradictory conditions? How can they organise in demand-based ways, amidst contradictory demands? This article, firstly, explores how demand-based rhetoric and instruments have been introduced. Secondly, it explores how public managers really (can) work in demand-based settings. Thirdly, it explores how demand-based practices can be organised, so that public service contexts can be managed 'professionally'. This leads to a paradoxical conclusion. Professional public managers organise in demand-based ways by not handing-over or 'outsourcing' content to customers and clients, but by substantiating demands themselves.


Mirko Noordegraaf
Dr Mirko Noordegraaf is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.
Artikel

NPM, bureaucratisering en de invloed op de professie

Auteurs Duco Bannink, Berber Lettinga en Liesbet Heyse
SamenvattingAuteursinformatie

    The recent decline in professionalism has frequently been explained as a result of the rise of New Public Management (NPM). As will be shown in this article, however, NPM does not automatically result in a decline in professionalism; its effects differ in various professional contexts. In a case study of the work of social insurance doctors and labor specialists the authors demonstrate that NPM structures the technical aspects of professional tasks, that are the verifiable elements of the professional's judgment. NPM proofs to have strong influence on the techniques for quality insurance (performance of production, time and lawfulness). On the longer term this influence can undermine professional self-regulation. NPM has little impact on the indeterminate task aspects, the professional judgment itself, even though this part has become more 'technical' in years. The case study shows however that this is not due to NPM but to the impact of bureaucratization of the professional task. Furthermore it becomes clear that this impact is stronger in the case of the labor specialist than with respect to the social insurance doctor.


Duco Bannink
Duco Bannink is verbonden aan de Universiteit Twente. Correspondentieadres: Duco Bannink, Universiteit Twente, Faculteit Bedrijf, Bestuur en Technologie, Postbus 217, 7500 AE Enschede, 053-4893222, d.b.d.bannink@utwente.nl

Berber Lettinga
Berber Lettinga is verbonden aan de Universiteit Twente.

Liesbet Heyse
Liesbet Heyse is verbonden aan de Universiteit Twente.
Artikel

De vraag als antwoord?

Normatieve risico's van vraagsturing en de implicaties voor de rol van professionals

Auteurs Hans Bosselaar
SamenvattingAuteursinformatie

    The growing interest in demand-based delivery is to be comprehended regarding the criticism on the traditional 'apply-based' delivery. Regarding the literature, the main stream notion on demand-based delivery contains the transfer of the tasks and duties from the intermediate professional to the client. Consequently, the (demanding) client is directly able to affect the provisions he is eligible to and to influence the acquirement of the services and goods.

    The main issues are:

    This article focuses on the new role of intermediate professionals. The intermediate professional can maintain a role in realising the demand-supply relationship between the client and the supplying professional; he can get the task to acquire and spread the required market information, but as well can get the responsibility to support the market participants using this information. In the same time, this responsibility can help to avoid the normative risks, especially the risk of inadequacy.

    This new role must probably be regulated and in any case be monitored to prevent from the situation that the intermediate professional will take over the new responsibilities of the client. If this does not happen, the transfer to the demand-based delivery of public services will fail. On the other hand, if their will be no accessible client support by the new intermediate professional, the transfer to the demand-based delivery will tarnish the fundaments of the social system.


Hans Bosselaar
Mr. dr. Hans Bosselaar is zelfstandig gevestigd onderzoeker met bureau Meccano kennis voor beleid. Bosselaar doet voornamelijk onderzoek op het terrein van sociale zekerheid, arbeidsmarkt en disability management in ondernemingen voor opdrachtgevers als het ministerie van Sociale Zaken en Werkgelegenheid, UWV, RWI en diverse (overheids)commissies en sociale partners. Bosselaar promoveerde in 2005 op het proefschrift De vraag als antwoord. Vraagsturing en sociaal beleid: voorwaarden en risico's. Correspondentiegegevens: Mr. dr. Hans Bosselaar, Meccano kennis voor beleid, e-mail: meccano@planet.nl

    Demand-steering policies in healthcare are understandable but problematic answers to the desire for democratization that dates from the seventies of the former century. Prominent critics such as Achterhuis and Illich were very critical of the undemocratic character of health care. Yet their romantic idea of society excused them from the need to articulate democratic alternatives. The empty space that they left was filled by the concept of demand-steering. Demand-steering, however, rather than strengthening democratic practices, merely undermines them, by preferring exit above voice, by putting up new bureaucratic barriers between clients and professionals and by undermining the quality of the relationship between clients and professionals.

    Doing more justice to the democratic impulse is possible and desirable. A new step towards this aim is being taken by a fourth logic of steering, (next to the familiar logics of the market, bureaucracy and professionalism) that centers on improving the dialogue between clients and professionals. The one variant, democratic professionalism, starts from the position of the professional and aims at intensifying democratic control, while the other variant, collaboration, starts from the client and aims at providing him with more influence and responsibility for the health care process. This fourth logic however can only provide a new impulse to democratization when the vague notion of the dialogue is elaborated more thoroughly.


Evelien Tonkens
Evelien Tonkens is bijzonder hoogleraar actief burgerschap bij de afdeling sociologie en antropologie van de Universiteit van Amsterdam en opleidingsdirecteur/docent van de masteropleiding social policy and social work in urban areas van de Uva. Correspondentieadres: UvA – afdeling sociologie en antropologie, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, e-mail: e.h.tonkens@uva.nl
Boekbespreking

Boekbespreking

Auteurs Martijn van der Meulen

Martijn van der Meulen