Zoekresultaat: 938 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

Is Euroscepticism Contagious?

How Mainstream Parties React to Eurosceptic Challengers in Belgian Parliaments

Tijdschrift Politics of the Low Countries, Aflevering Online First 2021
Trefwoorden Euroscepticism, parliaments, party competition, Belgium, federalism
Auteurs Jordy Weyns en Peter Bursens
SamenvattingAuteursinformatie

    Euroscepticism has long been absent among Belgian political parties. However, since the start of the century, some Eurosceptic challengers have risen. This article examines the effect of Eurosceptic competition on the salience other parties give to the EU and on the positions these parties take in parliament. Using a sample of plenary debates in the federal and regional parliaments, we track each party’s evolution from 2000 until 2019. Our findings both contradict and qualify existing theories and findings on Eurosceptic competition. When facing Eurosceptic challengers, all parties raise salience fairly equally, but government and peripheral parties adopted (soft) Euroscepticism more often than other parties.


Jordy Weyns
Jordy Weyns is a recent graduate from Universiteit Antwerpen, and will soon start a PhD program at the European University Institute in Firenze.

Peter Bursens
Peter Bursens is professor of political science at Universiteit Antwerpen, at the research group Politics and Public Governance and the GOVTRUST Centre of Excellence.

    Since 2003, decentralized audit offices in the Netherlands have been authorized to investigate the regularity of the administration conducted. The definition of ‘regularity’ and the scope of the regularity investigation is not described in the law or in the literature. In this article, a regularity investigation is defined as ‘testing whether the administration has complied with applicable law’. That applicable law consists of written and unwritten rules of law, and case law. Audit offices examine regularity less often than efficiency and effectiveness. However, they have started researching it more often than in the past, according to this article. Of the administrative audit office reports in 2019, 42% contained a regularity finding, conclusion or recommendation. Accountants also investigate the regularity. They do this in the context of the annual audit and limit themselves to financial regularity. The regularity audit carried out by decentralized audit offices is broader. In addition to written legal rules, it also focuses on unwritten legal rules and case law, it is not limited to financial subjects and the investigation period can be longer than one reporting year. The findings and conclusions of the audit offices regarding the lawful unlawful actions of the administration concern the consequences for citizens and companies and the consequences for the efficiency and effectiveness of the administration’s actions.


Arjan Kok
Mr. drs. A. Kok RA is sinds 2004 werkzaam bij de Rekenkamer Metropool Amsterdam, is medeauteur van de Handreiking juridische vraagstukken van de NVRR (juli 2020) en doceert het onderdeel rechtmatigheidsonderzoek binnen de postacademische cursus Rekenkameronderzoek (Erasmus Universiteit Rotterdam).

    In recent years there has been a lot of discussion about and movement in the position of local audit offices in the Netherlands, For example, there is currently a bill to strengthen the audit offices in the Dutch House of Representatives (‘Tweede Kamer’), and in recent years there have been drastic cuts in the budgets of many local audit offices. The development of local audit offices nationally is therefore strongly determined by politics. Partly for this reason, it is wise to look beyond national borders and gain insight into the development and position of the local audit institutions in other European countries. It is striking that the majority of the regional European audit offices are not only considerably larger and perform more tasks – in addition to performance audits, they also audit the annual accounts – but also that there are considerably fewer decentralized audit offices per country. In addition, there are major differences in powers. For example, regional audit offices in France can in some cases impose fines and take certain cases to court. Despite the large differences, however, there are also many similarities between the various European decentralized audit institutions. For example, all audit offices conduct performance audits and independence is almost always properly guaranteed by law. The article concludes with a plea for the Dutch situation to be somewhat more in line with the development of the European decentralized audit institutions.


Paul Hofstra
Drs. P. Hofstra is tot 1 juni 2021 directeur/bestuurder van de Rekenkamer Rotterdam. Hij is daarnaast voorzitter van de Rekenkamer Sint Eustatius.

    Dutch municipalities and provinces have been obliged to have an audit office or audit office function for about 20 years. How does the audit office work nowadays and what contribution does it make to decentralized administration? That is the question at the center of this article. To this end, the authors list the available knowledge about audit offices or committees and present the results of their own analysis of 982 audit reports from 234 audit offices or committees from 308 Dutch municipalities. The audit office or committee has been institutionalized in the vast majority of municipalities and in all provinces. Council members are increasingly less likely to (also) be members of this board and the output has increased slightly from approximately one to an average of one and a half surveys per year. Where initially mainly business management-oriented subjects were examined, some broadening to more policy-related themes has taken place. Municipal councilors are quite satisfied with their audit office or committee. At the same time, the actual social effects of policy are rarely measured in audit institutions. Moreover, council members make little use of audit reports in controlling the municipal board, and audit offices or committees also add little to their framework-setting role. Little is known about the extent to which the research of the audit offices makes a more objective contribution to the administration and strengthening of the functioning of the municipal council, which is also a theme for future research.


