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    This article describes and explains the development of the regional construct for the coordination of medical assistance in accidents and disasters, the emergency medical services in the region (GHOR), in the Netherlands in the period 1996 to 2020. The authors distinguish four stages of organisational development, which they analyse from a multi-actor perspective consisting of three elements: the impact of disasters and (negative) evaluations, the institutional context and the bureaucratic battle surrounding the GHOR. The GHOR was a solution for a perceived insufficiently coordinated functioning of all parties involved in medical assistance. The GHOR was positioned in a complex way. This made it predictable that the multidisciplinary GHOR process would gradually be integrated within the ‘nearby’ regular mono-disciplinary acute care process and the structures for it. This article gives policymakers involved in disaster and crisis management more insight into the history and development of the GHOR over the last two decades. This insight is important now that the added value of the GHOR has come under discussion, partly due to the doubts of the Evaluation Committee for the Security Regions Act, and decisions about its future have to be taken. For administrative scientists, this case study shows that public administration’s ability to foresee and break through known organisational development patterns is still inadequate.


Bernadette Holtkamp
Mr. B.J. Holtkamp BN is hoofddocent/onderzoeker Safety & Security Management aan de Saxion Hogeschool in Enschede.

Ira Helsloot
Prof. dr. I. Helsloot is hoogleraar Besturen van Veiligheid aan de faculteit Managementwetenschappen van de Radboud Universiteit Nijmegen.
Artikel

Hoezo zijn (on)veiligheidsbeslissingen lastig publiekelijk te verantwoorden?

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden justification of risk policies, risk perception, risk acceptance, intractable citizen
Auteurs Prof. dr. Ira Helsloot
Samenvatting

    This article analyses a cause for the abundance of disproportional risk policies in the Netherlands. Many policymakers and academics believe that people in the Netherlands today are so risk averse that they are not willing to accept any risk that may result from reasonable risk policies. However, as some examples that we present show, there appears to be another kind of Dutch citizen: a citizen that understands and supports the decision of authorities that increase the risk to citizens but are necessary from the perspective of the common good. We argue that the belief in the unreasonable citizen is informed by one-sided research that only asks citizens how they perceive risks and what they want as risk consumers. Asking the same respondents face-to-face what they would do as policymakers themselves, however, results in diametric answers that show a rational and social side of those respondents. Respondents give higher priority to the education system or traffic safety than to preventing unusual risks such as asbestos or terrorism to themselves. Hence, the justification of reasonable risk policies is not as difficult as generally assumed.


Prof. dr. Ira Helsloot

    According to the policy makers of the Dutch police the more complex society for years requires a police organization that can operate as a network player, or even network director, in ever increasing local safety networks to fulfil the police functions of criminal investigation and maintenance of public order in an effective manner. This claim hardly seems to validated by empirical evidence. Validation is important because research shows that a lot of time is spent on the police network function within community based policing. The question is if this time is spent in an effective manner. Therefore this article addresses the question of the revenues of the police network function within community based policing for the core tasks maintenance of political order and criminal investigation. Based on a policy analysis, interviews and five weeks of participatory research in one police force in the Netherlands, the authors conclude that the policy of the police is only to ‘take’ out and not ‘give’ to local safety networks, although according to the practice and the network literature networkers from the police should give to be able to achieve results. Because the police network function does contribute to the quality of life and the social safety in the community, the authors believe that the community is best served by police officers that have a broad network function.


Jelle Groenendaal MSc
J. Groenendaal MSc is senior onderzoeker en promovendus bij Crisislab, dat het onderzoek van de leeropdracht Besturen van Veiligheid aan de Radboud Universiteit Nijmegen ondersteunt.

Prof. dr. Ira Helsloot
Prof. dr. I. Helsloot is hoogleraar Besturen van Veiligheid aan de faculteit Managementwetenschappen van de Radboud Universiteit Nijmegen.
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