Zoekresultaat: 127 artikelen

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    Dutch social policies are aimed at the integration and participation of all people. This creates challenges for persons with a mental vulnerability and their neighbourhoods. Five municipalities in the province of Flevoland asked us to help them improve the move from protected living to living in the neighbourhood. We used an arts-based participatory action research design and we followed ‘hot topics’, topics that sparked people’s energy and emotion, and which led to empowerment and participation. Focusing on these topics, which initially might not seem to be closely connected to the main research topic, might produce more information, and energy to take action on it, rather than rigidly sticking with the initial research topics. In this article, we focus on the first phases of the project. The emotions that people with mental vulnerabilities expressed when talking about their dogs, led us to the core of what really mattered to them in terms of inclusive living and participation. The dog functioned as an unexpected ‘hot topic’. In a symbolic sense, ‘the dog’ stands for a diverse range of lifeworld topics that can act as a creative catalyst for social change.

    Vooraf

    Participatief actieonderzoek en responsieve evaluatie staan volop in de belangstelling bij beleidsmakers en onderzoekers. Dit type beleidsonderzoek en -evaluatie beoogt democratisch, inclusief én impactvol te zijn. Het gaat om onderzoek mét in plaats van óver mensen. En het is actiegericht: onderzoek wil bijdragen aan concrete oplossingen door met betrokkenen gezamenlijke (verbeter)acties te ontwikkelen in de praktijk, en daarop te reflecteren en van te leren. Dit alles met het oog op sociale inclusie. Het zijn mooie idealen, maar wat betekent dit in de alledaagse, vaak weerbarstige onderzoekspraktijk?

    Op 20 januari 2020 organiseerde prof. Abma daarover een symposium, getiteld ‘Responsive, Participatory Research: Past, Present and Future Perspectives’ (Vrije Universiteit, Amsterdam). De rode draad op het symposium was de vraag wat goed en ethisch verantwoord participatief onderzoek is, en wat dit vraagt van onderzoekers en beleidsmakers. Drie lezingen op deze conferentie zijn nadien omgewerkt tot essays om lezers van Beleidsonderzoek Online vanuit verschillende perspectieven beter kennis te laten maken met deze vorm van onderzoek:

    Prof. Weerman en haar team focussen in hun bijdrage op het zich in de praktijk ontwikkelende onderzoeksdesign en het inzetten van creatieve methoden om participatie te bevorderen. Ze gaan na welke kwaliteitscriteria aan participatief actieonderzoek worden gesteld en hechten daarbij met name aan eisen ten aanzien van participatie, samen leren en verschil maken (zie BoO juli 2021). Ze benadrukken het belang van creativiteit en flexibiliteit.

    Prof. Abma bespreekt in haar artikel de normatieve dimensies en de ethiek van participatief actieonderzoek (zie BoO september 2020). Ze illustreert met een voorbeeld uit de crisishulpverlening aan GGZ-cliënten dat participatief actieonderzoek niet slechts een methodisch-technische exercitie is, maar een sociaal-politiek proces waarbij bestaande machtsverhoudingen verschuiven om ruimte te geven aan nieuwe stemmen en kennis. Dit omvat het zien van en stilstaan bij ethisch saillante dilemma’s en morele reflectie.

    De bijdrage van prof. Cook (zie BoO februari 2021) gaat over de weerbarstige praktijk van participatief actieonderzoek. Het doel is samen leren en voorbij geijkte oplossingen komen. Zij laat zien dat dit uitdagend is voor professionals die geconfronteerd worden met burgers die feedback geven en vragen om het (deels) loslaten van vaststaande professionele kaders. Er ontstaat dan ongemak en onzekerheid, maar zo beoogt en laat Cook overtuigend zien, deze ‘mess’ (niet meer goed weten wat goed en nodig is) is productief om te komen tot hernieuwde inzichten en innovaties.

    (Introductietekst opgesteld door prof. T. Abma)


Alie Weerman
Alie Weerman is professor of Mental Health and Society at Windesheim University of Applied Sciences. Her PhD focused on the use of experiential knowledge of professional social workers and caretakers. She practices Participatory Health Research in several organizations in healthcare and social work. She always uses experiential knowledge as a valuable ‘third source of knowledge’ in the process and results of studies.

