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

Bureaucracy and ‘red tape’ are seen as a main annoyance in healthcare practice. ‘Rules’ like guidelines and performance indicators would withdraw professionals from their real work, that is, helping patients. However, rules may also improve quality of care if they foster high quality practices. In this research, we explore how healthcare rebels deal with rules in their everyday work: how rebels ignore, engender and bend rules to build new environments for doing good care. Drawing on ethnographic research in three hospitals in the Netherlands (2017-2018), we reveal how rebels build and care for clinical microsystems containing their own clinical unit and related contexts (e.g. pharmaceutical suppliers, ICT companies, primary care) to evoke alternative and situated practices of good care delivery – i.e. focusing on quality of life and person-centred care. Rebels enact mechanisms of decoupling and recoupling to disconnect rules that embark on good care in specific patient situations, and build new routines that foster good care. However, such caring practices are hard to generalize as they often occur ‘under the radar’ and hence remain hardly noticed to the outside world. We argue that through revising accounting processes, and paying more attention to narratives of good care, more convenient quality systems could be found.

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

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

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

Both education and housing are highly regulated sectors in the Netherlands. According to various stakeholders, regulations and formal and informal rules hinder the development of new initiatives aimed at providing attention to personal needs and wishes of children (in education) and older people (in housing). This article focuses on founders of initiatives in both sectors that, despite institutional obstacles, dare to do things differently. We adopt a rebellion perspective, which focuses on how individual and collective actors aim to create favorable circumstances for providing better services, even if this means they have to disrupt existing institutions. In-depth interviews were conducted with 22 founders of rebellious initiatives in education and housing for older people. According to the founders, what makes them different from others is having a dream, learning by doing, and critically assessing rules and regulations. Founders in both sectors not only interpret rules differently, but also try to change them. In order to do so, they need supportive internal and external contexts, which they create through personal contacts and social media. Although rebellion in both sectors has many similarities, sector-specific institutional settings and past events do shape its appearance.

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

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

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

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

This editorial offers an introduction to the current issue.

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

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

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

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’ frames the framers, politicizes the status quo and articulates what is not heard of.

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

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

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

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