Zoekresultaat: 21 artikelen

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Thema-artikel

Wanneer worden gemeenten gezien als waardevol?

Lokale publieke waardecreatie door de ogen van lokale actoren

Tijdschrift Bestuurskunde, Aflevering 3 2019
Trefwoorden public value management, Positive Public Administration, local government, performance assessment
Auteurs Scott Douglas DPhil en Prof. dr. Paul ’t Hart
Samenvatting

    This article explores how we can gain insight into the quality of local government with the help of the public value perspective. The public value perspective does not evaluate government through generalised standards or benchmarks, but through the judgments of the actors involved in the policy. This approach could do better justice to the unique context of different governments, such as different local governments. The public value perspective, however, is hampered by the competing expectations that actors have of public policy and their generally negative bias towards the government. Based on 71 interviews with local actors in six municipalities, we show how the public value approach does indeed yields many different and critical perspectives, even within municipalities that are considered successful by national experts. However, we also show which connections exist between these seemingly competing perspectives and how sombre judgments about past governance are actually influenced by optimistic ambitions for the future.


Scott Douglas DPhil

Prof. dr. Paul ’t Hart

    ‘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

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

De transformatie van kennis voor klimaatadaptatie

Tijdschrift Bestuurskunde, Aflevering 3 2017
Trefwoorden wicked problems, climate change adaptation, science-policy interface, knowledge production, mainstreaming
Auteurs Dr. Daan Boezeman
Samenvatting

    Scientific knowledge plays a pivotal yet problematic role in identifying, assessing and evaluating climate impacts, and hence in their governance. This raises questions of how knowledge for adaptation policy is made. This article studies the production of authoritative and meaningful knowledge claims in the Delta Committee, regional water management and urban warming. It is argued that the conventional supply-and-demand conceptualisation with its notion of ‘knowledge transfer’ has fundamental flaws. This study shows how the wicked issue of climate change is tamed and made tractable in climate adaptation. In these processes knowledge of climate change transforms. This article presents a conceptual apparatus to study transformation. Transformation has a Janus face. While transformation brings climate change in conversation with localised meaning to create concrete adaptation responses, it also closes down and becomes blind to particular climate risks. Transformations are affected by the goals and institutions of policy fields. To overcome problems of blindness and cognitive path dependencies, more institutional change is necessary than the current piggyback approach of mainstreaming and knowledge co-creation entails.


Dr. Daan Boezeman
Artikel

Belofte, pijn en medicijn: het verantwoorden van publieke waardecreatie aan de lokale politiek en maatschappelijke partners

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2017
Trefwoorden public value creation, accountability, local government, performance management
Auteurs Mijke van de Noort MSc, Scott Douglas DPhil en Dr. Lieske van der Torre
SamenvattingAuteursinformatie

    Public value management encourages public organizations to move beyond existing frameworks and create value in flexible collaboration with societal partners. However, this approach creates problems for the accountability processes, because reports to politicians are often still directed at quantitative goals and rigid frameworks. This creates uncertainty and disagreement around the definition of value, the legitimacy of the new governance styles and the complexity of the new collaborations. This article describes the experiences of a large Dutch municipality where we conducted an experiment with an innovative accountability process for public value creation in the public health domain. Political administrators, council members, civil servants and societal partners have jointly assessed, through an interactive Public Value Table meeting format, what value their combined efforts in complex societal challenges have created. This experiment gives insight in the growing pains of public value creation, but also shows some possible solutions to address these tensions.


Mijke van de Noort MSc
M. van de Noort MSc studeerde Publiek Management aan de Universiteit Utrecht en werkt momenteel als Young Professional beleid volksgezondheid bij de gemeente Utrecht.

Scott Douglas DPhil
S.C. Douglas DPhil is universitair docent op het gebied van publiek management aan de Universiteit Utrecht bij het Departement Bestuurs- en Organisatiewetenschap (USBO).