Rosalie Metze
Rosalie Metze is associate professor of Mental Health and Society at Windesheim University of Applied Sciences. Her expertise lies in topics such as outreach work, experiential knowledge, self-efficacy, and strengthening the voice of those less heard. Her goal is to always work according to the PAR principles, and gain the necessary acknowledgement for this type of research.
Article

Interest Representation in Belgium

Mapping the Size and Diversity of an Interest Group Population in a Multi-layered Neo-corporatist Polity

Tijdschrift Politics of the Low Countries, Aflevering 1 2021
Trefwoorden interest groups, advocacy, access, advisory councils, media attention
Auteurs Evelien Willems, Jan Beyers en Frederik Heylen
SamenvattingAuteursinformatie

    This article assesses the size and diversity of Belgium’s interest group population by triangulating four data sources. Combining various sources allows us to describe which societal interests get mobilised, which interest organisations become politically active and who gains access to the policy process and obtains news media attention. Unique about the project is the systematic data collection, enabling us to compare interest representation at the national, Flemish and Francophone-Walloon government levels. We find that: (1) the national government level remains an important venue for interest groups, despite the continuous transfer of competences to the subnational and European levels, (2) neo-corporatist mobilisation patterns are a persistent feature of interest representation, despite substantial interest group diversity and (3) interest mobilisation substantially varies across government levels and political-administrative arenas.


Evelien Willems
Evelien Willems is a postdoctoral researcher at the Department of Political Science, University of Antwerp. Her research focuses on the interplay between interest groups, public opinion and public policy.

Jan Beyers
Jan Beyers is Full Professor of Political Science at the University of Antwerp. His current research projects focus on how interest groups represent citizens interests and to what extent the politicization of public opinion affects processes of organized interest representation in public policymaking.

Frederik Heylen
Frederik Heylen holds a PhD in Political Science from the University of Antwerp. His doctoral dissertation addresses the organizational development of civil society organizations and its internal and external consequences for interest representation. He is co-founder and CEO of Datamarinier.
Artikel

Rebel-leren: hoe een rebelse sector tot lerend verantwoorden komt

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden quality of care, rebels, accountability, organization/sector learning
Auteurs Annemiek Stoopendaal en Wilma van der Scheer
SamenvattingAuteursinformatie

    Healthcare is often dominated by the curative domain. Yet, for a new way of improving of and accounting for quality of care, we have to shift our focus to the care for people with disabilities. Since long, quality of care is translated into performance indicators and standards. This reductive way of measuring quality was pursued for the entire healthcare sector. Where this might fit in with hospital care, it was experienced as constraining in care for the disabled. In this sector it was seen as a poor representation of the plurality of healthcare provision. A number of ‘quality rebels’ aimed to create a more suitable and rich Quality Framework for the sector, with attention for objective, subjective and intersubjective dimensions of care. In this article, we analyze the way in which the sector has realized this aim, and we show how this rebellious sector succeeded in transforming the idea of accountability for quality of care, by emphasizing on the reflection and learning processes that take place at all levels of the sector, and beyond. A new approach which requires a continuous cycle of disrupting, creating, and maintaining institutionalized patterns of thinking and doing. It requires ‘rebel learning’.


Annemiek Stoopendaal
Dr. Annemiek Stoopendaal is organisatieantropoloog en universitair docent/senior onderzoeker, Erasmus School of Health Policy & Management, sectie Health Care Governance aan de Erasmus Universiteit Rotterdam.

Wilma van der Scheer
Dr. Wilma van der Scheer is gezondheidswetenschapper, directeur van het Erasmus Centrum voor Zorgbestuur en leider van de academische werkplaats zorgbestuur, Erasmus Centrum voor Zorgbestuur aan de Erasmus Universiteit Rotterdam.
Artikel

Rebellerende zorgprofessionals

Improviseren met regels, passie en verantwoording

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden healthcare rebels, administrative burden, quality of care, etnography, accountability
Auteurs Iris Wallenburg, Hester van de Bovenkamp, Anne Marie Weggelaar-Jansen e.a.
SamenvattingAuteursinformatie

    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.


