Zoekresultaat: 374 artikelen

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    In the Netherlands, new horizontal forms of accountability have in recent years been introduced for executive agencies. These forms of accountability address other stakeholders besides the hierarchical principal. It includes for example demonstrating responsiveness to clients, independent overseers or professional standards. In this article, two related questions are answered. At first the question is posed whether horizontal accountability can be regarded as a substitute for democratic accountability or as complementary to it. The second question is how their introduction fits with traditional (vertical) forms of accountability. The article is based on a qualitative research that was carried out in 2005 and 2006 on nine large Dutch executive agencies. It focuses on two types of horizontal accountability: accountability of agencies to boards and to an independent evaluation committee ('visitation'). The article concludes that horizontal accountability is best regarded as complementary to democratic accountability. Horizontal accountability has added value because it invokes learning processes. In addition, the introduction of horizontal forms of accountability creates a redundant accountability regime for executive agencies in which they account for the same actions to different accountees. Redundancy has the advantages that it mitigates information asymmetry and incorporates the different expectations for agencies.


Thomas Schillemans
Dr. T. Schillemans is universitair docent bestuurskunde aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg. Hij promoveerde in 2007 op het proefschrift Verantwoording in de schaduw van de macht: Horizontale verantwoording bij zelfstandige uitvoeringsorganisaties, Den Haag: Uitgeverij LEMMA. Voorts verscheen van zijn hand 'Medialogica. Oorzaken, gevolgen en remedies'. Tijdschrift voor Communicatiewetenschap. 34/2 (2006): 133-143 (met K. van Beek en R. Rouw). Correspondentiegegevens: Universiteit van Tilburg Tilburgse School voor Politiek en Bestuur Postbus 90153 5000 LE Tilburg t.schillemans@uvt.nl
Artikel

'We can do better than that!'

Over de toekomst van het stelsel van sociale zekerheid in het licht van immigratie en integratie van niet-westerse immigranten

Tijdschrift Beleid en Maatschappij, Aflevering 2 2009
Auteurs Erik de Gier
SamenvattingAuteursinformatie

    This article sketches four more or less excluding future scenarios with regard to immigration and social security. Its objective is to find an answer to the question how the Dutch welfare state and more in particular the system of social security can contribute positively to both labour market participation and social integration of non-western immigrants. The four scenarios, constructed on the basis of two dichotomies open versus closed country borders and privatised versus collective social security, can be perceived as ideal types. Although none of the four scenarios will contribute unequivocally to solving the problem of labour market participation and social integration of immigration, it turns out that two scenarios will be more realistic, given in particular the long-term development of the social security system towards further privatisation. These are the scenarios that combine privatised social security with open or closed borders. The first scenario will be more beneficial from an economic viewpoint. By contrast, the second scenario will be more attractive for those people who primarily want to restrict immigration.


Erik de Gier
Erik de Gier is hoogleraar comparatief arbeidsmarktbeleid bij de faculteit Managementwetenschappen van de Radboud Universiteit Nijmegen en zelfstandig beleidsonderzoeker en adviseur. Correspondentiegegevens: Prof. dr. H.G. de Gier Radboud Universiteit Nijmegen Faculteit der Managementwetenschappen Postbus 9108 6500 HK Nijmegen e.degier@fm.ru.nl

Johan Mackenbach
Johan Mackenbach (1953) is epidemioloog en sociaal-geneeskundige, en als hoogleraar Maatschappelijke Gezondheidszorg verbonden aan het Erasmus MC, Universitair Medisch Centrum Rotterdam. Veel van zijn onderzoek ligt op het terrein van de sociale epidemiologie. Hij publiceerde ongeveer 300 artikelen in internationale wetenschappelijke tijdschriften, alsmede een groot aantal artikelen in Nederlandstalige wetenschappelijke tijdschriften. Hij is redacteur van het leerboek Volksgezondheid en gezondheidszorg (derde druk, Elsevier 2004), en lid van verschillende adviesorganen, waaronder de Gezondheidsraad en de Raad voor Volksgezondheid en Zorg. Correspondentieadres: Prof. dr. J.P. Mackenbach Afdeling Maatschappelijke Gezondheidszorg, Erasmus MC Postbus 2040 3000 CA Rotterdam j.mackenbach@erasmusmc.nl
Artikel

