Zoekresultaat: 33 artikelen

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Article

Between Party Democracy and Citizen Democracy

Explaining Attitudes of Flemish Local Chairs Towards Democratic Innovations

Tijdschrift Politics of the Low Countries, Aflevering 2 2020
Trefwoorden democratic innovations, citizen participation, local politics, Flanders, Belgium
Auteurs Didier Caluwaerts, Anna Kern, Min Reuchamps e.a.
SamenvattingAuteursinformatie

    As a response to the perceived legitimacy crisis that threatens modern democracies, local government has increasingly become a laboratory for democratic renewal and citizen participation. This article studies whether and why local party chairs support democratic innovations fostering more citizen participation. More specifically, we analyse the relative weight of ideas, interests and institutions in explaining their support for citizen-centred democracy. Based on the Belgian Local Chairs Survey in 2018 (albeit restricting our analysis to Flanders), the central finding is that ideas matter more than interests and institutions. Ideology is alive and kicking with regard to democratic innovation, with socialist and ecologist parties and populist parties being most supportive of participatory arrangements. By contrast, interests and institutions play, at this stage, a minor role in explaining support for participatory innovations.


Didier Caluwaerts
Didier Caluwaerts is Assistant Professor of Political Science at the Vrije Universiteit Brussel. His research and teaching deal with Belgian and comparative politics and democratic governance in deeply divided societies. His work has been published in various journals, including European Political Science Review, West European Politics, the Journal of Legislative Studies and Acta Politica.

Anna Kern
Anna Kern is Assistant Professor at research group GASPAR at the Department of Political Science of Ghent University. Her main research interests include political participation, political equality and political legitimacy. Her work has been published in international peer-reviewed journals such as West European Politics, Local Government Studies, Social Science Research and Political Behavior.

Min Reuchamps
Min Reuchamps is Professor of Political science at the Université catholique de Louvain (UCLouvain). His teaching and research interests are federalism and multilevel governance, democracy and its different dimensions, relations between language(s) and politics and, in particular, the role of metaphors, as well as participatory and deliberative methods.

Tony Valcke
Tony Valcke is Associate Professor at the Faculty of Political and Social Sciences of Ghent University. He is a member of the Centre for Local Politics (CLP) and coordinator of the Teacher Training Department. His research, publications and educational activities focus on elections and democratic participation/innovation, citizenship (education), (the history of) political institutions and (local) government reform, political elites and leadership.
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 Online First 2020
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, Departement Politieke Wetenschappen, Universiteit Antwerpen, Antwerpen, Belgium.

Jan Beyers
Jan Beyers, Departement Politieke Wetenschappen, Universiteit Antwerpen, Antwerpen, Belgium.

Frederik Heylen
Frederik Heylen, Departement Politieke Wetenschappen, Universiteit Antwerpen, Antwerpen, Belgium.

    The vast majority of Dutch municipalities organize part of their activities on a smaller scale than those of the municipality as such: it is called intra-municipal organization. In this article an inventory is made of the existing knowledge about the effects of various forms of intra-municipal organization in the Netherlands. On the basis of recent research, this knowledge is supplemented and it is also made clear which forms of intra-municipal organization are currently used. An analysis is also made of what legal leeway Dutch municipalities have in this regard. A new and richer typology of intra-municipal organization is also being developed. Finally, the authors place the results of the research reported here in a broader perspective. In particular, they reflect on two presuppositions under many forms of intra-municipal organization, namely that activities are location specific and democracy must necessarily be of the ‘representative’ type. Its relevance for practitioners is that the article provides insight into the legal leeway for intra-municipal organization and into the design of intra-municipal organization. It also contains a reflection on the design of the intra-municipal organization.


Dr. Linze Schaap
Dr. L. Schaap was tot 1 augustus 2019 universitair hoofddocent aan de Tilburgse School voor Politiek en Bestuur van de Universiteit van Tilburg en is sindsdien directeur van de Noordelijke Rekenkamer.