Iris Wallenburg
Dr. Iris Wallenburg is universitair hoofddocent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Hester van de Bovenkamp
Dr. Hester van de Bovenkamp is universitair hoofddocent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Anne Marie Weggelaar-Jansen
Dr. Anne Marie Weggelaar-Jansen, MCM is universitair docent, sectie Health Services Management and Organization, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Roland Bal
Prof.dr. Roland Bal is hoogleraar beleid en bestuur van de gezondheidszorg, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Marianne van Bochove
Dr. Marianne van Bochove is universitair docent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam en senior onderzoeker aan De Haagse Hogeschool.

Katja Rusinovic
Dr. Katja Rusinovic is lector grootstedelijke ontwikkeling, faculteit Bestuurskunde, Recht & Veiligheid aan De Haagse Hogeschool.

Suzanna Koops-Boelaars
Suzanna Koops-Boelaars, MSc, is promovendus, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

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


Fabian Dekker
Dr. Fabian Dekker is projectleider en senior onderzoeker arbeidsmarkt bij SEOR en redactielid van Beleid en Maatschappij.
Artikel

Hoe SyRI het belang van transparantie ­onderstreept

Tijdschrift Beleid en Maatschappij, Aflevering 3 2021
Trefwoorden SyRI, digitisation, transparency, trust, ICT
Auteurs Tosja Selbach en Barbara Brink
SamenvattingAuteursinformatie

    The Dutch digital fraud detection system SyRI was announced to set up to detect social security fraud quickly and effectively and by doing so, maintain support for the social security system. It was the formal position that for the sake of effectiveness, no information about the algorithm and very limited information about the application of the system should be shared. The authors argue on the basis of a policy analysis, a legal exploration and a literature study that the lack of transparency about the chosen method and the application of the digital fraud detection system in social security can have far-reaching consequences for both the individual and society . The information sharing and the use of algorithms can lead to suspicion of and declining confidence in the government, and a reduced motivation to comply with the prevailing rules. This could undermine the original purpose.


Tosja Selbach
Mr. Tosja Selbach is voormalig LLM-student governance and law in digital society, Rijksuniversiteit Groningen.

Barbara Brink
Dr. Barbara Brink is postdoc-onderzoeker socialezekerheidsbeleid, vakgroep Staatsrecht, Bestuursrecht en Bestuurskunde aan de Rijksuniversiteit Groningen.

    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.


Dr. Marieke van Wieringen
Dr. Marieke van Wieringen is postdoc onderzoeker bij de Vrije Universiteit, afdeling Organisatiewetenschappen.

Prof. dr. Henk Nies
Prof. dr. Henk Nies is bijzonder hoogleraar organisatie en beleid van zorg aan de Vrije Universiteit, afdeling Organisatiewetenschappen, en directeur Strategie & Ontwikkeling bij Vilans.
Artikel

De invloed van contractuele en relationele aspecten op stakeholdermanagement

Een casusstudie van de A9 en A16 DBFM-infrastructuurprojecten

Tijdschrift Beleid en Maatschappij, Aflevering 1 2021
Trefwoorden infrastructure projects, public-private partnerships, contractual governance, relational governance, stakeholder management
Auteurs Sander Philips MSc, Ir. Bert de Groot en Dr. Stefan Verweij
SamenvattingAuteursinformatie

    In the past decade, large infrastructure projects in the Netherlands have often been implemented through Public-Private Partnerships (PPPs), specifically using Design-Build-Finance-Maintain (DBFM) contracts. While the decision to implement projects through PPPs is based on expected advantages for internal parties – the public and private partners in the PPP –, there is a call for more focus on the advantages and disadvantages of PPPs for external stakeholders. External stakeholder management in DBFM projects is based on a contractual division of risks and responsibilities between the partners. However, it is clear from the literature that the contract does not guarantee successful stakeholder management. Relational aspects are important. Little research has been done, however, into the interplay of contractual and relational aspects in achieving successful stakeholder management. This article addresses this research need. A comparative case study was conducted into the PPP projects A9 Gaasperdammerweg and A16 Rotterdam. The study first shows that sanctions, when combined with a relational approach, have a positive effect on the relationships with stakeholders. Second, external stakeholder management cannot be simply outsourced to the private partner and continuous involvement of the public partner is important for success.