Over oude erfenissen en nieuwe ergernissen

Een evaluatie van het rapport 'Een belaste relatie. 25 Jaar Ontwikkelingssamenwerking Nederland – Suriname'

Tijdschrift Beleid en Maatschappij, Aflevering 2 2006
Auteurs Yvonne Kleistra
SamenvattingAuteursinformatie

    In February 2004, a highly debated research report with the title 'A Burdened Relation. 25 Years Development Aid between the Netherlands and Surinam' was sent to parliament. The study was conducted by a Netherlands scientist and a Surinam senior official (Kruijt and Maks, 2004). Their central aim was to execute a 'quick scan lessons learned evaluation' in order to arrive at a research agenda for a more detailed and profound study of the bilateral development aid relations of the two countries. In spite of this, the Netherlands minister for Development Aid decided in June 2005 to terminate the research project. Main argument she put forward to underpin the decision was that further research would add just about nothing to what already was known, or could be thought relevant for policymaking. The author of this article questions the validity of the argument of the minister. She scrutinizes the threefold research task, the research process and the results of the joint exercise. This demonstrates that the review holds a future scientific research agenda that is both innovative and provocative. Furthermore, she points out that the political ups and downs that accompanied the publication contain some additional practical insights.


Yvonne Kleistra
Dr. Y. Kleistra is werkzaam als inspecteur Vrede en Veiligheid bij de Inspectiedienst Ontwikkelingssamenwerking en Beleid (IOB) van het Ministerie van Buitenlandse Zaken. Adres: Ministerie van Buitenlandse Zaken/IOB, Postbus 20061, 2500 EB Den Haag, tel. (070) 348 63 38, e-mail: yvonne.kleistra@minbuza.nl
Artikel

Hoe effectief sturen provincies op de realisering van windenergie?

Een evaluatie van de Bestuursovereenkomst Landelijke Ontwikkeling Windenergie

Tijdschrift Beleid en Maatschappij, Aflevering 2 2006
Auteurs Marieke van Duyn, Hens Runhaar, Susanne Agterbosch e.a.
SamenvattingAuteursinformatie

    In the Netherlands, an ambitious policy goal of 1,000 MW of wind power capacity by the year 2000 had already been formulated in 1985 and remained the official basis for wind energy policy until 2000. The pace of realisation of wind turbines however did not keep up with this policy objective. An important reason is that it proves difficult to provide enough locations for wind turbines in spatial plans. Over the last 15 years two covenants have been concluded between the Dutch central government and provinces in order to overcome this problem: the 1991-Governmental Agreement on Planning Problems Wind Energy (BPW), and the 2001-Governmental Agreement on the National Development Wind Energy (BLOW). In the BLOW provinces have agreed to work towards the realisation of wind turbines with a total capacity of 1,500 MW in 2010. For this purpose provinces need the co-operation of municipalities, wind power project developers and local communities. Municipalities have a crucial role because of their discretion of detailed allocation of land use in local spatial plans. They are no partners to the covenant however. Provinces can use several governance strategies for mobilising co-operation: from top-down governance in which provinces specify locations to bottom-up approaches in which the initiatives are left to municipalities and project developers. This paper compares both covenants and assesses the effectiveness of different governance strategies employed by three distinct provinces.


Marieke van Duyn
Marieke van Duyn is beleidsmedewerkster bij de Zuid-Hollandse Milieudefensie.

Hens Runhaar
Hens Runhaar is universitair docent Adres: Copernicus Instituut voor Duurzame Ontwikkeling en Innovatie, Universiteit Utrecht Postbus 80115, 3508 TC Utrecht, h.runhaar@geo.uu.nl

Susanne Agterbosch
Susanne Agterbosch is promovendus.

Marco Tieleman
Marco Tieleman is sr. adviseur bij CEA.
Artikel

De Koning en de spreektelegraaf

Een begrippenkader voor de bestudering van de invloed van overheidsincentives op innovatieve ondernemingen

Tijdschrift Beleid en Maatschappij, Aflevering 2 2006
Auteurs Helen Stout en Martin de Jong
SamenvattingAuteursinformatie

    Traditionally, technological transitions in infrastructure bound sectors are matters for the private sector. History teaches us that as soon as technological transitions proved successful, government sooner or later got involved with the distribution. Most of this involvement, both in history and now, has taken the form of public regulation with the help of various formal legal instruments.