Dr. Gert-Jan Leenknegt
Dr. G. Leenknegt is universitair hoofddocent constitutioneel recht aan de Tilburg Law School van de Universiteit van Tilburg.
Essay

De vroege geschiedenis van de (lokale) bestuurswetenschappen

Joris in ’t Veld en de nieuwe vormen van decentralisatie

Tijdschrift Bestuurs­wetenschappen, Aflevering 3 2019
Auteurs Dr. Rik Reussing
SamenvattingAuteursinformatie

    This essay is about the Dutch PhD-thesis New forms of decentralization by Joris in ’t Veld from 1929. He was not only a competent and efficient social-democratic administrator, but he was also an early administrative scientist. Like the other early (local) administrative scientists, he mainly worked from the legal discipline. During this period however, we also see an increasing input from other disciplines, such as urban planning, economic geography, business administration and statistics. The subject of his dissertation does not come out of the blue. Like many, In ’t Veld felt strongly attracted to the problems of urban and regional development, but the various problems were not yet ripe for a final solution. An important part of his book is therefore devoted to the various solutions that have been found abroad for similar problems. In his thesis, In ’t Veld discusses various forms of governance. First of all, he looks at the way in which the arrangement of cooperation between municipalities can be improved. Where this (voluntary and forced) cooperation falls short of its nature, the institutes of the port authority and of the regional plan come into the picture. In both cases it concerns decentralization through target corporations. A solution is also conceivable through further territorial decentralization: the insertion of a new regional corporation between the province and the municipality in the form of the region (the urban region or the rural region). The urban region needs a necessary supplement in the form of a system of tax equalization to adequately do justice to the interests of the whole and of the parts. An alternative to the urban region is the unity municipality with local decentralization. His integral vision on the organization of domestic government in 1929 is also instructive for the present time.


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.
Article

Split Offer and Homogeneous Response in Belgium

The Conceptual and Empirical Limitations of (De)Nationalization

Tijdschrift Politics of the Low Countries, Aflevering 2 2019
Trefwoorden (de-)nationalization, voting behaviour, party offer, voter response, methodological nationalism
Auteurs Luana Russo, Kris Deschouwer en Tom Verthé
SamenvattingAuteursinformatie

    By examining the Belgian case, this article aims to show that methodological nationalism is strongly present in the literature on nationalization of party offer and voting behaviour. In nationalization studies, Belgium is often presented as a typical example of a denationalized country. This is true for the party offer, as it is de facto split between the two language groups since the 1980s, and therefore also voter response at the national level. However, voter response within each separate subnational party system is very homogeneous and shows interesting differences between these party systems that inform us about important electoral dynamics. We argue, on the basis of our results, that rather than stretching the concept of nationalization, it is preferable and justified to treat the concepts of nationalization of the party offer and homogenization of voter response as analytically distinct and not as two sides of the same coin.


Luana Russo
Luana Russo, Maastricht University.

Kris Deschouwer
Kris Deschouwer, Vrije Universiteit Brussel.

Tom Verthé
Tom Verthé, Ghent University & Vrije Universiteit Brussel.
Article

Fiscal Consolidation in Federal Belgium

Collective Action Problem and Solutions

Tijdschrift Politics of the Low Countries, Aflevering 2 2019
Trefwoorden fiscal consolidation, fiscal policy, federalism, intergovernmental relations, High Council of Finance
Auteurs Johanna Schnabel
SamenvattingAuteursinformatie

    Fiscal consolidation confronts federal states with a collective action problem, especially in federations with a tightly coupled fiscal regime such as Belgium. However, the Belgian federation has successfully solved this collective action problem even though it lacks the political institutions that the literature on dynamic federalism has identified as the main mechanisms through which federal states achieve cooperation across levels of government. This article argues that the regionalization of the party system, on the one hand, and the rationalization of the deficit problem by the High Council of Finance, on the other, are crucial to understand how Belgium was able to solve the collective action problem despite its tightly coupled fiscal regime and particularly high levels of deficits and debts. The article thus emphasizes the importance of compromise and consensus in reducing deficits and debts in federal states.