Sander Philips MSc
Sander Philips MSc volgde op het moment van schrijven de double degree master Environmental and Infrastructure Planning (Rijksuniversiteit Groningen) en Water and Coastal Management (Universität Oldenburg). Inmiddels is hij afgestudeerd.

Ir. Bert de Groot
Ir. Bert de Groot is senior adviseur projectbeheersing bij Rijkswaterstaat, ministerie van Infrastructuur en Waterstaat, en external PhD bij de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie.

Dr. Stefan Verweij
Dr. Stefan Verweij is universitair docent infrastructuurplanning, governance en methodologie aan de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie.
Vrij artikel

Duwtjes of druk?

De percepties van zorgprofessionals aangaande ‘nudging’ in ziekenhuizen

Tijdschrift Bestuurskunde, Aflevering 4 2020
Trefwoorden nudging, ethics, autonomy, healthcare, professionals
Auteurs Nienke Maria Huis in ’t Veld MSc, Rosanna Nagtegaal MSc en Prof. dr. Mirko Noordegraaf
SamenvattingAuteursinformatie

    ‘Nudging’ has been introduced as a policy and management tool as a way to influence behaviour without limiting choice. Nudging is mainly used to influence citizens’ behaviour but can also be used to influence the behavior of healthcare professionals. Examples include posters used to improve hand-hygiene compliance, or ‘default’ options in systems to reduce excessive prescriptions of specific medication. However, using nudges raises major worries and ethical issues, also in relation to the independence of healthcare professionals. While the scientific discussion about the desirability of nudges is extensive, the voices of healthcare professionals, who are the subjects of nudges, remain unheard. In this qualitative research we explore the perceptions of nudging held by various healthcare professionals. The interviews reveal that healthcare professionals are generally unfamiliar with the concept of nudging, but they do recognize nudges in their own field of practice. Furthermore, while they are predominantly positive about nudging, they also express concerns about the pressure on their autonomy. These concerns are related to changing professionalism and regulatory pressures in healthcare.


Nienke Maria Huis in ’t Veld MSc
N.M. Huis in ’t Veld, MSc is alumna aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.

Rosanna Nagtegaal MSc
R. Nagtegaal, MSc is promovenda aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.

Prof. dr. Mirko Noordegraaf
Prof. dr. M. Noordegraaf is hoogleraar Publiek Management aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.
Kroniek

Proeftuinen zonder wij

Tijdschrift Bestuurskunde, Aflevering 3 2020
Trefwoorden integrated care, policy integration, collaborative governance, distributed leadership, magic concepts
Auteurs Dr. Duco Bannink
SamenvattingAuteursinformatie

    This article is a review of two policy documents on integrated care in the Netherlands. I argue that not a shared definition of ‘integrated care,’ but instead the own factual understandings of care and normative preferences, values or interests concerning care motivates the action of actors that need to produce integrated care. Not the network-level problem, but instead actor-level motivations explain to what extent integrated care is effectuated. The policy documents, but also important segments of the literature on policy integration seem to underestimate this problem.


Dr. Duco Bannink
Dr. D.B.D. Bannink is werkzaam als Associate Professor of Public Administration and Organisation Science bij het Talma Institute, Vrije Universiteit Amsterdam.

Dr. Rik Reussing
Dr. G.H. Reussing is onderwijscoördinator van de joint degree Public Governance across Borders aan de Universiteit Twente en redactiesecretaris van Bestuurswetenschappen.
Reflectie & debat

Rechten voor dieren

Tijdschrift Beleid en Maatschappij, Aflevering 3 2020
Trefwoorden Animal rights, Constitution, Representation, Fairness, Nonhuman Rights
Auteurs Dr. Erno Eskens
SamenvattingAuteursinformatie

    Animals Rights are sometimes seen as unpractical. Some critics expect they will result in an overwhelming bureaucracy. Furthermore, critics point out, it is impossible to make legal arrangements that are coherent and non-contradictory. Most of these concerns are exaggerated. We do not have to devise a whole new legal system. We just need a couple of court cases to get legal clarity and many laws originally meant for humans are easily applicable to other living beings. Keeping animals out of our legal systems meanwhile goes against the constitution. In most democratic countries the constitution states that we may not discriminate on irrelevant factors as race, gender, birth, ‘or on any other ground’. This implies, in my view, that discrimination based on species is not allowed. Equal interests simply should be weighed equal, regardless of the bearer of these interests.


