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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

Verkeer als stelsel met stelselverantwoordelijkheid voor veiligheid?

Naar een moderne governance opvatting van ‘co-responsibility’ bij stelsels

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden traffic safety, systems approach, governance, co-responsibility
Auteurs Dr. mr. Dick Ruimschotel
Samenvatting

    Lack of safety leading to death or injury has many aspects: personal violence, traffic, accidents at home or the work place, not to mention other external sources as radiation and fine dust or internal sources like diseases. In this paper we restrict ourselves to the lack of safety in traffic as a system, and address the following questions: (1) Is traffic a system with one dominant responsible actor (Ministry of Traffic)? (2) What explanations are offered for the lack of safety? (3) Who is responsible for safety? (4) What sort of interventions are suitable for enhancing safety? and (5) What type of process/consultancy is most appropriate for answer the preceding questions?
    The paper arrives at its conclusions via an indirect way, namely a short analysis of what a system comprises and what constitutes an explanation, responsibility and effectiveness. It appears that we are all causally involved in the lack of safety, and we are all responsible at all levels of society: micro-individual, meso-organizational and macro-societal. Therefore a promising route to maximize safety is a governance perspective comprising multiple stakeholder co-responsibility. It remains to be seen whether this perspective should replace the predominant command and control governance or complement it.


Dr. mr. Dick Ruimschotel
Artikel

Het succes van de business case(s)?

Een casestudy naar de totstandkoming van Wildlands Adventure Zoo

Tijdschrift Bestuurs­wetenschappen, Aflevering 4 2017
Auteurs Drs. Maarten Hoekstra
SamenvattingAuteursinformatie

    In 2012, the municipal council of Emmen (a municipality of 107,000 inhabitants in the northeast of the Netherlands) took the final decision for the transformation and rehousing of the Wildlands Adventure Zoo on the basis of a so-called business case. Business cases are also being increasingly used in other organizations and sectors. However, not much is known yet about the qualities of the instrument. This article shows that the use of the business case in a specific case had value. For this case study, over 100 very diverse mainly digital sources, such as official decision-making documents, research reports and statement via social and other media, were used. In this way, in-depth knowledge was acquired about one of the mechanisms that underpinned the creation of the park. The sources are carriers of the narrative ‘Wildlands Emmen.’ Despite the success, a warning is called for. A healthy focus on results can result in ‘escalating’ commitment. Then the parties involved are linked to the project to such an extent that a way back is excluded by definition. Although the business case should be a ‘business-like’ justification, it seems that the mechanism of ‘self-justification’ enters into force. One shows through rationalization that previous decisions were right and then acts on these decisions in a sensible and competent manner. However, alternatives are not explicitly weighed against each other and there can be a tendency to underestimate the risks.


Drs. Maarten Hoekstra
Drs. M.J. Hoekstra is verbonden aan het lectoraat Persoonlijk Leiderschap & Innovatiekracht van de NHL Hogeschool te Leeuwarden en is buitenpromovendus aan de faculteit Behavioural, Management and Social Sciences (BMS) van de Universiteit Twente.
Artikel

Wat is het effect van transparante toezichthouders op het vertrouwen van de burger? Een experimentele studie.

Tijdschrift Beleid en Maatschappij, Aflevering 1 2017
Trefwoorden Trust, Transparency, Regulator, Randomised control trial, Experiment
Auteurs Prof. mr. dr. Femke de Vries, Dr. Wilte Zijlstra en Dr. Stephan Grimmelikhuijsen
SamenvattingAuteursinformatie

    Transparency is said to be paramount for citizen’s trust in (semi-)governmental organizations, such as regulators and supervisory bodies, yet there is little empirical research in this area.
    In an experiment we investigated the effect of different forms of transparency on citizen trust in a Dutch financial regulator. Our measure of trust consisted of three components: Competence, Benevolence and Integrity. Two types of transparency were used (rationale transparency and process transparency) in three different scenarios, one positive for the regulator and two negative.
    Transparency, and especially when focused on the ‘why’ (rationale) led to slightly more trust by citizens. This effect was most pronounced in the Competence-component of our trust-measure. Interestingly, even being transparent about negative news – i.e. admitting that mistakes were made and focusing on the ‘why’ – does not necessarily decrease trust. In contrast, negative information that focused on the ‘how’ (process transparency) yielded a negative effect on trust.
    We conclude that even when the message portrays negative information about the regulator, it pays to be transparent and communicate about it. Information should focus on explaining the rationale and underlying principles of a decision, and less on how the decision was taken.


Prof. mr. dr. Femke de Vries
Prof. mr. dr. Femke de Vries is bijzonder hoogleraar toezicht aan de faculteit Rechtsgeleerdheid, Universiteit van Groningen, en bestuurslid bij de Autoriteit Financiële Markten.

Dr. Wilte Zijlstra
Dr. Wilte Zijlstra is toezichthouder Expertisecentrum Consumentengedrag, Autoriteit Financiële Markten.

Dr. Stephan Grimmelikhuijsen
Dr. Stephan Grimmelikhuijsen is universitair docent aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap, Universiteit Utrecht.
Artikel

Het verband tussen publiek belang en ontwerp bij het internet der dingen

Tijdschrift Beleid en Maatschappij, Aflevering 1 2016
Trefwoorden public economics, big data, Privacy, industrial design, agency theory
Auteurs Prof. dr. Frank Den Butter en Ir. Gijs Den Butter
SamenvattingAuteursinformatie

    The Internet of Things generates a wealth of data (big data) about personal behaviour, which can be used for marketing purposes. It brings about both benefits and costs in terms of societal welfare. Various forms of government intervention are needed to safeguard the public interests associated with these welfare effects. These public interest relate, on the one hand, to public availability of data and information, to repairing informational asymmetries, and on the other hand to providing personal security and privacy protection. This article discusses, from the perspective of the principal/agent approach to regulation, how the design of applications and systems in the Internet of Things can best be shaped. The example of the smart thermostat Toon® of the Dutch energy provider Eneco shows how an intensive collaboration between designers and software engineers may contribute to both proper data protection and to provide an incentive to save energy.