Klaartje Peters
Prof. dr. K. Peters is zelfstandig onderzoeker en publicist en bijzonder hoogleraar Lokaal en regionaal bestuur aan de Universiteit Maastricht; zij is voorzitter van de Rekenkamer Venlo en rekenkamerdirecteur in Beuningen, en redactielid van Bestuurswetenschappen.

Sabine van Zuydam
Dr. S. van Zuydam is onderzoeker bij Necker van Naem en is verbonden aan de Universiteit Twente; daarnaast is zij (plaatsvervangend) voorzitter van verschillende rekenkamercommissies en redactielid van Bestuurswetenschappen.

    In the more than 15 years that decentralized audit offices have existed in the Netherlands, little attention has been paid to the research methods they use. This article focuses on how the research methods used by decentralized audit offices have developed and to what extent they use new technology. New technology has changed a lot in 15 years, which offers new possibilities for research, but also raises new questions. Based on an empirical analysis of audit reports, it can be concluded that decentralized audit offices adopt a standard approach to document and file analysis and interviews, with only limited application of innovative technology. On the basis of a theoretical exploration of the relevant literature and a simple qualitative analysis of research by the Netherlands Court of Audit and the Rathenau Institute, a framework has been developed in which the opportunities and risks of the application of new technology in decentralized audit office research are described. This can provide a handle for future application. Decentralized audit offices can use this for (more) reflection on their research methods and innovation, in order to develop to maturity while remaining young.


Ard Schilder
Dr. N.A.C. Schilder is directeur-bestuurder van de Zuidelijke Rekenkamer.

Isabelle Fest
I. Fest MA is promovendus bij de Universiteit Utrecht, waar zij onderzoek uitvoert naar de toepassing van algoritmen bij de Nationale Politie.

Erik Schurer
E. Schurer MSc is als onderzoeker verbonden aan de Zuidelijke Rekenkamer.

    The impact of audit office reports has received little attention in the scientific literature. In this article, various forms of impact have been distinguished with the help of Public Administration literature and factors that promote the use of evaluations have been distinguished. This theoretical framework was subsequently used for empirical research into the effect of audit office research. The extent to which the recommendations have had an impact was investigated in 20 Dutch municipalities with the aid of impact reports from audit institutions. Out of 176 publications, 94% of the 1216 recommendations were adopted by the city council. This means that the procedural impact is high. Of the 731 recommendations that could be checked at 17 municipalities, the local audit offices report that 58% had been fully implemented, 19% partially and 15% not or not tackled differently. The three categories of success factors from the scientific literature were visible in the practice of the audit offices. This applies most strongly to impact factors related to evaluation quality, in particular the factors related to communications standards, clear recommendations, timeliness and relevance to the decision maker. As far as research and decision-making factors are concerned, the commitment of the organization and the political climate are the most important factors for audit institutions. Finally, the involvement of stakeholders promotes the impact as a catalyst. The article concludes with practical lessons for promoting the processing of audit reports.


Sjoerd Keulen
Dr. S.J. Keulen is specialistisch adviseur bij de Algemene Rekenkamer. Daarnaast is hij extern lid van de Rekenkamer Utrecht.
Thema-artikel

‘Verzelfstandiging van overheidsdiensten’: nog altijd actueel

Wetenschappelijke reflectie op ‘Verzelfstandiging van overheidsdiensten’ (1992)

Tijdschrift Bestuurskunde, Aflevering 2 2021
Auteurs Sandra van Thiel
Auteursinformatie

Sandra van Thiel
Prof. dr. S. van Thiel is hoogleraar Publiek Management bij Bestuurskunde aan de Erasmus Universiteit en de Radboud Universiteit. Zij doet al 25 jaar onderzoek naar uitvoerings organisaties.
Thema-artikel

Over inwoners en vliegtuigen, of waarom ‘survivor-bias’ in de overheid relevanter is dan ooit

Praktijkreflectie op ‘Waarom burgers coproducent willen zijn’ (2013)

Tijdschrift Bestuurskunde, Aflevering 2 2021
Trefwoorden Participatie, Ongelijkheid, Overlevingsbias, Citizen Science, Coproductie
Auteurs Jeroen Langeslag
Auteursinformatie

Jeroen Langeslag
J.B. Langeslag, MSc is projectleider bij de gemeente Rotterdam.
Thema-artikel

Omwille van effectief toezicht

Reflecties op risico’s van een hype

Tijdschrift Bestuurskunde, Aflevering 2 2021
Auteurs P. van der Knaap, C.J.A.M. Termeer en M.J.W. van Twist
Auteursinformatie

P. van der Knaap
Ten tijde van publicatie was Dr. P. van der Knaap verbonden aan het ministerie van Financiën.

C.J.A.M. Termeer
Dr. ir. C.J.A.M. Termeer was programmamanager bij Sioo (interuniversitair centrum voor organisatie- en veranderkunde).