Dr. Erno Eskens
Dr. Erno Eskens is uitgever filosofie en geschiedenis bij Boom Uitgevers Amsterdam.
Artikel

Het prestatievoordeel van publiek-private samenwerking

Een analyse van transportinfrastructuurprojecten in Nederland

Tijdschrift Beleid en Maatschappij, Aflevering 3 2020
Trefwoorden Public-Private Partnerships (PPPs), Cost Performance, Time Performance, Netherlands, Principal-Agent Relationships
Auteurs Dr. Stefan Verweij, Dr. Ingmar van Meerkerk en Prof. dr. ir. Wim Leendertse
SamenvattingAuteursinformatie

    Compared to regular contracts, infrastructure development and management through Public-Private Partnerships (PPPs) is expected to lead to better cost and time performance. However, the evidence for this performance advantage of PPPs is lacking. This article analyzes the performance differences of projects with a Design-Build-Finance-Maintain (DBFM) contract (a type of PPP) and a Design-and-Construct (D&C) contract. Project performance data were collected (N = 65) from the Project Database of Rijkswaterstaat and analyzed using non-parametric tests. Rijkswaterstaat is the executive agency of the Ministry of Infrastructure and Water Management. The results show that DBFM-projects have a significantly higher cost performance than D&C-projects. In particular, DBFM-projects have less additional costs related to technical necessities in the implementation phase. Regarding time performance, DBFM-projects seem to perform better although the difference with D&C-projects is not statistically significant. The article discusses explanations for the performance advantage of PPPs, rooted in principal-agent theory. From this discussion, an agenda is presented for further research into the performance advantage of Public-Private Partnerships.


Dr. Stefan Verweij
Dr. Stefan Verweij is universitair docent infrastructuurplanning, governance en methodologie aan de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie.

Dr. Ingmar van Meerkerk
Dr. Ingmar van Meerkerk is universitair docent bestuurskunde aan de Erasmus Universiteit Rotterdam, School of Social and Behavioural Sciences, afdeling Bestuurskunde.

Prof. dr. ir. Wim Leendertse
Prof. dr. ir. Wim Leendertse is bijzonder hoogleraar management in infrastructuurontwikkeling aan de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie. Ministerie van Infrastructuur en Waterstaat, Rijkswaterstaat, Grote Projecten en Onderhoud.
Thema-artikel

Gezag volgens een doorgewinterde tussenpaus

Interview met gemeentesecretaris Boudewijn Marinussen

Tijdschrift Bestuurskunde, Aflevering 2 2020
Trefwoorden authority, municipal secretary, local governance, sources of authority, loss of
Auteurs Drs. Gerard van Nunen
SamenvattingAuteursinformatie

    Boudewijn Marinussen feels right at home working in local governance. He has a deep understanding of the balancing act required by the municipal secretary due to his rich experience in local governance. Marinussen’s work as an entrusted person at the Association of Municipal Secretaries entails being a voice for his colleagues’ opinions. In this interview he will ponder the following questions: which sources of authority are essential? What causes a loss in authority, and can this loss be recommended? On the basis of Marinussen’s direct personal experience in local governance and his experience as an entrusted person, he concludes that in cases where authority is coming under pressure, too little is done to ensuring a fast recovery of authority. His advice would be to start earlier with conversations that quicken the healing process.


Drs. Gerard van Nunen
Drs. G.P.M. van Nunen is bestuurskundige en werkt als projectleider en onderzoeker bij onderzoeks- en kennisinstituut Stichting Beroepseer. Hij werkt aan publicaties, onderzoeken en bijeenkomsten over professionaliteit en gezag in de (semi)publieke sector.
Wel beschouwd

Vijftig tinten ‘wij’

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2020
Auteurs Prof. mr. Geerten Boogaard
Auteursinformatie

Prof. mr. Geerten Boogaard
Prof. mr. G. Boogaard is bijzonder hoogleraar Decentrale Overheden (Thorbecke-leerstoel) aan de Universiteit Leiden en redactielid van Bestuurswetenschappen.
Thema-artikel

Kritisch bestuurskundig onderwijs

Een pleidooi voor productieve subversiviteit

Tijdschrift Bestuurskunde, Aflevering 1 2020
Trefwoorden Public Administration, critical theory, education, subversive
Auteurs Dr. Mark van Ostaijen en Dr. Shivant Jhagroe
SamenvattingAuteursinformatie

    By analysing the current self-presentation of educational programs, this article problematizes the dominating instrumental knowledge within Public Administration. By foregrounding ‘productive subversion’, the authors provide a perspective on more reflexive types of knowledge and methods, to re-value educational programs within Public Administration.