Johanna Schnabel
School of Politics and International Relations, University of Kent, Rutherford College, Canterbury CT2 7NX, United Kingdom.

    In this article in the series on the local democratic audit, the authors discuss the relationship between decentralization, scaling-up and local democracy. Decentralizations and scaling-up operations have changed the face of local government in the Netherlands considerably in recent decades. What have the consequences for the functioning of local democracy been? Although decentralizations aim to increase democratic control of government tasks, decentralizations appear to have weakened local democracy in two ways. First of all, they have led to a substantial scaling-up of the local government, through municipal amalgamations and especially through the formation of regional partnerships. Regionalization in particular has had all kinds of negative consequences for the functioning of local democracy. Decentralization policy itself has also weakened the steering and controlling role of the city council – certainly in the short term – while decentralization presupposes that the city council has a strong role in coordinating decentralized policy with local wishes and circumstances. We can speak of a ‘double decentralization paradox’ that entails both bottlenecks and opportunities. From the legislator’s side, therefore, an integral vision for the organization of domestic governance is needed.


Prof. dr. Marcel Boogers
Prof. dr. M.J.G.J.A. Boogers is hoogleraar Innovatie en Regionaal Bestuur aan de Universiteit Twente, senior adviseur Openbaar Bestuur bij BMC en tevens redacteur 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.
Thema-artikel

Voortvarend in verbouwen

Hoe Denemarken efficiënt drastische beleidswijzigingen realiseert (maar niet per se heel effectief blijkt)

Tijdschrift Bestuurskunde, Aflevering 1 2019
Trefwoorden Comparative public administration, Public reform, Reform implementation, Decentralisation, Civil service
Auteurs Eline van Schaik MSc
Samenvatting

    In international comparative research, a dominant image often emerges of Denmark as a frontrunner in innovative governance, gaining top results in international rankings.
    Based on four recent examples of national public reforms, this article studies the dynamics of reform implementation in Denmark, which can be characterised as expeditious and efficient. Three explanatory factors are discussed: a political, systemic and managerial factor. What is Denmark, a country in many ways similar to the Netherlands, doing differently? The article concludes that, for the Netherlands, the guiding element of Danish public reforms can be found not in the results of these reforms, but in the efficiency with which they are implemented.


Eline van Schaik MSc
Article

Consensus Democracy and Bureaucracy in the Low Countries

Tijdschrift Politics of the Low Countries, Aflevering 1 2019
Trefwoorden consensus democracy, bureaucracy, governance system, Lijphart, policymaking
Auteurs Frits van der Meer, Caspar van den Berg, Charlotte van Dijck e.a.
SamenvattingAuteursinformatie

    Taking Lijphart’s work on consensus democracies as our point of departure, we signal a major shortcoming in Lijphart’s focus being almost exclusively on the political hardware of the state structure, leaving little attention for the administrative and bureaucratic characteristics of governance systems. We propose to expand the Lijphart’s model which overviews structural aspects of the executive and the state with seven additional features of the bureaucratic system. We argue that these features are critical for understanding the processes of policymaking and service delivery. Next, in order to better understand the functioning of the Netherlands and Belgium as consensus democracies, we provide a short analysis of the historical context and current characteristics of the political-administrative systems in both countries.


Frits van der Meer
Frits van der Meer, Professor Institute Public Administration, Leiden University.

Caspar van den Berg
Caspar van den Berg, Campus Fryslân, University of Groningen.

Charlotte van Dijck
Charlotte van Dijck, PhD Fellow Research Foundation Flanders (FWO), KU Leuven Public Governance Institute.

Gerrit Dijkstra
Gerrit Dijkstra, Senior Lecturer, Leiden University.