Dr. Lieske van der Torre
Dr. E.J. van der Torre is postdoctoraal onderzoeker aan de Universiteit Utrecht bij het Departement Bestuurs- en Organisatiewetenschap (USBO).

    Nationaal en internationaal staat onderzoek dat maatschappelijk relevant is, wetenschappelijk gezien hoge kwaliteit heeft, en zowel integer als efficiënt wordt uitgevoerd in de schijnwerpers. Het achterliggende idee is dat alleen zo de gewenste maatschappelijke impact kan worden bereikt. Door het bevorderen van verantwoorde onderzoekspraktijken, waarbij er onder andere expliciet aandacht is voor aspecten als stakeholderparticipatie, interdisciplinaire samenwerking, replicatie en systematische reviews, kunnen financiers of programmeurs van onderzoek hieraan bijdragen. In dit artikel wordt een overzicht gegeven van de wijze waarop ZonMw dat doet als kennisprogrammeur op het gebied van het gezondheidsonderzoek. Hiertoe is een toetsingskader ontwikkeld en toegepast op zestien lopende onderzoeksprogramma’s, dat ook voor andere domeinen en actoren betekenis heeft. Een belangrijke aanbeveling is dat ‘verantwoord programmeren’ een eigen kennisbasis behoeft om de toegevoegde waarde ervan te kunnen bepalen. Naast investeringen in metaonderzoek vraagt dat om een goede monitoring en informatievoorziening bij de kennisprogrammeur.


Wendy Reijmerink
Wendy Reijmerink is stafmedewerker Strategie en Innovatie bij ZonMw. Zij werkt aan een promotie over de maatschappelijke impact van publieke kennisprogrammering.

Wija Oortwijn
Wija Oortwijn is sectorleider Zorg bij Ecorys. Zij heeft jarenlange ervaring met evaluaties van beleid en onderzoeksprogramma’s alsmede impactanalyses op het terrein van de zorg.
Artikel

Van project naar opgave

Samenwerking als motor van de planning van infrastructuur en ruimte

Tijdschrift Bestuurskunde, Aflevering 4 2016
Trefwoorden planning, cooperation, challenge-oriented approach, infrastructure and spatial development
Auteurs Wim Leendertse, Jos Arts, Tim Busscher e.a.
Samenvatting

    Infrastructure and adjacent areas represent extensive social value. However, infrastructure and areas are still often developed sectoral and independent. In the Netherlands, national spatial policies strive for combining infrastructure and area as one integrated approach as this is expected to result in more spatial quality. Taking this perspective, this article discusses trendy concepts in current Dutch planning, such as: adaptive planning, public and private cooperation and challenge-oriented approaches (‘opgave-gericht werken’ which focuses less on realising a project but more on the current and future issues and challenges in an area). This article argues that these concepts are closely related. Adaptive planning defines the rules of the game and the playing field, within which cooperation may develop. Cooperation is a means for creating spatial quality in interaction within this playing field. After all, generated quality can be considered as a contribution to the specific objectives and interest of the various partners. A challenge-oriented approach is the process for generating spatial quality from synergies in combined infrastructure and spatial development. This article aims to explore the relationships between adaptive planning, public and private cooperation and challenge-oriented approaches and to provide starting points for further research and discussion.


Wim Leendertse

Jos Arts

Tim Busscher

Frits Verhees
Artikel

Access_open De 21ste-eeuwse overheidsmanager

Tijdschrift Bestuurskunde, Aflevering 3 2016
Trefwoorden Public management, 21st century skills, Megatrends, Strategic HRM, Public managers
Auteurs Zeger van der Wal
Samenvatting

    This article examines who ‘21st century public managers’ are and which skills and roles they have to master to function effectively in the 21st century. Based on a large scale analysis of literature and years of interaction with senior practitioners, seven key 21st century demands for public managers are identified, each of which creates dilemmas as well as opportunities. 21st century public managers utilize a combination of traditional and new roles, competencies, and values to turn demands into opportunities. The article concludes with implications for public administration research and education.