Prof. dr. Frank Den Butter
Prof. dr. Frank den Butter is hoogleraar algemene economie aan de Vrije Universiteit Amsterdam.

Ir. Gijs Den Butter
Ir. Gijs den Butter is MSc ‘Strategic Product Design’ aan de Technische Universiteit Delft en CEO van Adjuvo Motion, een start-up bij YesDelft! die een robotische brace voor revalidatie op de markt brengt.
Artikel

Lokale energiecoöperaties: nieuwe spelers in de energie

Tijdschrift Bestuurskunde, Aflevering 2 2015
Trefwoorden energy co-operatives, wind energy, solar parks
Auteurs Hans Elzenga en Anne Marieke Schwencke
SamenvattingAuteursinformatie

    Currently, in the Netherlands there are about 150 energy co-operatives are actively working on the promotion of energy use reduction and renewable energy production. Among them are 15 experienced wind energy co-operatives that started almost 25 years ago, but the majority started in 2007 or later. Their aim is to mobilize investments in local renewable energy and social projects, and to use the revenues to enhance the local economy and social cohesion. The members of the co-operative become co-owners of the production units and collectively decide about the allocation of the revenues for new energy projects.In practice, new, inexperienced co-operatives in particular have difficulties realizing larger projects like wind turbines and solar parks. Fierce resistance from the local community is hampering wind projects, while limited financial support (i.e. subsidies) is the main obstacle for the realization of solar parks. In our view, it would help Dutch co-operatives if local politicians were to take a clear position on wind energy and act accordingly, and if the Dutch government were to broaden the financial support schemes for cooperatively owned and financed solar parks.


Hans Elzenga
H. Elzenga is senior beleidsonderzoeker nationaal klimaat- en energiebeleid bij het Planbureau voor de Leefomgeving. Momenteel is hij betrokken bij de Nationale Energieverkenning 2015 (NEV 2015), en hij heeft voorheen onderzoeken gedaan naar Green Deal beleid energie, energiecoöperaties, warmtepompen, enzovoort.

Anne Marieke Schwencke
A.M. Schwencke (AS I-Search) is zelfstandig energieonderzoeker. Sinds 2012 richt ze zich op de lokale energiemarkt en coöperatieve beweging. Ze werkt samen met partijen als het Planbureau voor de Leefomgeving, ODE Decentraal/HIER Opgewekt, Netbeheer Nederland, Liander, Stichting DOEN en het Programmabureau Warmte Zuid-Holland.
Artikel

Vertrouwen in toezichtbeleid

Tijdschrift Beleid en Maatschappij, Aflevering 3 2014
Trefwoorden Trust, regulatory policy, accountability, control, supervision regime
Auteurs Lydia Paauw-Fikkert MSc, Dr. ir. Frédérique Six en Prof. dr. Paul Robben
SamenvattingAuteursinformatie

    Regulatory supervision and inspection have become key features of public governance, some authors even talk about the ‘audit society’ or the age of ‘regulatory capitalism’. Despite international research showing the importance of trust in supervisory relations, there is still a fierce debate about the role of trust in Dutch supervisory relations. Several inspectorates have incorporated trust as a central theme in their supervisory policy. This article describes the role of trust within the policy of the Dutch Healthcare Inspectorate (IGZ). This research addresses four themes in dealing with the concept of trust in supervisory relations: from transparency to accountability, from output performance to performance and risk management, from trust or control to trust and control, and, finally, a special regime for reliable inspectees. The empirical analysis in this paper contributes to the knowledge about the role of trust in supervision (policy) and to the debate about the role of trust in regulatory supervision policy.


Lydia Paauw-Fikkert MSc
Lydia Paauw-Fikkert MSc is senior adviseur bij de Inspectie voor de Gezondheidszorg.

Dr. ir. Frédérique Six
Dr. ir. Frédérique Six MBA is universitair docent aan de VU Amsterdam.

Prof. dr. Paul Robben
Prof. dr. Paul Robben is adviseur bij de Inspectie voor de Gezondheidszorg en bij iBMG-Erasmus Universiteit Rotterdam
Redactioneel

Van de redactie

Tijdschrift Beleid en Maatschappij, Aflevering 3 2014
Auteurs Ewald Engelen
Auteursinformatie

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

Virtueel vangnet of functionele beleidsdroom?

Publiek aandeelhouderschap als toezicht op de drinkwatersector

Tijdschrift Bestuurskunde, Aflevering 3 2012
Trefwoorden Public ownership, drinking water, public utilities
Auteurs Bauke Steenhuisen
SamenvattingAuteursinformatie

    By law Dutch companies providing drinking water have to remain in public hands. In practice, public shareholders often fulfil their role in an informal fashion and without much engagement. They hardly intervene to protect the public interest. Public ownership is deemed to be crucial but its effects are difficult to measure. In this article, we examine the (ever changing and varying) institutional conditions of two public water companies and discuss whether these conditions enable public shareholders to properly control these companies. By comparing the opinions and experiences of directly involved respondents, this article aims to answer the question whether and how public shareholders are able to act as regulators. There are indications that this kind of regulation will not be efficient enough when needed, though those involved do not see this as a problem. This article offers suggestions for municipalities and provinces to reflect more on their role in the drinking water sector.


Bauke Steenhuisen
Dr ir B.M. Steenhuisen is universitair docent Bestuurskunde aan de Faculteit Techniek, Bestuur en Management van de TU Delft
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