Zoekresultaat: 16 artikelen

x
De zoekresultaten worden gefilterd op:
Rubriek Artikel x
Artikel

Twee perspectieven op de eerste overheid

Tijdschrift Bestuurskunde, Aflevering 3 2013
Trefwoorden local government, new localism, modernization model, political community model
Auteurs Marcel Boogers en Bas Denters
SamenvattingAuteursinformatie

    Dutch local government is more and more regarded as a ‘first government’. Vision documents of the association of municipalities and national policy plans stress the importance of local government for improving public governance. This ‘new localism’ builds upon two conflicting perspectives to local government: the modernization model and the political community model. As a result, local governments are becoming overloaded by many new and conflicting demands. A debate about how both perspectives to the ‘first government’ can be balanced, is therefore needed.


Marcel Boogers
Prof. dr. M. Boogers is bijzonder hoogleraar Innovatie en Regionaal Bestuur aan de Universiteit Twente en senior adviseur bij BMC.

Bas Denters
Prof. dr. B. Denters is hoogleraar Bestuurskunde aan de Universiteit Twente en wetenschappelijk directeur van het Netherlands Institute of Government (NIG).
Artikel

De wedergeboorte van de fact-free politics

Pim Fortuyn en de nieuwe tegencultuur (2002-2012)

Tijdschrift Beleid en Maatschappij, Aflevering 2 2012
Trefwoorden politieke cultuur, Pim Fortuyn, fact-free politics, personalisering, anti-establishment ressentiment
Auteurs Prof. dr. Dick Houtman, Dr. Peter Achterberg en Roy Kemmers Msc.
SamenvattingAuteursinformatie

    In this paper we analyze Fortuyn’s political inheritance in the Netherlands. Going beyond the mere electoral popularity of his neo-rightist successors, we analyze the changing political culture since Fortuyn entered the political stage. More specifically we show that his ideological beliefs – Fortuyn voiced an unprecedented combination of liberal views towards homosexuals and gender equality with critical views pertaining to immigration, and he was critical of political and administrative elites – caught on in current Dutch politics. Moreover, his highly personal communicative style, placing him outside the inner circle of Dutch politics underscoring his adversity to these political elites, also caught on in mainstream political campaigning. This new personal style, however, did not mean a demise of ideology. On the contrary, Fortuyn actively tried to appeal to the electorate with ideals and ideology – hence marking the rebirth of the so-called ‘fact-free politics’ after the de-ideologized purple governments in the Netherlands. Since Fortuyn, mainly parties on the right side of the political spectrum have followed this path of re-ideologization. The paper ends with a comparison of the counterculture originating in the 1960s and post-Fortuyn right-wing politics, which surprisingly shows great continuity. We therefore argue that we are currently witnessing a veritable counterculture 2.0.


Prof. dr. Dick Houtman
Dick Houtman is hoogleraar cultuursociologie aan het Centre for Rotterdam Cultural Sociology (CROCUS), Erasmus Universiteit Rotterdam. Correspondentiegegevens: Prof. dr. D. Houtman, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam. www.dickhoutman.nl. houtman@fsw.eur.nl.

Dr. Peter Achterberg
Peter Achterberg is universitair hoofddocent cultuursociologie aan het Centre for Rotterdam Cultural Sociology (CROCUS), Erasmus Universiteit Rotterdam. Correspondentiegegevens: Dr. P. Achterberg, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam www.peterachterberg.com. achterberg@fsw.eur.nl.

Roy Kemmers Msc.
Roy Kemmers is promovendus cultuursociologie aan het Centre for Rotterdam Cultural Sociology (CROCUS), Erasmus Universiteit Rotterdam. Correspondentiegegevens: R. Kemmers, Msc., Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam. kemmers@fsw.eur.nl.
Artikel

De investeringsstaat en het verdelingsvraagstuk: waarom is de armoede niet gedaald?

Tijdschrift Beleid en Maatschappij, Aflevering 2 2011
Trefwoorden welfare state, poverty, inequality, new social risks, labour market, income protection
Auteurs Bea Cantillon en Wim Van Lancker
SamenvattingAuteursinformatie

    In the past decades, employment and incomes were on the rise, social spending remained high while passive welfare states were progressively transformed into so-called ‘investment states’. Despite these favourable conditions, however, contemporary welfare states did not succeed in reducing poverty and inequality. What lies beneath the disquieting poverty standstill and how did welfare states miss this ‘window of opportunity’? In this article, we aim to shed more light on this question. We identify three structural trends behind the poverty standstill: rising employment has benefited workless households only partially; income protection for the working-age population out of work has become less adequate; social policies and, more generally, social redistribution have become less pro-poor. In other words, the reorientation of social expenditures to the employed occurred at the expense of those at risk in the labour market. The success of future poverty-reducing strategies will depend on the way policies aimed at labour market inclusion will be implemented and the emphasis on redistributive policies.