Zeger van der Wal
Artikel

Probleemanalyse is het halve werk

Samenwerking en innovatie in de strijd tegen ondermijnende criminaliteit

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2016
Auteurs Maurits Waardenburg BSc, Bas Keijser BSc, Prof. dr. Martijn Groenleer e.a.
SamenvattingAuteursinformatie

    Science and practice are largely agreed on the importance of interorganizational cooperation in the approach of tackling complex societal problems. Organization transcending innovation through this type of cooperation however appears to be complicated. Based on an analysis of the literature about partnerships, the authors distinguish three challenges: coping with the tension between old and new accountability structures, building good working relationships and developing capabilities for problem-oriented working. Starting from these insights they designed action research into problem-oriented partnerships in the safety domain (safety chain). Their main question was: what is the most important obstacle for innovation through problem-oriented interorganizational cooperation? Over a period of nine months, they watched eight teams of professionals from different organizations. Their task was to develop and implement innovative approaches to tackle persistent organized crime. Although all three challenges identified in the literature indeed played a prominent role, problem diagnosis and problem definition appeared to be the main obstacle for the teams. In this article the authors describe the action research and explore, on the basis of the results and the literature, how partnerships could cope in practice with the challenge of problem definition and problem analysis. They conclude the article with suggestions for the design of a follow-up round of the action research.


Maurits Waardenburg BSc
M. Waardenburg MPP is research fellow aan het Ash Center for Democratic Governance and Innovation van de Kennedy School of Government, Harvard University.

Bas Keijser BSc
B. Keijser BSc is bezig met de afronding van zijn master Systems Engineering, Policy Analysis and Management aan de Faculteit Techniek, Bestuur & Management van de Technische Universiteit Delft.

Prof. dr. Martijn Groenleer
Prof. dr. M.L.P. Groenleer is hoogleraar Regional Law and Governance aan Tilburg University en tevens directeur van het Tilburg Center for Regional Law and Governance (TiREG).

Dr. Jorrit de Jong
Dr. J. de Jong is lecturer in Public Policy and Management aan de Harvard Kennedy School en wetenschappelijk directeur van het Government Program bij het Ash Center for Democratic Governance and Innovation van de Kennedy School of Government, Harvard University.
Artikel

Big data klaar voor gebruik?

De coördinatie van de dataketen

Tijdschrift Bestuurskunde, Aflevering 1 2016
Trefwoorden chain, big data process, coordination, transfer, data quality
Auteurs Prof.dr.ir. Marijn Janssen en dr. Haiko van der Voort
SamenvattingAuteursinformatie

    In the sequence of creating, processing and use of data several actors are involved. They have different knowledge, skills, motives and interests. In this contribution big data is framed as a coordination effort in a chain. This perspective emphasizes the importance of transfers between actors. It emphasizes their difficulties too. Do actors mean the same? Do actors understand the same? Do actors want the same? To understand the value of data, the entire process from data creation to use need to be considered. This process may entirely take place within an organization. More often parts of the process are outside the organization. The challenge for governments that use big data for their decisions, is managing the quality of data and the chain that process them.


Prof.dr.ir. Marijn Janssen
Prof.dr.ir. M.F.W.H.A. Janssen is hoogleraar aan de Technische Universiteit Delft

dr. Haiko van der Voort
dr. H.G. (Haiko) van der Voort is universitair docent aan de Technische Universiteit Delft
Boekbespreking

Een dubbele kijk op co-creatie

Tijdschrift Bestuurskunde, Aflevering 1 2016
Trefwoorden Co-creation
Auteurs Dr. Erik de Bakker en Dr. Hans Dagevos
SamenvattingAuteursinformatie