M.J.W. van Twist
Prof. dr. M.J.W. van Twist was bijzonder hoogleraar PPS aan de Universiteit van Nijmegen en directeur van Berenschot Procesmanagement.
Thema-artikel

Een ander toezichtsland

Wetenschappelijke reflectie op ‘Omwille van effectief toezicht’ (2002)

Tijdschrift Bestuurskunde, Aflevering 2 2021
Auteurs Ko de Ridder
Auteursinformatie

Ko de Ridder
Prof. dr. J. de Ridder is emeritus hoogleraar Bestuurskunde aan de Rijksuniversiteit Groningen.
Thema-artikel

Wat motiveert burgers tot coproductie en burgerinitiatief?

Wetenschappelijke reflectie op ‘Waarom burgers coproducent willen zijn’ (2013)

Tijdschrift Bestuurskunde, Aflevering 2 2021
Auteurs Mirjan Oude Vrielink
Auteursinformatie

Mirjan Oude Vrielink
Dr. M.J. Oude Vrielink is onderzoeker bij Oude Vrielink Dienstverlening – Partner in kennis.
Thema-artikel

Access_open Het gereedheidspotentieel van (de) Bestuurskunde

Redactionele inleiding op het jubileumnummer

Tijdschrift Bestuurskunde, Aflevering 2 2021
Auteurs Shelena Keulemans, Marieke van Genugten en Jan-Kees Helderman
Auteursinformatie

Shelena Keulemans
Dr. S.A.C. Keulemans is universitair docent Bestuurskunde aan de Radboud Universiteit en redactiesecretaris van tijdschrift Bestuurskunde.

Marieke van Genugten
Dr. M.L. van Genugten is universitair hoofddocent Bestuurskunde aan de Radboud Universiteit en redactielid van tijdschrift Bestuurskunde.

Jan-Kees Helderman
Dr. J.K. Helderman is universitair hoofddocent Bestuurskunde aan de Radboud Universiteit en redactievoorzitter van tijdschrift Bestuurskunde.
Article

The Impact of VAAs on Vote Switching at the 2019 Belgian Legislative Elections

More Switchers, but Making Their Own Choices

Tijdschrift Politics of the Low Countries, Aflevering 1 2021
Trefwoorden voting advice applications, vote switching, vote choice, elections and electoral behaviour, voters/citizens in Belgium, VAA
Auteurs David Talukder, Laura Uyttendaele, Isaïa Jennart e.a.
SamenvattingAuteursinformatie

    During electoral campaigns, the use of voting advice applications (VAAs) has become increasingly widespread. Consequently, scholars have examined both the patterns of usage and their effects on voting behaviour. However, existing studies lead to conflicting findings. In this article, we take a closer look at the effect of De Stemtest/Test électoral (a VAA developed by academics from the University of Louvain and the University of Antwerp, in partnership with Belgian media partners) on vote switching. More specifically, we divide this latter question into two sub-questions: (1) What is the impact of a (dis)confirming advice from the VAA on vote switching? (2) Do VAA users follow the voting advice provided by the VAA? Our study shows that receiving a disconfirming advice from the VAA increases the probability of users to switch their vote choice.


David Talukder
David Talukder is a PhD candidate at the Université libre de Bruxelles (ULB, Belgium). He works within the research project “Reforming Representative Democracy”. His main research interests are democratic innovations, political representation, and democratic reforms.

Laura Uyttendaele
Laura Uyttendaele is a PhD candidate at the University of Louvain (UCLouvain, Belgium). Her main research interests are Voting Advice Applications, Youth & politics, political attitudes and behaviours, and experimental methods.

Isaïa Jennart
Isaïa Jennart is a PhD candidate (Universiteit Antwerpen & VUB, Belgium) interested in public opinion, electoral campaigns, voting behaviour, Voting Advice Applications and political knowledge. He mainly studies citizens’ knowledge of parties’ issue positions.