    This article aims to answer three questions, namely (1) what ideational and materials drives can be distinguished in the government's involvement in these technological transitions, (2) through what legal instruments are these objectives expressed and how , and (3) what are the incentives of these formal legal instruments on innovative private entrepreneurs for their further technological pursuits. How were their behavioural options affected by the use of statutory acts, concessions, permits and/or licences? Incentives to private innovators are qualified as positive, neutral or negative. The research method chosen has been inspired by insights from legal sociology, public choice theory and strategic actor behaviour in qualitative simulation-games, but follows distinct methodological steps. Throughout the article a case study on the transition from telegraphy to telephony in The Netherlands will be used to illustrate the discussion.


Helen Stout
Prof. mr. dr. Helen Stout is hoogleraar Recht en Infrastructuren aan de Technische Universiteit Delft, h.d.stout@tbm.tudelft.nl, tel. (015)-278 54 16

Martin de Jong
Dr. Martin de Jong is universitair hoofddocent aan de Technische Universiteit Delft, w.m.dejong@tbm.tudelft.nl, tel. (015)-278 80 52

    This article examines the impact of European integration on the Dutch constitutional order. It argues that within this constitutional order, the roles of the executive and the judiciary have been strengthened at the expense of the role of parliament. Although these shifts are partly the outcome of domestic developments, they have also been caused by the process of European integration. Within the Netherlands, there has hardly been any debate on the role of the EU and EU law in the Dutch constitutional order and no formal changes to the written constitution have been made. This can be explained, on the one hand, by the openness of the Dutch legal order for international law and, on the other hand, by the fact that many constitutional practices have not been codified in the formal constitution.


Leonard Besselink
Dr. Leonard F.M. Besselink is senior docent/onderzoeker bij de disciplinegroep Staats- en Bestuursrecht van de Universiteit Utrecht. Adres: Achter Sint Pieter 200, 3512 HT Utrecht, e-mail: l.besselink@law.uu.nl

    The EU is transforming the function and power of the Dutch parliament as an institution, and the way in which its principal actors, the governing and opposition parliamentary party groups, interact with each other and the government. This article seeks to address the question: How does parliamentary scrutiny over EU decision-making function in the Netherlands and how has this new role for parliament changed both parliamentary and executive relations in the country and the interaction of parties in parliament? For the purposes of this research, this paper uses the typology of King. The author has conducted a number of in-depth interviews with Dutch MPs. Overall, this article concludes the process of parliamentary scrutiny over EU matters in the Netherlands is no longer exclusively about finding a national consensus towards the outside world, but increasingly mirrors the rough and tumble of normal, domestic politics.


Ronald Holzhacker
Ronald Holzhacker is werkzaam bij de Universiteit Twente.

    This article examines the impact of the EU on the content of policy. It analyses two cases in which the EU affected Dutch policies in different ways: in the case of packaging waste policy the EU exerted direct influence through EU legislation, whereas in the case of railway policy, the EU only had an indirect impact through policy models. Nevertheless, the impact of the EU was greater in the railway policy case than in the packaging waste case. This suggests that domestic political processes are more important in explaining the impact of the EU on policy content, than the degree of legal adaptation pressure. In addition, the article shows that the EU has affected the policy networks in the area of packaging waste policy, even though Dutch corporatist structures have shown remarkable resilience and have even been strengthened by the implementation requirements of EU legislation in this field.


Markus Haverland
Dr. Markus Haverland is docent/onderzoeker bij het departement Bestuurskunde van de Universiteit Leiden. Adres: Pieter de la Court gebouw, Postbus 9555, 2300 RB Leiden, e-mail: mhaverland@fsw.leidenuniv.nl

    This article is the introduction to this special issue in which the Europeanisation of Dutch polity, politics and policy forms the central focus of attention. The main question we address in this special issue is to what extent the Netherlands has changed under the influence of processes of Europeanisation. This article first discusses the state-of-the-art Europeanisation literature; then it sets out to discuss four problems with this literature. Based on the insights generated by the contributors to this special issue, the authors conclude that for a better understanding of processes of Europeanisation, the EU should no longer be seen as an actor, but rather as an (cluster of) arena(s) in which a variety of actors (member states, EU institutions, interest groups, et cetera) are trying to achieve their political goals.


