Zoekresultaat: 14 artikelen

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    In this editorial the former chief-editor Bas Denters and the new chief-editor Marcel Boogers of this magazine ‘Bestuurswetenschappen’ (the Dutch word for Administrative Sciences) are interviewed on the occasion of changing the guard. This change is a good opportunity to highlight the views of both prominent figures on developments in public administration, in local and regional government, as well as on the role and significance of our magazine. With its new chief-editor, it is entering a new period. The third decade of the new millennium will prove to be just as unsettled, and possibly even more turbulent, as the previous period. Social developments are unfolding rapidly. Public Administration must provide answers to these developments, but also act as a guide. Not from an inapproachable seat, but from a position that puts local and regional government in the midst of citizens and private initiatives.


Prof. dr. Nico Nelissen
Prof. dr. N.J.M. Nelissen is emeritus hoogleraar aan de Radboud Universiteit Nijmegen, redactielid en oud-hoofdredacteur van Bestuurswetenschappen.

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.
Serie

Ambitieuze en ambivalente vernieuwing van de lokale democratie in Nederland

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2019
Auteurs Dr. Linze Schaap, Prof. dr. Frank Hendriks, Dr. Niels Karsten MA e.a.
SamenvattingAuteursinformatie

    In this article in the series on the local democratic audit, the authors argue that municipal democracy in the Netherlands has become a multiple democracy. Within the formal framework of representative democracy, numerous democratic arrangements have emerged that may be referred to as participatory, direct and also what the authors call ‘do-democracy’. Additions to representative democracy did not come without reason: representative democracy is not a perfect system, either in theory or in practice. Efforts have been made to improve the functioning of representative democracy in a number of ways. Three of these are discussed in this article. The authors note that these three reforms do not solve the problems in representative democracy. So the Dutch municipalities have started looking for additions to representative democracy. In this article various forms of participatory, do-it-yourself and direct democracy are discussed. Many effects of these reforms are still unknown and knowledge about them has crumbled, but one conclusion can be drawn: people with a low education are not inclined to take part, even with arrangements that are easily accessible. Striving for a more vital local democracy seems meaningful; the authors formulate a number of ways of thinking about this.


Dr. Linze Schaap
Dr. L. Schaap is universitair hoofddocent aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg.

Prof. dr. Frank Hendriks
Prof. dr. F. Hendriks is hoogleraar bestuurskunde aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg.

Dr. Niels Karsten MA
Dr. N. Karsten MA is universitair docent aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg.

Dr. Julien van Ostaaijen
Dr. J.J.C. van Ostaaijen is universitair docent aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg en voorzitter van de Rekenkamercommissie in de gemeente Zundert.

Charlotte Wagenaar MSc.
C.C.L. Wagenaar MSc is onderzoeker bij de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg.
Artikel

Naar bestuursgericht toezicht in de zorg: een zoektocht naar passendheid

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden healthcare governance, management-oriented regulation, experimenting, recoupling, reflective regulation
Auteurs Dr. Annemiek Stoopendaal en Dr. Hester van de Bovenkamp
Samenvatting

    In this article, we discuss how regulation of governance in healthcare has been shaped over the past decade. We describe the presuppositions under this movement. Searching and balancing was needed to meet the complexity of care management. This has to do with the fact that the external pressure on the regulator after incidents is high. Due to this pressure, it is necessary to constantly ensure that management-oriented regulation does not narrow to the supervision on the actor with final responsibility. The regulation of good governance requires reflectivity of the inspectors and is aimed at stimulating recoupling between management and shop floors. This requires space for experimentation for both managers and inspectors. To provide this space, we do not only need a political and social debate about the quality of care and its management, but also attention and appreciation for the difficult considerations of organizing care.


Dr. Annemiek Stoopendaal

Dr. Hester van de Bovenkamp
Artikel

Access_open Van toezicht op kwaliteit naar toezicht op bestuur

Ontwikkeling van bestuursgericht toezicht in semipublieke sectoren

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden Inspection, Governance, Semipublic sector, Quality improvement, Opportunities and risks
Auteurs Dr. Meike Bokhorst, Dr. Marieke van Genugten, Dr. Mirjan Oude Vrielink e.a.
Samenvatting

    In Dutch semi-public sectors of education, healthcare, and housing there is a tendency towards governance based inspection. The attention of inspectorates shifts from inspection on minimum quality standards to inspection on governance based quality improvement. The aim of this special issue is to learn more about the opportunities and risks of governance based inspection. The survey and sector articles show that governance based inspection (1) puts the responsibility of governors to stimulate quality on the agenda, (2) makes governors more aware of the quality targets they want to achieve within their organisations, and (3) has a deregulating effect. However, the risks are (1) reregulation via sector norms, (2) a lack of reality checks, and (3) a narrow focus on governors instead of the quality of public services. Consequently, inspectors have to learn new skills and competences. All in all, governance based inspection can complement but not replace other ways of inspection.