Trui Steen
Trui Steen, Professor, KU Leuven Public Governance Institute.
Literature review

Consensualism, Democratic Satisfaction, Political Trust and the Winner-Loser Gap

State of the Art of Two Decades of Research

Tijdschrift Politics of the Low Countries, Aflevering 1 2019
Trefwoorden consensualism, majoritarianism, political trust, satisfaction with democracy, Lijphart
Auteurs Tom van der Meer en Anna Kern
SamenvattingAuteursinformatie

    Lijphart (1999) argued that citizens tend to be more satisfied with democracy in consensual democracies than in majoritarian democracies and that the gap in democratic satisfaction between the winners and the losers of elections is smaller under consensualism. Twenty years on since then, this article takes stock of the literature on consensualism and political support. We find considerable ambiguity in the theoretical arguments and empirical evidence provided in this literature. Finally, we speculate on possible reasons for this ambiguity.


Tom van der Meer
Tom van der Meer, University of Amsterdam.

Anna Kern
Anna Kern, Ghent University.
Article

Access_open Do Characteristics of Consociational Democracies Still Apply to Belgian Parties?

Tijdschrift Politics of the Low Countries, Aflevering 1 2019
Trefwoorden Belgium, political parties, party membership, political participation, political representation
Auteurs Emilie Van Haute en Bram Wauters
SamenvattingAuteursinformatie

    Belgium has long been described as a typical case of a consociational or consensus democracy. This article aims at identifying whether political parties in Belgium share the internal characteristics of parties in consensus democracies: passive mass memberships, the importance of purposive and material incentives for joining, and representation of a clear subculture in the social and attitudinal profiles of their members and via overlapping memberships with related organizations. We mobilize longitudinal party membership data and party member surveys conducted in three different time periods. We show that pillar parties still exercise their role of mobilization and representation of societal segments, but these segments tend to become smaller over time. New parties offer alternative options of mobilization and representation, although not always in line with the specific institutional arrangements of consociational democracy.


Emilie Van Haute
Emilie Van Haute, Cevipol, Université libre de Bruxelles.

Bram Wauters
Bram Wauters, Research Group GASPAR, Ghent University.

    ‘The Netherlands is a country of commissions. Some are useful: they draw up an analysis that clarifies, declares success or denounces failure’, as the author wrote in his PhD-thesis ‘Looking with strange eyes’ in 2014. This essay also deals with commissions. In the three decentralization operations in the Netherlands, a so-called social affairs advisory council has made its appearance in the Dutch municipalities. Advisory committees or councils play an important role in our political system. For a long time discussions have been held about the position of these advisory bodies and their added value for policy and stakeholders. This fits in with municipalities that are in full development with concepts such as self-management, co-creation and vital communities. Advisory councils want to know if their work matters. There may be growing disappointment about the effects of their advice. That feeling of disappointment is understandable. In 1979 Carol Weiss was rather negative at the time about the degree of utilization of research. In 1983 Arno Korsten put this into perspective: ‘The view that there is underutilization on a large scale requires revision. An important reason is the fact that applying research results is often not immediately and easily visible, neither for researchers involved nor for policy makers.’ Research is something other than advice, but the insights are a source of inspiration for the use of advice. An advisory council wants to increase the effectiveness of its advice. For that reason, in this essay an approach is developed that provides insight into the factors that determine the way in which and the extent to which the advice is used in political decision-making. With this insight, an advisory council for the social domain can strengthen the influence of its advice, as is expected.


Dr. Jean Schutgens
Dr. J.M.L.R. Schutgens is bestuurskundige en bestuurlijk vrijwilliger van het provinciaal Huis voor de Zorg in Limburg. Hij was gemeentesecretaris van Landgraaf in de periode 1992-2008.
Artikel

Wat wendbare organisaties doen (en laten)

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden agility, environmental changes, dynamics, management practices
Auteurs Drs. Mark Nijssen, Dr. Brenda Vermeeren, Drs. Lucien Vermeer e.a.
Samenvatting

    Public organizations are confronted with rapid subsequent changes in their environment. Against this background, we increasingly see and hear a call for agile public organizations. But what exactly is agility? And how can organizations achieve this? In this study, we have developed and validated the concept of agility and empirically identify the effect of different management practices that contribute to agility. This study shows that, seen from the perspective of the experienced dynamics, it is not necessary to be agile for all organizational units within the public sector. At the same time, there is a substantial group that should be more agile given the dynamics they encounter. This study shows that agile organizations are more committed to developing the mindset of employees, influencing the degree of autonomy for decision-making and stimulating the promotion of new ideas and insights.