Sebastiaan Princen
Verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap van de Universiteit Utrecht Adres: Bijlhouwerstraat 6, 3511 ZC Utrecht, e-mail: s.princen@usg.uu.nl

Kutsal Yesilkagit
Verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap van de Universiteit Utrecht Adres: Bijlhouwerstraat 6, 3511 ZC Utrecht, e-mail: k.yesilkagit@usg.uu.nl

    Child labor evokes deep emotions and is cause for growing international concern. What, if anything, should governments of liberal-democratic societies do to combat child labor?

    This paper discusses the possibilities and pitfalls of Western policies that seek to curb child labor abroad. Since such policies aim to combat practices in another society, policy makers should be aware of the many relevant differences between developing and developed countries. We discuss three issues that are central to this debate: socioeconomic causes of child labor, different conceptions of childhood, and the distinction between child work and child labor. Studying the historical example of the emergence and disappearance of child labor in nineteenth-century Netherlands broadens our analysis. We then evaluate the implications of these investigations and conclude the paper by suggesting five recommendations for Western policy makers that would avoid the pitfalls discussed.


Mijke Houwerzijl
Mijke Houwerzijl is juriste en als onderzoeker (NWO-SaRO project 'Flexicurity') verbonden aan het departement sociaal recht en sociale politiek, Universiteit van Tilburg. Adres: Departement encyclopedie en rechtsgeschiedenis, Faculteit Rechten, Universiteit van Tilburg, Postbus 90153, 5000 LE Tilburg, e-mail: m.s.houwerzijl@uvt.nl. Zij is begin 2005 gepromoveerd op een onderzoek naar de detachering van werknemers in de Europese Unie (De Detacheringsrichtlijn, Deventer: Kluwer 2005 (reeks Europese Monografieën, nr. 78). Eerder publiceerde zij over verschillende arbeidsrechtelijke en sociaal-politieke onderwerpen. Over kinderarbeid: 'Wettelijk minimumjeugdloon voor 13- en 14-jarige kinderen?' Arbeid Integraal 2003, p. 28-30. Een overzicht is te vinden op www.uvt.nl/webwijs/show.html?anr=527432).

Roland Pierik
Dr. Roland Pierik is universitair docent politieke theorie aan de Rechtenfaculteit van de Universiteit van Tilburg. In het voorjaar van 2005 was hij visiting scholar aan de filosofiefaculteit van University College Londen. Adres: Departement encyclopedie en rechtsgeschiedenis, Faculteit Rechten, Universiteit van Tilburg, Postbus 90153, 5000 LE Tilburg, e-mail: r.pierik@ uvt.nl, www.rolandpierik.nl. Recente publicaties:

    Member states must transpose European directives into national rules. This process, however, is not without problems. The Netherlands regularly transposes directives too late. Moreover, very often the content of the national transposition rules does not match the adaptations required by the directives. This article examines whether political resistance or administrative and legal weaknesses cause these problems. The author concludes that problems regarding transposition are caused by a culture of neglect and lack of priority for EU policies. Improving coordination procedures, formal legislative processes, and information facilities will not solve transposition problems as long as the cultural aspect of the problem isn't adequately addressed.


Ellen Mastenbroek
Drs. Ellen Mastenbroek is Assistent in Opleiding bij de departementen Bestuurskunde en Politieke Wetenschap aan de Universiteit Leiden. Adres: Pieter de la Court gebouw, Postbus 9555, 2300 RB Leiden, e-mail: mastenbroek@fsw.leidenuniv.nl
Artikel

Hoe verkoop ik een spoorweg?