    This essay review discusses three publications on co-creation: ‘We, the government’ by Davied van Berlo (2012), ‘Co-creation of innovation’ by Corry Ehlen (2015), and ‘New Business Models’ by Jan Jonker et al. (2014). The theme of this essay is the specific character of co-creation compared to other buzzwords (e.g. participation, co-production, social responsibility) that can be heard in the search for a new balance between the state and civil society. We suggest that the distinctive character of co-creation lies in the active engagement of parties who work together to co-create. Co-creation means raising the bar of collaboration and dialogue. Openness, trust, equality and reciprocity are emphasised as essential elements in the process. It is literally about collectively creating multiple values in which there should be plenty of room for creativity and sharing ideas. Following on the publications of Ehlen and Jonker a dual vision on co-creation arises. In general terms, the potential of co-creation depends on the know-how, commitment and values of the actors involved (microscopic perspective) and on the social capital in the wider environment that they can draw upon to bolster the co-creation process (macroscopic perspective).


Dr. Erik de Bakker
Dr. E. de Bakker is senior onderzoeker bij onderzoeksinstituut LEI Wageningen UR.

Dr. Hans Dagevos
Dr. H. Dagevos is senior onderzoeker bij onderzoeksinstituut LEI Wageningen UR en lector aan Hogeschool Inholland.
Artikel

Kenniscocreatie rond vernieuwing gebiedsontwikkeling is zinnig

NWO-programma Urban Regions in the Delta hanteerde navolgenswaardige aanpak

Tijdschrift Bestuurskunde, Aflevering 4 2015
Trefwoorden knowledge co-creation, area development, transdisciplinarity, boundary work
Auteurs Drs. Ymkje de Boer en Ir. Jan Klinkenberg
SamenvattingAuteursinformatie

    The research programme Urban Regions in the Delta (URD) wielded an approach worthy of emulation. Create ‘vital’ project consortia, crosslink the research project with on-going planning and policy making processes, give senior scientists a major role and engage expert process managers. These are four key success factors for knowledge co-creation in the field of area development, according to the programme (Netherlands Organisation for Scientific Research; URD, 2010-2014 http://urd.verdus.nl). Within URD scientists and practitioners were cooperating from the very beginning. The scientific insight and innovations generated are considered not very visible in traditional scientific publications, but the knowledge that was developed provides considerable added value to society.


Drs. Ymkje de Boer
Drs. Y. de Boer is zelfstandig adviseur in kenniscommunicatie en -overdracht, veelal werkzaam voor NWO-programma’s en het kennisinitiatief Verbinden van Duurzame Steden. Zij was als communicatieadviseur verbonden aan Urban Regions in the Delta. In 2013 was ze medeauteur van het boek ‘Kenniscocreatie’, naar productieve samenwerking tussen wetenschappers en beleidsmakers.

Ir. Jan Klinkenberg
Ir. J. Klinkenberg (Platform31) is als netwerkmanager sinds 2010 werkzaam voor het kennisinitiatief Verbinden van Duurzame Steden, en daarbinnen ook netwerkmanager van Urban Regions in the Delta. Hij richt zich op het opzetten en uitvoeren van praktijkgerichte onderzoeksprogramma’s en -projecten in het ruimtelijk domein, gebaseerd op ervaringen in diverse FES-programma’s.
Artikel

De staat als twaalfde man

Zijn overheidsinvesteringen in stadions van waarde voor de stad?

Tijdschrift Bestuurskunde, Aflevering 4 2015
Trefwoorden Football stadiums, Public investments, Urban development, Amsterdam, Eindhoven
Auteurs Ir. Dirk van Duijn en Dr. Wouter Jan Verheul
SamenvattingAuteursinformatie

    On a regular basis, the funding of football stadiums is an issue for large cities. Since football clubs appeal to the municipality for financial support, this is a public matter. Why should a municipality invest in a private project, such as a football stadium? What are the opportunities and risks? What is the public value of a stadium for the city? Based on literature reviews and case studies in Eindhoven and Amsterdam, this article examines what government involvement in stadium projects means, and what the outcomes of this involvement are. The cases show that stadiums may have social and economic spin-off effects on their surroundings, but one cannot take that for granted. Careful processes and elaborate strategies are needed for public investment in stadiums to really add value to the city. Based on the analyses, an assessment framework is presented for the benefit of new stadium project initiatives.