Drs. Mark Nijssen

Dr. Brenda Vermeeren

Drs. Lucien Vermeer

Ir. Jurgen Visser

Evrim Tan

    An element of the theme of the VNG 2018 ‘Across boundaries’ annual conference in Maastricht is the necessity for Dutch politicians and administrators to push existing boundaries. In many cases this will involve a national border, which is closer in the region than in the national administrative center in The Hague. More than half of the twelve Dutch provinces have national borders, so cross-border cooperation is a regular phenomenon. National or EU regulations and subsidies may help to realize policy goals that are found important at a regional or local level, but when policy crosses national borders in practice it is also confronted with other ‘European’ boundaries. If there are incomprehensible, impracticable or conflicting rules, there is tension between common European policy and Dutch decentralization. Therefore this essay focuses on the control that the European Union has as an administrative challenge. It first discusses the shaky European consciousness and then the actions taken to break this vicious circle.


Dr. Mendeltje van Keulen
Dr. M. van Keulen is lector Europese Studies bij de Haagse Hogeschool. Van 2011 tot 2017 was zij griffier Europese Zaken bij de Tweede Kamer.
Artikel

Iedereen kent iedereen

De invloed van kleinschaligheid en informele politiek op bestuur in Caribisch Nederland

Tijdschrift Beleid en Maatschappij, Aflevering 4 2017
Trefwoorden Dutch Caribbean, informal politics, Smallness, Governance, non-sovereignty
Auteurs Dr. Wouter Veenendaal
SamenvattingAuteursinformatie

    In 2010, the three Dutch Caribbean islands of Bonaire, St. Eustatius, and Saba (the BES islands) were constitutionally integrated into the Netherlands, and were administratively reorganized on the basis of the Dutch municipal model. While this reform was anticipated to mitigate some of the governance problems of these islands, so far this expectation has remained unmet. Using the literature on the effects of smallness on the relation between formal and informal politics as a baseline, this article investigates why the new institutional structure has so far not resulted in improved governance in the Caribbean Netherlands. On the basis of three stages of field research resulting in over forty semi-structured interviews with political elites on the three islands, the analysis highlights the influence of two contextual factors – the small scale and the political culture of the postcolonial Caribbean – that have a powerful, and in many ways negative, impact on governance performance. Subsequently, the article highlights the inapplicability of the Dutch municipal model to the Dutch Caribbean islands, and also pays attention to a number of differences between the three islands, which are explained on the basis of their divergent historical and demographic trajectories, as well as differences in individual leadership.


Dr. Wouter Veenendaal
Dr. Wouter Veenendaal is werkzaam als universitair docent bij het Instituut Politieke Wetenschap van de Universiteit Leiden.
Artikel

Uitdagingen voor bestuur en politiek op gemeenteniveau: het burgerperspectief

Tijdschrift Bestuurs­wetenschappen, Aflevering 3 2017
Auteurs Dr. Jeroen van der Waal, Babs Broekema MSc en Dr. Eefje Steenvoorden
SamenvattingAuteursinformatie

    For the legitimacy and ability of governments it is crucial to have insight in the worries of citizens about society and politics. In the Netherlands these worries are at the national level systematically mapped by the Dutch Social and Cultural Planning Agency (SCP) through their Continuous Research Citizen Perspectives (COB) for almost ten years now. At the local level there is a lack of information about what worries citizens. Insight in locally experienced problems will probably become even more important in the coming years because of the recent decentralizations of national governmental tasks to the municipalities. This article investigates which problems citizens perceive in their municipalities based on an analysis of data from the Local Electoral Research (LKO). The authors find a number of striking differences with the problems that are perceived at the national level in the same period. The municipal issues citizens mention offer opportunities, but they also point to the limited impact force of the municipal level of government. All in all the research findings are indicative of a substantial added value of the LKO with respect to the already longer running COB.


