Verfijn uw zoekresultaat

Zoekresultaat: 2 artikelen

x
De zoekresultaten worden gefilterd op:
Jaar 2011 x Rubriek Artikel x
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

Bewonersinitiatieven: partnerschap tussen burgers en overheid

Tijdschrift Beleid en Maatschappij, Aflevering 4 2011
Trefwoorden citizen’s initiatives, activation policy, representativeness, partnership relation, competences
Auteurs Dr. Imrat Verhoeven en Prof. dr. Evelien Tonkens
SamenvattingAuteursinformatie

    In recent years the Dutch welfare state has invested substantial sums of money in activation of citizen’s initiatives in deprived neighbourhoods. As a policy concept citizen’s initiatives refers to enhancements by citizens to the quality of life in their neighbourhood. Is this activation policy productive or counterproductive for citizen participation? This question is answered by analyzing the representativeness of the activated citizens, the nature of their initiatives, the type of relations they develop with institutions, and whether they develop more competences due to their initiative(s). Our findings indicate that the activated citizens are more often female, below 50, lower educated, and 40 percent is migrant, which makes them more representative than the participation elite (male, 50+, white, and higher educated). They form a new vanguard that activates many participants through initiatives that focus on connecting people and on social problems such as anonymity, isolation and nuisance. Many contacts with professionals contribute for them to a partnership relation geared toward cooperation instead of consumerism or dissatisfaction. Also these citizens develop democratic, bureaucratic and social competences as well as social reflexivity and empathy for other citizens and institutions. We conclude that activation of citizen’s initiatives has positive effects on citizen participation.


Dr. Imrat Verhoeven
Imrat Verhoeven is postdoc onderzoeker aan de afdeling Sociologie en Antropologie, Universiteit van Amsterdam/AISSR. Correspondentiegegevens: Dr. I. Verhoeven, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, i.verhoeven@uva.nl.

Prof. dr. Evelien Tonkens
Evelien Tonkens is hoogleraar actief burgerschap aan de afdeling Sociologie en Antropologie, Universiteit van Amsterdam/AISSR. Correspondentiegegevens: Prof. dr. E. Tonkens, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, e.h.tonkens@uva.nl.
Interface Showing Amount
U kunt door de volledige tekst zoeken naar alle artikelen door uw zoekterm in het zoekveld in te vullen. Als u op de knop 'Zoek' heeft geklikt komt u op de zoekresultatenpagina met filters, die u helpen om snel bij het door u gezochte artikel te komen. Er zijn op dit moment twee filters: rubriek en jaar.