Benoît Rihoux
Benoît Rihoux is full professor in political science at the University of Louvain (UCLouvain, Belgium). His research covers comparative methods (especially QCA) as well as diverse topics in comparative politics, political organizations and political behaviour.
Article

Access_open An Actor Approach to Mediatization

Linking Politicians’ Media Perceptions, Communication Behaviour and Appearances in the News

Tijdschrift Politics of the Low Countries, Aflevering 1 2021
Trefwoorden mediatization, politicians, news media, media perceptions, news management
Auteurs Pauline Ketelaars en Peter Van Aelst
SamenvattingAuteursinformatie

    In the light of the broader debate on the mediatization of politics, this study wants to better understand how the media perceptions and media behaviour of politicians are related to their appearances in the news. We opt for an innovative actor-centred approach to actually measure the views and actions of individual politicians. We combine surveys conducted with 142 Belgian representatives with data on politicians’ external communication behaviour and on their appearances in television news, newspapers and news websites. The results show that media behaviour is not so much related to beliefs of media importance. We do find a significant positive relationship between strategic media behaviour and media attention suggesting that politicians who put in more effort appear more often in various news media. However, this positive relationship depends on the specific form of strategic communication and the political position of the legislator. Our study adds to the mediatization literature by showing how and when politicians are successful in obtaining media attention.


Pauline Ketelaars
Pauline Ketelaars was a postdoctoral researcher of the Fonds Wetenschappelijk Onderzoek (FWO). Her main research interests are political communication and social movements.

Peter Van Aelst
Peter Van Aelst is a research professor at the department of political science at the University of Antwerp and a founding member of the research group ‘Media, Movements and Politics’ (M2P). His research focuses on political communication. Corresponding author: peter.vanaelst@uantwerpen.be.
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.
Research Note

Caretaker Cabinets in Belgium

A New Measurement and Typology

Tijdschrift Politics of the Low Countries, Aflevering 1 2021
Trefwoorden caretaker government, Belgium, cabinets, political crisis
Auteurs Régis Dandoy en Lorenzo Terrière
SamenvattingAuteursinformatie

    Belgium is probably the world’s best known case of where caretaker governments reside. Yet a clear scholarly definition and measurement of this concept is missing. Based on a detailed analysis of the Belgian federal cabinets, this research note explores the main characteristics and measures the length of the various caretaker periods. We find that Belgium was governed for no less than 1,485 days by a caretaker government between 2007 and 2020, which equals more than four full calendar years. This research note also presents a novel typology of caretaker periods based on the institutional and political practice within the Belgian legislative and executive branches. This typology can be used to assess caretaker periods at other levels of government as well as in other countries in order to improve our understanding of the many ‘faces’ that a caretaker government can take on.


Régis Dandoy
Régis Dandoy is professor in political science at the Universidad San Francisco de Quito in Ecuador and visiting research fellow and guest lecturer at the University of Brussels, Belgium. His main research interests include comparative politics, federalism, voting behaviour, election results, electronic and internet voting and election observation.

Lorenzo Terrière
Lorenzo Terrière is a PhD candidate and teaching assistant at Ghent University. His doctoral research is focused on how (regionalist) parties deal with the strategic issue of government participation.
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

Regels breken in het belang van de burger

Van rebelse leidinggevende naar rebelse professional?

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden leadership, pro-social rule breaking, red tape, purpose-driven work, professionals
Auteurs Bernard Bernards en Eduard Schmidt
SamenvattingAuteursinformatie

    The recent decentralization of many healthcare and welfare responsibilities from the national to the municipal level in the Netherlands was aimed at reducing unnecessary bureaucracy and giving discretion to the professional. However, this is not (yet) fully achieved. Therefore, calls have been made for more purpose-driven organizations. Pro-social rule breaking, which refers to acts of rule breaking motivated by the benefits that this creates for citizens, might be a way to make organizations more focused on their organizational purpose. Since little is known about the antecedents of pro-social rule breaking, this article looks at the possible effects of red tape and supportive leadership on pro-social rule breaking behavior of professionals. Based on a quantitative large-n study of professionals in the social domain, the results show that red tape significantly affects pro-social rule breaking. Stimulating leadership does not affect pro-social rule breaking behavior, which may be caused by the fact that intended leader support is not be perceived that way by the professional. The article concludes with a discussion on the desirability of rule breaking in a public sector context, followed by practical implications and further avenues for researchers.


Bernard Bernards
Bernard Bernards, MSc MA is promovendus bij het Instituut Bestuurskunde, Universiteit Leiden.

Eduard Schmidt
Dr. Eduard Schmidt is universitair docent bij het Instituut Bestuurskunde, Universiteit Leiden.
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.
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