Dr. Meike Bokhorst

Dr. Marieke van Genugten

Dr. Mirjan Oude Vrielink

Prof. dr. Thomas Schillemans
Reflectie & debat

Empathisch bestuur als politiek statement

Tijdschrift Beleid en Maatschappij, Aflevering 4 2018
Trefwoorden discretionaire ruimte, cultuurverandering, empathie, morele oordeelsvorming, moreel beraad
Auteurs Dr. mr. Hans Bosselaar
SamenvattingAuteursinformatie

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


Dr. mr. Hans Bosselaar
Dr. mr. Hans Bosselaar is als senior onderzoeker en academisch manager verbonden aan de afdeling Bestuurswetenschap en Politicologie van de Vrije Universiteit Amsterdam.
Artikel

Waarderen of veroordelen?

De betekenis van kritische burgers die niet meepraten voor lokale participatieprocessen

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2018
Auteurs Drs. Christine Bleijenberg, Prof. dr. Noëlle Aarts en Dr. Reint Jan Renes
SamenvattingAuteursinformatie

    To be able to realize the ambitions of citizen participation, diversity of participants is a crucial condition. At the same time excluding groups of citizens, amongst them critical citizens, is inextricably linked with citizen participation. In this article in the series ‘Local democratic audit’, the authors wonder what the exclusion of critical citizens means for the process and outcome of citizen participation. Through two empirical studies during a spatial intervention in different municipalities in the Netherlands, they investigated how people involved in a participation process spoke about critical citizens and their manifestations. The results show that the way these critical citizens are discussed either legitimizes exclusion or questions it critically. The legitimization of exclusion is detrimental to the support for spatial intervention. The problematization of exclusion results in a responsive approach to critical citizens, which is beneficial for both the course of the participation process and for the support for the spatial intervention.


Drs. Christine Bleijenberg
Drs. C. Bleijenberg is promovendus aan de Radboud Universiteit Nijmegen en is verbonden aan het lectoraat Crossmediale Communicatie in het Publieke Domein van de Hogeschool Utrecht.

Prof. dr. Noëlle Aarts
Prof. dr. M.N.C. Aarts is hoogleraar Socio-Ecological Interactions aan het Institute for Science in Society (ISiS) van de Radboud Universiteit Nijmegen.

Dr. Reint Jan Renes
Dr. R.J. Renes is lector Crossmediale Communicatie in het Publieke Domein aan de Hogeschool Utrecht en universitair hoofddocent aan de Wageningen Universiteit.

    The often gloomy analyses of democratic representation at the local level are frequently directed at the problems with parties and elections. Direct participation is not a good alternative because only certain people who are already politically active use it. However, with the help of the concept ‘representative claim’ and based on two qualitative case studies of decentralizations in the social domain, the authors show that there are other representative people besides elected politicians. These self-appointed, non-elected representatives may advocate on behalf of vulnerable groups who themselves do not have a strong voice in politics. In addition this study shows that elected representatives, like political parties and local counselors, can strengthen their representative role by: (1) cooperating better with the non-elected representatives, (2) highlighting their representational claims and the basis of these claims, and (3) strengthening their responsiveness towards their support base through authorization and other accountability structures other than elections. In this way the democratic representation in municipalities is reinforced and may be stronger than the often gloomy analyses suggest.


Dr. Hester van de Bovenkamp
Dr. H.M. van de Bovenkamp is universitair hoofddocent aan het instituut Beleid & Management Gezondheidszorg (iBMG) aan de Erasmus Universiteit Rotterdam.

Dr. Hans Vollaard
Dr. J.P. Vollaard is universitair docent Nederlandse en Europese politiek binnen het Instituut Politieke Wetenschap van de Universiteit Leiden.
Artikel

Hoe staat de lokale democratie in Nederland ervoor?

Tijdschrift Bestuurs­wetenschappen, Aflevering 4 2016
Auteurs Prof. dr. Klaartje Peters en Drs. Vincent van Stipdonk
SamenvattingAuteursinformatie

    Is local democracy in the Netherlands equipped for its mission? There is confusion and disagreement about the answer to this question. How people assess existing democratic practices is strongly influenced by one of the three main perspectives: representative democracy, participative (deliberative) democracy or ‘do-democracy’ (associative democracy). But to be able to have this discussion in the first place, empirical knowledge is required about the state of democracy at the local level. In this article (apart from the introduction, the first in a series on the local democratic audit) the authors bring together the available research data and organize these data with the help of David Easton’s system model: from input of citizens and civil society via throughput to output and finally feedback again in the political system. The research presented offers some insight in the state of local democracy, although it is not possible to give a final assessment. That depends on the perspective on democracy chosen, but it is also not possible because of the fragmented and incomplete nature of the research on local democracy in the Netherlands. The authors advocate contributing to these discussions with more empirical knowledge. The overview in this article shows that there is work to be done in this respect.


Prof. dr. Klaartje Peters
Prof. dr. K. Peters is zelfstandig onderzoeker en publicist en voor één dag in de week bijzonder hoogleraar Lokaal en regionaal bestuur aan de Universiteit Maastricht.