Dr. Mark van Ostaijen
Dr. M.A.C. van Ostaijen is universitair docent aan het Departement Bestuurskunde en Sociologie van de Erasmus Universiteit Rotterdam.

Dr. Shivant Jhagroe
Dr. S. S. Jhagroe is universitair docent aan het Instituut Bestuurskunde, Faculty of Governance and Global Affairs, Universiteit Leiden.

Yvonne La Grouw MSc
Yvonne La Grouw MSc is lid van de redactie van Beleid en Maatschappij.
Thema-artikel

Access_open Onafhankelijk onderzoek in positie, oordeelsvorming en beeldvorming

Institutionele en professionele dimensies van ‘speaking truth to power’

Tijdschrift Bestuurskunde, Aflevering 4 2019
Trefwoorden Independent Research, Policy Evaluation, Organisational Culture, Public Policy, Quality Management
Auteurs Dr. Peter van der Knaap, Dr. Meike Bokhorst en Dr. Yvonne Kleistra
SamenvattingAuteursinformatie

    Regularly, doubts about the independence of research leads to heated discussion. This is especially true if things have gone wrong. This issue explores the question how research organizations and researchers can defend themselves against improper influence: the conscious and active pursuit of too positive research results by commissioners or government officials. This article outlines a number of dimensions of how establishing good, independent research can be structured in a systematic and sensible manner. Independent inquiry manifests itself in position, judgment, and appearance or image. Institutional safeguards form the basis for professional roles and responsibilities that can fulfill the requirements of independent research in the political arena.


Dr. Peter van der Knaap
Dr. P. van der Knaap is directeur-bestuurder van SWOV, voorzitter van Vide en redactielid van Bestuurskunde.

Dr. Meike Bokhorst
Dr. A.M. Bokhorst is onderzoeker bij de Wetenschappelijke Raad voor het Regeringsbeleid en bij de Universiteit Utrecht.

Dr. Yvonne Kleistra
Dr. Y. Kleistra is universitair docent aan de Universiteit Leiden en redactielid van Bestuurskunde.
Thema-artikel

Onafhankelijk onderzoek in het biomedische gebied

Tijdschrift Bestuurskunde, Aflevering 4 2019
Trefwoorden Medical research, independent research, pharmaceutical research, pharmaceutical industry, conflict of interest
Auteurs Prof. dr Frits R. Rosendaal
SamenvattingAuteursinformatie

    The author discusses the practices, problems and pitfalls research in the biomedical field with regard to conflicts of interests. Medicines are not ordinary products: the exclusive right to prescribe lies with the doctor, and because of the potentially life-saving nature of medicines, their use, price and availability is surrounded by emotions, especially when there is only one medicine available for a serious illness. Nonetheless, these products are marketed by companies that have a primarily commercial interest and, on the basis of those interests, engage in pricing and advertising activities. In the research on medicines, there is close cooperation between the pharmaceutical industry and doctor-researchers, whereby independence is at stake due to the large financial interests and reimbursements. This pushes the design, outcome and publication of research in a direction that is favorable to the pharmaceutical industry, but that is not financially the best direction for society, or medically for patients.


Prof. dr Frits R. Rosendaal
Prof. dr F.R. Rosendaal is hoogleraar en afdelingshoofd Klinische Epidemiologie in het Leids Universitair Medisch Centrum (LUMC). Hij doet onderzoek naar oorzaken van hart- en vaatziekten. In 2003 ontving hij de Spinozaprijs, de hoogste wetenschappelijke prijs in Nederland. Hij is gekozen lid van de Koninklijke Nederlandse Akademie van Wetenschappen en van de Duitse Akademie Leopoldina. In 2011 ontving hij een eredoctoraat van de Universiteit van Parijs Descartes.
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