Ir. Dirk van Duijn
Ir. D. van Duijn is vastgoedkundige en werkzaam bij Synchroon.

Dr. Wouter Jan Verheul
Dr. W.J. Verheul is bestuurskundige en werkzaam bij de TU Delft, Faculty of Architecture & the Built Environment, sectie Urban Development Management.
Artikel

Over de werking en waardering van kennispraktijken

Of hoe een vraagstuk het onderzoek krijgt dat het verdient

Tijdschrift Bestuurskunde, Aflevering 4 2015
Trefwoorden boundary work, Integration & Implementation Sciences, practice approach, knowledge intermediary, knowledge transfer
Auteurs Drs. Robert Duiveman, Prof. dr John Grin, Prof. dr John Hafkamp e.a.
SamenvattingAuteursinformatie

    When scientific values like objectivity, validity and reliability are inadequate for designing research that enables society’s capacity for dealing with unstructured problems, which values or criteria should we use for designing adequate knowledge practices? Based on the articles in this special issue we answer this question by analysing the methods researchers have used for selecting stakeholders, knowledges, synthesis, context and outcome in new knowledge practices. Although a common language for comparison and documentation is lacking, the analysis provides recommendations for better designing interaction between scientific and other practices. The most important message however is that we need a designated platform for exchanging and evaluating experiences and discussing methods and the outcomes they yield.


Drs. Robert Duiveman
Drs. R.M. Duiveman is verbonden aan de Universiteit van Amsterdam.

Prof. dr John Grin
Prof. dr J. Grin is hoogleraar Beleidswetenschap, in het bijzonder systeeminnovaties, aan de Universiteit van Amsterdam.

Prof. dr John Hafkamp
Prof. dr. W. Hafkamp is verbonden aan de Erasmus Universiteit.

Dr. Tamara Metze
Dr. T.A.P. Metze is verbonden aan de Universiteit van Tilburg.
Artikel

Naar een oplossing voor het afwikkelen van massaclaims op de financiële markten: inzichten uit een responsieve evaluatie

Een reflectie op het toepassen van de methodiek voor responsieve evaluatie op een controversiële en juridisch complexe kwestie

Tijdschrift Beleid en Maatschappij, Aflevering 4 2015
Trefwoorden Mass claim disputes, financial markets, collective settlement, responsive evaluation, constructivist inquiry
Auteurs Mr. Bonne van Hattum en Dr. Anne Loeber
SamenvattingAuteursinformatie

    The discussion on how to resolve mass disputes stemming from faulty financial products among banks, insurance companies and other stakeholders in the Netherlands ended in deadlock. While diligent action is considered imperative, parties shy away from discussing options for settling damages suffered by consumers for fear of triggering mass claims themselves. To contribute to a new framework for resolving mass disputes, a responsive evaluation was conducted between 2011 and 2015. In such evaluation, the way stakeholders make sense of the situation serves as an organizing principle in knowledge production. This article discusses the methodical challenges implied in adapting the methodological guidelines for such inquiry to fit the ill-structured, controversial and complex legal issue and its highly politicized context. Because of a careful handling of confidentiality in the inquiry and a focused selection of participants on the basis of their proximity to the issue, the evaluation resulted in insight in options for resolving mass disputes that are supported by various parties. Furthermore, the evaluation itself served, it is argued, as a vehicle to overcome the deadlock by sensitizing stakeholders to the fact that they all aspire similar practical objectives and all acknowledge the need for cooperation on the issue.


Mr. Bonne van Hattum
Mr. Bonne van Hattum is als onderzoeker verbonden aan de Faculteit der Rechtsgeleerdheid van de Universiteit van Amsterdam (UvA). Daarnaast is zij als strategisch beleidsadviseur en jurist werkzaam bij de afdeling Strategie Beleid en Internationale Zaken (SBI) van de Autoriteit Financiële Markten (AFM).

