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Beleid en Maatschappij

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Aflevering 1, 2018 Alle samenvattingen uitklappen
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Van de redactie

Auteurs Dr. Tamara Metze
SamenvattingAuteursinformatie

    This editorial offers an introduction to the current issue.


Dr. Tamara Metze
Dr. Tamara Metze is voorzitter van de redactie van Beleid en Maatschappij.
Artikel

De digitale kooi: administratieve uitsluiting door informatiearchitectuur in de Basisregistratie Personen

Trefwoorden Bureaucracy, Iron cage, Civil registry, ICT, Public services
Auteurs Dr. Rik Peeters en Dr. Arjan Widlak
SamenvattingAuteursinformatie

    The Dutch Municipal Personal Records Database is an IT-innovation that enables the use of the civil registry by hundreds of (semi-)public organisations. Literature review and a case study show how this ‘basis registration’ creates a deep tension between system and lifeworld: citizens who do not fit the system’s criteria lose their access to the major part of public services. The instrumental rationality of the system simplifies the use of addresses for service delivery to one single definition, turns the consequences of address mutations into a black box, and reduces the discretionary space of street-level bureaucrats to handle with social complexities and unintended consequences of the system. This type of IT-innovations can, therefore, come to resemble a ‘digital cage’: a highly disciplining system that hinges on hardware and software design instead of Weberian rules and procedures.


Dr. Rik Peeters
Dr. Rik Peeters is professor en onderzoeker bij de afdeling bestuurskunde van CIDE in Mexico-Stad en directeur van de Brigada Kafka Foundation in Mexico.

Dr. Arjan Widlak
Arjan Widlak is directeur van de Stichting Kafkabrigade in Nederland.
Artikel

Slanker maar topzwaar, meer vrouwen maar vergrijsd: het veranderende gezicht van de rijksoverheid 2002-2015

Trefwoorden Cutbacks, Government spending, Civil servants, Public service, Open data
Auteurs Dr. Dimiter Toshkov, Eduard Schmidt MSc en Prof. dr. Caspar van den Berg
SamenvattingAuteursinformatie

    This article analyses the transformations of the Dutch civil service over the last 15 years, during which numerous cutbacks and reorganizations took place. While existing research predominantly focused on changes in the total number of civil servants, we examine how the distribution of civil servants changed in terms of rank, gender and age. We theorize four methods for shrinking the government apparatus, and for each method, we identify the possible consequences for the composition of the central civil service in terms of hierarchical make-up and of age. Our results indicate that the total number of civil servants only slightly decreased, but the decrease affected differentially the various ranks of the civil service. While at the lower ranks the number of civil servants decreased strongly, at the upper ranks the number actually increased slightly. The number of women in the civil service increased, also in the higher echelons. Regarding the age distribution, we found considerable changes, with the modal age shifting upwards with up to ten years. Altogether, the civil service has become slightly smaller, more gender-balanced, and significantly more senior (both in terms of ranks and age). The results of this study show that it is important for researchers and practitioners to look beyond the trends in the total number of civil servants and explore the deeper changes within the civil service.


Dr. Dimiter Toshkov
Dr. Dimiter Toshkov is werkzaam bij het Instituut Bestuurskunde, Faculty of Governance and Global Affairs, Universiteit Leiden.

Eduard Schmidt MSc
Eduard Schmidt MSc is werkzaam bij het Instituut Bestuurskunde, Faculty of Governance and Global Affairs, Universiteit Leiden.

Prof. dr. Caspar van den Berg
Prof. dr. Caspar van den Berg is werkzaam bij de Campus Fryslan, Rijksuniversiteit Groningen.

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.


Dr. Duco Bannink
Dr. Duco Bannink is redactielid van Beleid en Maatschappij en verbonden aan het Talma Instituut voor onderzoek in de zorg van de Vrije Universiteit Amsterdam.
Casus

Access_open De winsten van zorginstellingen

Trefwoorden health-care organizations, financial accounts, for-profit or not-for-profit, Profits, economies of scale
Auteurs Prof. dr. Jeroen Suijs en Prof. dr. Harrie Verbon
SamenvattingAuteursinformatie

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.
    We calculate and describe profits obtained by health organizations in The Netherlands in the years 2014 and 2015. We distinguish between profit and not-for-profit organizations. We find that on average net profits amount to about 2 percent on turnover with a peak of more than 3 percent for mental-healthcare organizations. If we take the size of organizations into account, we find that for-profit organizations with a turnover of less than 1 million euro tend to have on average net profit rates of 4 percent to more than 5 percent with peaks amounting to more than 50 percent. We are not yet able to come up with explanations for these excessively high profit rates in parts of the Dutch health care sector. On the other hand, the highest losses can be found in small-sized organizations as well. We delved deeper into the financial accounts of a few for-profit organizations and found indications of misreporting of turnover or number of treatments. On the other hand, bad management and unhealthy cost structures might explain why some organizations incur excessive big losses. The sector does not appear to be well monitored by the government.