De lessen van het privatiseringsstreven bij de Betuweroute, HSL-Zuid en Zuiderzeelijn

Tijdschrift Beleid en Maatschappij, Aflevering 3 2005
Auteurs Joop Koppenjan en Martijn Leijten
SamenvattingAuteursinformatie

    In December 2004, the report of the Dutch Parliamentary Investigation Committee on Infrastructural Projects was published. This committee investigated the budgets overruns of two large rail projects currently under construction in the Netherlands: the Betuwe Line and the High Speed Line (HSL)-South. The committee also looked at how mistakes that were made in the earlier projects had been avoided in the construction of the Zuiderzee Line, a project currently under preparation. The report provides a look inside the struggle of the Dutch national government from the beginning of the 1990s in their public-private partnership (PPP) efforts. In this contribution, we provide an analysis of the motives, approach and results of privatisation of these three projects on the bases of the detailed empirical analysis provided by the Committee. We seek explanations of how privatisation with these three projects evolved and what lessons can be drawn. It appears that practices have so far been far from good and instead of committing to the obligation to apply PPP in every large infrastructural project, the government should first find out how PPP in such projects should actually be carried out.


Joop Koppenjan
Joop Koppenjan is bestuurskundige en als universitair hoofddocent verbonden aan de faculteit Technologie, Bestuur en Management van de Technische Universiteit Delft. Hij doet onderzoek naar besluitvorming en sturing in beleidsnetwerken en publiek private samenwerking bij de totstandkoming en het beheer van publieke infrastructuur. In 2004 was hij als staflid betrokken bij de werkzaamheden van de Tijdelijke Commissie Infrastructuur en deed hij onderzoek naar de privatisering van de Betuweroute. Recente publicaties: Adres: Technische Universiteit Delft, sectie Beleidskunde/Organisatie en Management, Postbus 5015, 2600 GA Delft, e-mail: j.f.m.koppenjan@tbm.tudelft. nl

Martijn Leijten
Martijn Leijten is onderzoeker aan de Faculteit Techniek, Bestuur en Management van de Technische Universiteit Delft. Zijn onderzoek richt zich op organisatie en management van complexe infrastructuurprojecten. Hij maakt deel uit van het onderzoekscentrum Sustainable Urban Areas van de TU Delft. Martijn Leijten was in 2004 betrokken bij het onderzoek van de Tijdelijke Commissie Infrastructuurprojecten van de Tweede Kamer en droeg met name bij aan de reconstructie van de besluitvorming over de Zuiderzeelijn. Recente publicaties: Adres: Technische Universiteit Delft, sectie Beleidskunde/Organisatie en Management, Postbus 5015, 2600 GA Delft, e-mail: m.leijten@tbm.tudelft.nl

    This article discusses the changes in the safety policy in the Netherlands over about the last fifteen years. These changes are analysed as reactions to the problems that the police and other criminal justice agencies face and which result from the shift from a modern to a late modern society. Five main changes are distinguished: in the organisational and managerial arrangements of the police; in the relation between the state (police) and other (both public and private) agencies; the rise of extra-judicial instruments and the growing attention for the position of victims; the increasing use of technological instruments for surveillance and crime prevention; and a harsher and more punitive policy. These changes create new fundamental questions for a future safety policy.


Jan Terpstra
Dr.ir. J.B. Terpstra is werkzaam bij het Instituut voor Maatschappelijke Veiligheidsvraagstukken (ipit) van de Universiteit Twente. Hij verricht de laatste jaren vooral onderzoek rond politie, justitie en veiligheidszorg. Terpstra publiceerde eerder ook over onder meer maatschappelijke achterstand, sociale zekerheid en beleidsuitvoering. Recente publicaties hebben onder andere betrekking op samenwerking in de lokale veiligheidszorg, Justitie in de Buurt en sturing van politie en politiewerk. Adres: Instituut voor Maatschappelijke Veiligheidsvraagstukken (ipit), Universiteit Twente, Postbus 217, 7500 AE Enschede, e-mail: j.b.terpstra@utwente.nl

    The creation of quasi-autonomous organizations has spread throughout the western world. Flanders and the Netherlands both have a longstanding tradition of putting policy execution at arms' length, thereby creating so-called voi's and zbo's respectively. This raises the question whether there are comparable trajectories, forms, developments and political considerations. By comparing the developments in both countries the authors seek an answer to this question.

    The establishment of quangos was very popular until the mid 1990s. However, in both countries a countermovement can be seen. The creation of quangos is believed to lead to problems for political control. Both governments have taken several measures to solve these issues.