Dr. Anne Loeber
Dr. Anne Loeber is verbonden aan de afdeling Politicologie van de Universiteit van Amsterdam. Haar onderzoek concentreert zich op de relatie tussen kennis en beleid, met in het bijzonder aandacht voor beleidsanalyse en -evaluatie ten aanzien van complexe en controversiële beleidskwesties.
Artikel

Humberto’s paradox

Tijdschrift Bestuurskunde, Aflevering 1 2013
Trefwoorden co-creations, digital platforms, network society
Auteurs Davied van Berlo
SamenvattingAuteursinformatie

    Humberto is the name of a popular presentor on Dutch radio and television. In response to an item on a conflict between the Labour Inspectorate and the police authorities, he hesitantly posed the question whether the government should interfere. This is the paradox of citizens viewing the government sometimes as a single actor, whereas at other times they seem to acknowledge the fact that government consists of multiple actors. The use of co-creation and digital platforms could provide means that help todays government to mediate between the two extreme perceptions of government as a unitary actor and government as a conglomerate of actors operating in a networked society in which sometimes government organisations and sometimes other actors, including (groups) of citizens, in society take initiatives to promote and contribute to public values.


Davied van Berlo
D. van Berlo is initiatiefnemer van Ambtenaar 2.0 en Pleio. @davied en www.davied.nl
Artikel

De bestuurlijke gevolgen van web 2.0

Conclusies en onderzoeksagenda

Tijdschrift Bestuurskunde, Aflevering 3 2011
Trefwoorden web 2.0, risks, chances, dilemmas, research agenda
Auteurs Vincent Homburg en Philip Marcel Karré
SamenvattingAuteursinformatie

    In this concluding article of the special issue on web 2.0 we critically discuss several of the effects of this trend. Is it always a good idea to let citizens participate in policy making through social media? Will Open Data only lead to positive effects? And will the co-creation possibilities of web 2.0 really dramatically alter the ways in which bureaucracies function, as its advocates believe? We also draw up an agenda for future research on the governmental effects of web 2.0.


Vincent Homburg
Dr V.M.F. Homburg is universitair hoofddocent bij de opleiding bestuurskunde van de Erasmus Universiteit Rotterdam.

Philip Marcel Karré
Dr P.M. Karré is senioronderzoeker aan de Nederlandse School voor Openbaar Bestuur en programmaleider bij de Hogeschool van Amsterdam.
Artikel

Sluipend kwaliteitsverlies in de geestelijke gezondheidszorg

Professionals over de gevolgen van marktwerking

Tijdschrift Beleid en Maatschappij, Aflevering 1 2011
Trefwoorden mental health care, marketization, Diagnosis Related Groups (DRG’s), policy implementation, professionalism
Auteurs Nienke van Sambeek, Evelien Tonkens en Christian Bröer
SamenvattingAuteursinformatie

    In order to facilitate the creation of a regulated market, Diagnostic Treatment Combinations (DBC’s in Dutch) have been introduced in Dutch mental health care in 2008. DBC’s are developed to distinguish and price the ‘products’ of health care, in order to make comparison and competition between health care providers possible. In this qualitative study we analyzed mental health care professionals experiences with the DBC-system. We focused on two questions: (1) what does the DBC-system and the related introduction of marketization of mental health care mean for professionals? and (2) how do professionals cope with the DBC-system in their daily practices? We found that the logics of the market and bureaucracy, both incorporated in the DBC-system, often conflicted with the values and ethics of mental health care professionals. Mental health professionals experience deterioration of professionalism and quality of care. They were coping with conflicting values by non-compliance with rules and pragmatic use of the DBC-system. It is argued that the efforts of professionals to protect the quality of their work might actually lead to invisibility of the problems they encounter, which reinforces the policy they criticize.


Nienke van Sambeek
Nienke van Sambeek is psycholoog bij de Psychologische Praktijk Putten.