Prof. dr. Jeroen Suijs
Prof. dr. Jeroen Suijs is hoogleraar financial accounting aan de Erasmus Universiteit in Rotterdam.

Prof. dr. Harrie Verbon
Prof. dr. Harrie Verbon is hoogleraar openbare financiën aan de Universiteit van Tilburg.
Casus

Access_open In de zorg voelt de winst van de een nu als het verlies van de ander

Naar een beter begrip van winst in de zorg door in de discussie over winst in de zorg onderscheid te maken tussen een leefwereld- en een systeemwereldperspectief

Trefwoorden Profit, healthcare providers, health insurers, lifeworld perspective, system perspective
Auteurs Drs. Piet de Bekker en Dr. Eric van der Hijden
SamenvattingAuteursinformatie

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.
    Systematic research on societal responses to profit in healthcare is scarce. It is a highly complex topic, with many tensions in the public and political debate. In a recent Dutch publication on profit, authors use a ‘lifeworld’ perspective to assess profit in their research, while their assessment could have been different using a ‘system’ perspective. Both perspectives have their merit, and debate on the role of profit in health care should separate the two perspectives. We describe both perspectives and use them to clarify whether making a profit is different from paying that profit to shareholders. We conclude that in healthcare, the general tension between the perspectives can be summarized as ‘profit for one actor may feel – but isn’t always – someone else’s loss’. Recognizing these tensions and searching for a strategy to align interests in which everyone gains may help the current stagnated debate on this issue in the Netherlands.


Drs. Piet de Bekker
Drs. Piet de Bekker is PhD-onderzoeker aan de Vrije Universiteit Amsterdam, Talma Instituut, sectie Gezondheidseconomie. Hij is tevens partner en adviseur bij Zorgvuldig Advies.

Dr. Eric van der Hijden
Dr. Eric van der Hijden is teamleider Gepaste Zorg aan de Vrije Universiteit Amsterdam, Talma Instituut, sectie Gezondheidseconomie. Hij is tevens beleidsadviseur zorginkoop bij Zilveren Kruis Zorgverzekeringen.

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.


Dr. Duco Bannink
Dr. Duco Bannink is redactielid van Beleid en Maatschappij en werkzaam aan de Vrije Universiteit.

    Reflection and debate initiates academically inspired discussions on issues that are on the current policy agenda.


Dr. David Hollanders
Dr. David Hollanders is redactiesecretaris van Beleid en Maatschappij.

    Reflection and debate initiates academically inspired discussions on issues that are on the current policy agenda.


Dr. Merijn Oudenampsen
Dr. Merijn Oudenampsen is socioloog en politicoloog. Hij doet als postdoc onderzoek bij de Universiteit van Amsterdam naar de politieke geschiedenis van het neoliberalisme in Nederland.

    Reflection and debate initiates academically inspired discussions on issues that are on the current policy agenda.


Dr. Ico Maly
Dr. Ico Maly is docent New Media and Politics aan de Tilburg University en hoofdredacteur van Diggit Magazine (www.diggitmagazine.com).
Boekbespreking

Markten versus kapitalisme?

Auteurs Dr. Pepijn Brandon
SamenvattingAuteursinformatie

    In this feature authors review recently published books on subjects of interest to readers of Beleid en Maatschappij.


Dr. Pepijn Brandon
Dr. Pepijn Brandon is assistent professor aan de Vrije Universiteit Amsterdam en senior onderzoeker bij het Internationaal Instituut voor Sociale Geschiedenis.

    The most relevant part of a discussion is not what is discussed but what cannot be spoken of. The real taboos are those for which it is taboo to call them taboos. The status quo defines itself as non-ideological while denouncing any challenge to itself as radical.
    Therefore the column ‘De Blinde Vlek’ (The Blind Spot) frames the framers, politicizes the status quo and articulates what is not heard of.


Mr. Mitchell Esajas
Mr. Mitchell Esajas is voorzitter en medeoprichter New Urban Collective. Vanuit NUC is hij betrokken bij initiatieven die bijdragen aan de dekolonisering van het onderwijs, diversiteit en inclusie op de arbeidsmarkt en het opzetten van The Black Archives. Daarnaast werkt hij als programmamanager Antropologie & Sociologie op de Universiteit van Amsterdam.