Dr. Jeroen van der Waal
Dr. J. van der Waal is universitair hoofddocent politieke sociologie bij de vakgroep Sociologie aan de Erasmus Universiteit Rotterdam.

Babs Broekema MSc
B. Broekema MSc is promovendus aan de Erasmus Universiteit Rotterdam. Aan dezelfde universiteit deed ze een master Bestuurskunde, Beleid en Politiek.

Dr. Eefje Steenvoorden
Dr. E.H. Steenvoorden is universitair docent politieke sociologie bij de vakgroep Sociologie aan de Erasmus Universiteit Rotterdam.
Artikel

Lokale verkiezingen: een lokaal of nationaal feest der democratie?

Tijdschrift Bestuurs­wetenschappen, Aflevering 3 2017
Auteurs Dr. Eefje Steenvoorden, Babs Broekema MSc en Dr. Jeroen van der Waal
SamenvattingAuteursinformatie

    The term ‘second-order election’ indicates some elections are less important for citizens than national elections. This article investigates to what extent that applies for the Dutch elections of the municipal council. The research builds on literature about the second-order nature of the local elections in the Netherlands. The authors focus on the question to what extent the Dutch elections of the municipal council are second-order elections, by comparing voting at local and national elections in different ways. They compare four aspects of local and national voting: the turnout, the underlying factors that explain the turnout, the factors that explain voting for local parties, and the national or local character of the voting motives at the municipal elections in 2014. The results do not give a clear answer to the question to which extent municipal elections are locally oriented. The four different angles all deliver ambiguous patterns. So municipal elections indeed partly have a second-order nature as previously argued and shown. Nevertheless, we must not underestimate local affinity and political involvement. The fact that some of the citizens are interested in local politics, local parties and in local election electoral programmes is pointing out a local political dynamics.


Dr. Eefje Steenvoorden
Dr. E.H. Steenvoorden is universitair docent politieke sociologie bij de vakgroep Sociologie aan de Erasmus Universiteit Rotterdam.

Babs Broekema MSc
B. Broekema MSc is promovendus aan de Erasmus Universiteit Rotterdam. Aan dezelfde universiteit deed ze een master Bestuurskunde, Beleid en Politiek.

Dr. Jeroen van der Waal
Dr. J. van der Waal is universitair hoofddocent politieke sociologie bij de vakgroep Sociologie aan de Erasmus Universiteit Rotterdam.

    Municipal amalgamations form a red thread through the history of local government in the Netherlands. With varying intensity, this country was continuously confronted with adjustments of the municipal scale. Where once the focus was rather one-sided on the minimum number of inhabitants of a municipality, we see that since the nineties questions were asked about the amalgamation policy. From now on a lack of administrative power had to be demonstrated before an amalgamation would be carried through. These critical remarks however didn’t lead to a downfall in the number of municipal amalgamations. Amalgamation and merger will always continue in the Netherlands. The Flemish policy on amalgamation appears to be quite different. Since the large-scale merger operation in 1976 Flanders was no more confronted with municipal amalgamations. The former Flemish government however, announced at its appointment in 2009 that it would encourage voluntary mergers of municipalities with financial and administrative incentives. The present Flemish government treads the same path. The incentives put in place by the former Flemish legislature are even increased. They even appear to bear fruit. In the provinces Limburg and East-Flanders several municipalities have indicated to investigate a merger. Some of them even have taken the principal decision to merger in the municipal councils involved. This article describes and compares the municipal amalgamation policies of the Netherlands and Flanders. The authors also investigate what both can learn from each other.


Prof. dr. Koenraad De Ceuninck
Prof. dr. K. De Ceuninck is politicoloog en hoogleraar bij het Centrum voor Lokale Politiek aan de Universiteit Gent.

Dr. Klaas Abma
Dr. K. Abma is programmamanager bij de gemeente Súdwest-Fryslân (Zuidwest-Friesland). In 2012 promoveerde hij aan de Open Universiteit bij Arno Korsten op een onderzoek naar het beoordelen van gemeenten.
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.
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