Evelien Tonkens
Evelien Tonkens is bijzonder hoogleraar actief burgerschap, afdeling Sociologie en Antropologie aan de Universiteit van Amsterdam en toezichthouder GGZ centraal. Correspondentiegegevens: prof. dr. Evelien Tonkens, Universiteit van Amsterdam, afdeling Sociologie en Antropologie, St. Actief burgerschap, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, E.H.Tonkens@uva.nl.

Christian Bröer
Christian Bröer is universitair docent sociologie aan de Universiteit van Amsterdam.
Artikel

Werk in een wantrouwende wereld

Omvang en oorzaken van een uitdijende controle-industrie

Tijdschrift Beleid en Maatschappij, Aflevering 4 2006
Auteurs Frans van Waarden
SamenvattingAuteursinformatie

    Fraud seems to be on the rise. That feeds a demand for controls. This paper sketches the diversity of supply in reaction to this demand: public regulators of course, but also commercial information providers and benchmarkers, self-regulating associations, hallmark producers, certification and accreditation bodies, and internal business management control systems, whereby ever more levels of control are piled on top of each other. More than a million Dutchmen earn a living in this booming control-industry, or 14% of the working population. In addition to fraud, other causes of this trend are being discussed, among them, paradoxically, neo-liberalist deregulation policies. All these causes contribute to a sense of risk and uncertainty. Although this trend has a number of negative consequences, it has a major benefit: jobs! Economists may have long thought that transaction costs are there for the transactions. But it looks as if transactions exist to produce transaction costs.


Frans van Waarden
Frans van Waarden is hoogleraar Organisatie en Beleid aan de Universiteit Utrecht en fellow van het University College Utrecht. Hij studeerde sociologie in Toronto en Leiden, was voorheen werkzaam aan de Universiteiten van Leiden en Konstanz en visiting scholar in Wenen, Leipzig, Stanford, Berkeley, het European University Institute in Florence en het NIAS in Wassenaar. Hij publiceerde over arbeidsverhoudingen, techniekgeschiedenis, innovatie, katoenindustrie, belangengroepen en corporatisme, verzorgingsstaat, ondernemersorganisaties, de relatie overheid – bedrijfsleven, openbaar bestuur, stijlen van regelgeving en -handhaving en marktwerking en deregulering. Correspondentiegegevens: Prof. dr. Frans van Waarden, University College, Utrecht University, Postbus 80145, 3508 TC Utrecht Telefoon: +31-30-253-4820 e-mail: F.vanwaarden@fss.uu.nl
Artikel

Leren over biotechnologie

Besluit biotechnologie bij dieren als arrangement voor maatschappelijk leren

Tijdschrift Beleid en Maatschappij, Aflevering 3 2007
Auteurs Albert Meijer, Frans Brom, Gerolf Pikker e.a.
SamenvattingAuteursinformatie

    The application to animals of biotechnological techniques raises moral dilemmas and requires collective agreements. Under what circumstances, for example, are applications permissible? The technological and ethical complexity of biotechnology makes it difficult to arrive at such agreements. With the recent Animal Biotechnology Act, the Dutch Minister of Agriculture has created an arrangement that should facilitate social learning. Did the arrangement work out as planned? This evaluation study demonstrates that very little substantive learning has taken place: positions have become more rigid and antagonists continue to contest one another in a legal discourse. The legalization has hindered learning processes but presents the opportunity for a polarized debate to be conducted within the same institutional framework.


Albert Meijer
Albert Meijer is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap. Correspondentiegegevens: Albert Meijer Bijlhouwerstraat 6 3511 ZC Utrecht Tel. 030 – 2539568

Frans Brom
Frans Brom is hoofd van de afdeling Technology Assessment van het Rathenau Instituut.

Gerolf Pikker
Gerolf Pikker is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap.

Marie-Jeanne Schiffelers
Marie-Jeanne Schiffelers is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap.

Martijn van der Spek
Martijn van der Spek is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap.
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