Drs. Vincent van Stipdonk
Drs. V.P. van Stipdonk is zelfstandig Raadgever & Redacteur en tevens redacteur van Bestuurswetenschappen.
Artikel

Waarom zorgorganisaties in Nederland fuseren

Tijdschrift Bestuurskunde, Aflevering 3 2016
Trefwoorden merger motives, healthcare executives, health policy, healthcare reform, healthcare mergers
Auteurs Dr. Jeroen Postma en Anne-Fleur Roos MSc.
Samenvatting

    In many OECD countries, healthcare sectors have become increasingly concentrated as a result of mergers. However, detailed empirical insight into why healthcare providers merge is lacking. Also, we know little about the influence of national healthcare policies on mergers. We fill this gap in our knowledge by analyzing the results of a survey study among Dutch executives about mergers between healthcare organizations in the period from 2005 to 2012. During this period, Dutch healthcare providers faced a number of policy changes, including increased competition, more pressure from purchasers (health insurers), growing financial risks, de-institutionalization of long-term care and decentralization of healthcare services to municipalities. Our study shows that Dutch healthcare providers predominantly merge to improve the provision of healthcare services and to strengthen their market position. Efficiency and financial reasons are also important drivers of merger activity in healthcare. Motives for mergers seem to be related to changes in health policy, in particular to the increasing pressure from competitors, insurers and municipalities.


Dr. Jeroen Postma

Anne-Fleur Roos MSc.
Artikel

De democratische vertegenwoordiging van cliënten en patiënten bij de decentralisaties

Tijdschrift Beleid en Maatschappij, Aflevering 2 2015
Trefwoorden representative claim, democratic decision making, Decentralization, social and health policies, Municipalities
Auteurs Dr. Hester Van de Bovenkamp en Dr. Hans Vollaard
SamenvattingAuteursinformatie

    Citizen participation is firmly on the agenda of many Western policy makers. Numerous opportunities for individuals to participate in public decision-making have been created. However, few citizens use these opportunities. Those who do are often the highly educated, white, middle and upper classes that also tend to dominate other democratic spaces. Opportunities to become active can increase inequalities in terms of whose voices are heard in public decision-making. This fundamentally challenges the central democratic value of equality. Nevertheless, others can represent the interests of those who remain silent. Using the concept of representative claim this paper explores a variety of forms of representation (electoral, formal non-electoral and informal self-appointed) in the domain of social policy which is currently decentralized in the Netherlands. We conclude that especially informal self-appointed representatives such as medical professionals, churches and patient organizations can potentially play an important role in representing groups who often remain unheard in the public debate. They can therefore play an important role in ensuring the democratic quality of the decentralization process.


Dr. Hester Van de Bovenkamp
Dr. Hester van de Bovenkamp is universitair docent bij het Instituut Beleid en Management Gezondheidszorg van de Erasmus Universiteit Rotterdam.

Dr. Hans Vollaard
Dr. Hans Vollaard is universitair docent Nederlandse en Europese politiek bij het Instituut Politieke Wetenschap van de Universiteit Leiden.
Redactioneel

Van de redactie

Tijdschrift Beleid en Maatschappij, Aflevering 2 2015
Auteurs Ewald Engelen
Auteursinformatie

Ewald Engelen
Ewald Engelen is voorzitter van de redactie van Beleid en Maatschappij

Dr. Frans de Vijlder
Dr. F.J. de Vijlder is lector Goed Bestuur en Innovatiedynamiek in Maatschappelijke Organisaties aan de Hogeschool van Arnhem en Nijmegen, Leading lector Kenniscentrum Publieke Zaak.
Artikel

Van optimale schaalgrootte naar legitieme schaalgrootte

Een analyse van het publieke debat over schaalgrootte in de zorg

Tijdschrift Bestuurskunde, Aflevering 4 2012
Trefwoorden scale, healthcare organization, legitimacy, values
Auteurs Jeroen Postma, Kim Putters en Hester van de Bovenkamp
SamenvattingAuteursinformatie

    Over the last decades an increasing number of mergers and acquisitions between Dutch healthcare organizations has taken place (up scaling). More recently there is a rise in the numbers of new small-scale healthcare organizations and small-scale care facilities (down scaling in the numbers). The wide variety of scales, each with its pros, cons and (historical) contexts, makes the existence of one optimal scale an illusion. Our research question is: when, and on the basis of which values, is scale of healthcare organizations legitimate? We answer this question by analyzing 650 newspaper articles from fourteen national newspapers. By using theory about legitimacy and values, we argue that five values underlie the public discussion on scale: governance, the human size, quality of care, market power and efficiency. We conclude that achieving legitimate scale involves dealing with those five values, which are not always commensurable and sometimes conflicting. With this article we contribute to the scientific debate about scale and values. We also give recommendations to policy makers and executives that can be used to improve the legitimacy of scale decisions.


Jeroen Postma
J.P. Postma MScBA is adviseur bij BMC AdviesManagement en promovendus aan het instituut Beleid en Management Gezondheidszorg (iBMG) van de Erasmus Universiteit Rotterdam (EUR).

Kim Putters
Prof. dr K. Putters is bijzonder hoogleraar Management van instellingen in de gezondheidszorg aan het iBMG.

Hester van de Bovenkamp
Dr H. van de Bovenkamp is universitair docent aan het iBMG.
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