    The comparison shows that there are indeed many similarities, but also reveals interesting differences. There is no comprehensive convergence between the two neighbours. These differences are the result of differences in the politico-administrative system and the institutional culture.


Koen Verhoest
Dr. Koen Verhoest is onderzoeker en projectleider aan het Instituut voor de Overheid van de Katholieke Universiteit Leuven. Hij heeft diverse publicaties op zijn naam, onder meer over de sturing van verzelfstandigde organisaties (in het Vlaams Tijdschrift voor Overheidsmanagement en met Geert Bouckaert in een boek van Yvonne Fortin), over coördinatie binnen de overheid (twee boeken bij Die Keure en Academia Press), over kerntaken tussen overheidsniveaus en tussen publieke en private actoren (twee boeken bij Academia Press en bij de Hoge Raad voor Binnenlands Bestuur). Adres: Instituut voor de Overheid, Van Evenstraat 2A, 3000 Leuven e-mail: verhoest@soc.kuleuven.ac.be

Sandra van Thiel
Dr. Sandra van Thiel is universitair docent Bestuurskunde aan de Erasmus Universiteit Rotterdam. Zij heeft diverse publicaties op haar naam over verzelfstandiging zowel over zbo's (met Van Buuren in Bestuurswetenschappen), agentschappen (met Smullen en Pollitt in b en m) als over gemeentelijke verzelfstandiging (in Beleidswetenschap). Adres: Erasmus Universiteit Rotterdam, postbus 1738, kamer M8-27, 3000 DR Rotterdam e-mail: vanthiel@fsw.eur.nl

    In the discussion about the introduction of a directly elected mayor in the Netherlands the issue of election procedures is largely ignored. Election procedures, however, are not neutral. Five different elections procedures that can be used to elect a mayor (simple majority, two round system, alternative vote, Cooms rule and the adjusted Copeland rule) are analyzed using seven different criteria (selecting majority winners, selecting condorcet winners, not selecting condorcet losers, monotonicity, strategy proofness, simplicity and costs). With respect to most of the criteria used, the adjusted Copeland score rule outperforms the other procedures mentioned.


Henk van der Kolk
Dr. Henk van der Kolk is als universitair docent Politicologie verbonden aan de faculteit Bedrijf, Bestuur en Technologie (BBT) van de Universiteit Twente. Hij publiceerde onder meer Electorale controle (1997), en samen met anderen Politieke veranderingen in Nederland 1971-1998 (2000) en Lokale kiesstelsels vergeleken (2002). In zijn onderzoek richt hij zich vooral op de relatie tussen (electorale) instituties en (politiek) gedrag. Adres: Universiteit Twente, faculteit Bedrijf, Bestuur en Technologie (BBT), leerstoel politicologie, postbus 217, 7500 AE Enschede, tel.: 053 4893281, e-mail: H.vanderkolk@utwente.nl

    Although 'integration with retention of "own" culture' has ceased to be the dominant policy principle in Dutch minority policies for quite some time now, there are still remarkably many ethnically specific policy arrangements in the Netherlands. To explain this contradiction this paper introduces an administrative mechanism: the logic of making policy categories conflicts with the logic of policy implementation. The use of 'avoidant categories' – a particular type of policy category discussed in this paper – creates an administrative opportunity structure that unintendedly promotes ethnic fragmentation instead of integration in policy implementation. We illustrate the working of this mechanism in a comparative perspective; the Netherlands is not unique in this respect and experience in other countries is instructive.


Frank de Zwart
Dr. Frank de Zwart is politiek antropoloog/bestuurskundige en verbonden aan het departement Bestuurskunde aan de Universiteit Leiden.

Caelesta Poppelaars
Drs. Caelesta Poppelaars is bestuurskundige. Zij was tot 1 februari 2004 werkzaam als stafmedewerker bij de Tijdelijke Commissie Onderzoek Integratiebeleid van de Tweede Kamer. Vanaf 1 februari 2004 is zij als aio verbonden aan het departement Bestuurskunde aan de Universiteit Leiden.

    Alfred Hirschman has analyzed consumers reactions of 'voice' and 'exit' with respect to the functioning of public and private organizations. He has argued that the value of 'voice' to articulate dissatisfaction with respect to public and private organisations is often misunderstood. Especially with respect to so-called complex goods, voice is far more fruitful to explore the norms for 'best practice' and to stimulate the improvement of the organisation than exit. Insurance might be seen as a complex good. From the perspective of Hirschman we analysed the exit- and voice options of citizens with respect to private and public health insurance. We argue that while private insurance offers more exit-options, the quality of the voice options in private insurance might be considered better. However, the opportunities to articulate disagreement or dissatisfaction on an individual level are few all together. Public health insurance does have formal channels for collective voice, but these do not result in real influence on relevant themes. With the reorganization of the Dutch welfare state, much has been invested, ideological and practical, in the increase of exit options. However, dissatisfaction often does develop when people have become ill and when they are dependent upon the insurance. In that situation they often are not able to walk out to a competing company or to perform voice. Against this background we argue that the organisation of collective voice in health insurance is very important.


Klasien Horstman
Prof.dr. Klasien Horstman is als universitair hoofddocent verbonden aan de sectie Gezondheidsethiek en Wijsbegeerte van de Universiteit Maastricht, en is bijzonder hoogleraar Filosofie en Ethiek van Bio-engi-neering aan de Technische Universiteit Eindhoven (Socrates-leerstoel) Zij publiceerde eerder over de omgang met risico's in moderne samenlevingen in Beleid en maatschappij, het Tijdschrift voor Sociale Geschiedenis, Science, Technology and Human Values, Theoretical Medicine and Bioethics en Sociology of Health and Illness. In 2001 verscheen van haar hand Public bodies, private lives. The historical construction of Life Insurance, Health Risks and Citizenship in the Netherlands 1880-1920 (Erasmus Publishing, Rotterdam). Adres: Universiteit Maastricht, faculteit der Gezondheidswetenschappen, capaciteitsgroep BEOZ, postbus 616, 6200 MD Maastricht, tel: 043 3881118, e-mail: k.horstman@zw.unimaas.nl

Jan van der Made
Drs. J.H. van der Made is als universitair docent Politicologie/Bestuurskunde verbonden aan de Capaciteitsgroep Beleid, Economie en Organisatie van Zorg van de faculteit der Gezondheidswetenschappen van de Universiteit Maastricht. Hij publiceerde onder meer over stelselwijzigingen in de zorg, privatisering en solidariteit in Bestuurskunde, International Journal of Social Welfare, Health Policy en European Journal of Public Health.
Artikel

Zorgmarkten en publieke belangen

Tijdschrift Beleid en Maatschappij, Aflevering 3 2010
Auteurs Teun Zuiderent-Jerak, Kor Grit en Tom van der Grinten
Auteursinformatie

Teun Zuiderent-Jerak
Teun Zuiderent-Jerak is universitair docent wetenschaps- en techniekonderzoek aan het instituut Beleid en Management Gezondheidszorg (iBMG) van de Erasmus Universiteit Rotterdam. Correspondentiegegevens: Dr. T. Zuiderent-Jerak Instituut Beleid en Management Gezondheidszorg (iBMG) Erasmus Universiteit Rotterdam Postbus 1738 3000 DR Rotterdam zuiderent@bmg.eur.nl

Kor Grit
Kor Grit is universitair docent beleid van de gezondheidszorg aan het iBMG.

Tom van der Grinten
Tom van der Grinten is als gasthoogleraar beleid & organisatie gezondheidszorg verbonden aan het iBMG.

Erik Schrijvers
Erik Schrijvers is verbonden aan de WRR en de Universiteit Utrecht. Correspondentiegegevens: E. Schrijvers Wetenschappelijke Raad voor het Regeringsbeleid Lange Vijverberg 4-5 2500 EA Den Haag schrijvers@wrr.nl

Erik Stam
Erik Stam is verbonden aan de Universiteit Utrecht, de WRR en de University of Cambridge.

Bart Stellinga
Bart Stellinga is verbonden aan de WRR en de Universiteit van Amsterdam.

Gerard de Vries
Gerard de Vries is verbonden aan de WRR en is hoogleraar wetenschapsfilosofie aan de Universiteit van Amsterdam.
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