Bea Cantillon
Bea Cantillon is directeur van het Centrum voor Sociaal Beleid Herman Deleeck van de faculteit Politieke en Sociale Wetenschappen, Universiteit Antwerpen. Correspondentiegegevens: prof. dr. B. Cantillon, Centrum voor Sociaal Beleid Herman Deleeck, Faculteit Politieke en Sociale Wetenschappen, Universiteit Antwerpen, Sint-Jacobstraat 2 - B-2000 Antwerpen, bea.cantillon@ua.ac.be.

Wim Van Lancker
Wim Van Lancker is onderzoeker aan het Centrum voor Sociaal Beleid Herman Deleeck van de faculteit Politieke en Sociale Wetenschappen, Universiteit Antwerpen. Correspondentiegegevens: Wim Van Lancker, Centrum voor Sociaal Beleid Herman Deleeck, Faculteit Politieke en Sociale Wetenschappen, Universiteit Antwerpen, Sint-Jacobstraat 2 - B-2000 Antwerpen, wim.vanlancker@ua.ac.be.
Artikel

Allochtoon als metafoor en categorie

Over de handelingsimplicaties van beleidstaal

Tijdschrift Beleid en Maatschappij, Aflevering 2 2011
Trefwoorden category making, administrative practices, migrants, integration policy, race/ethnicity
Auteurs Marleen van der Haar en Dvora Yanow
SamenvattingAuteursinformatie

    This paper offers a critical empirical analysis of the policy terms ‘allochtoon’ and ‘autochtoon’, which have been used in Dutch public policy and administrative practices in recent years, as well as in general public discourse, to distinguish between people with a migrant background and those with a so-called native background on the basis of birthplace. Taking an interpretive policy analysis perspective, we present metaphor and category analyses to show the determining role that ‘place of origin’ has in the policy terms. The analysis includes a historical contextualization of the categories within Dutch policy discourse. The metaphor analysis focuses on the etymology of the terms, and the category analysis examines the taxonomy used by Statistics Netherlands since 1999. The role of ‘place’, and in particular country or land of birth, in these etymologies and taxonomies link to elements from ancient racial thinking, showing that ‘birthplace’ is a surrogate for race in this policy discourse. The analysis leads us to argue that the terms are inherently exclusive and that the exclusive work that the essentialist categories do is in marked contrast to the policy goal of integration.


Marleen van der Haar
Marleen van der Haar is postdoc onderzoeker en docent aan het Institute for Management Research, Radboud Universiteit Nijmegen. Correspondentiegegevens: dr. M. van der Haar, Radboud Universiteit Nijmegen, afdeling Politicologie, Thomas van Aquinostraat 5.1.32, 6500 HK Nijmegen, m.vanderhaar@fm.ru.nl.

Dvora Yanow
Dvora Yanow is visiting professor aan de Universiteit van Amsterdam.
Artikel

Gelijkheid of economische groei?

Interpretatieve frames in het emancipatiebeleid tussen 1992 en 2007

Tijdschrift Beleid en Maatschappij, Aflevering 3 2011
Trefwoorden frame, narrative, numerical metaphor, emancipation policy, economization
Auteurs Mr. drs. Anja Eleveld en Dr. Ir. Maroesjka Versantvoort
SamenvattingAuteursinformatie

    A post-positivistic view on policy analysis is increasingly accepted within mainstream policy analysis. Post-positivistic policy analysis is a term for a broad range of analytical approaches in the field of policy analysis, which seeks to move beyond an ‘objectivist’ conception of reality. Scholars working within this field primarily object to the positivistic claim that policy problems can be approached in a technocratic, pure empiricist way. According to them, policy problems are constructed within policy narratives and frames. However, the exact relation between frames, narratives, problems, the use of data, values and ideas are connected remains unclear. This contribution follows Brandwein (2006) who proposes to separate baseline categories of thought, such as values and assumptions from their interpretative products such as narratives and problems. Together, these elements form the interpretative frame in which certain aspects of a policy problem is highlighted while other features are ignored. The authors extend Brandwein’s model as they add an extra element to the interpretative product, that is the use of numbers in policy texts. On this model they render an important shift within Dutch emancipation policy – from a concern for equal distribution of care task and paid labor to an exclusive focus on the growth of women labor participation – more intelligible.


Mr. drs. Anja Eleveld
Anja Eleveld is promovenda binnen het project Hervorming sociale zekerheid van de Universiteit Leiden. Correspondentiegegevens: mr. drs. A. Eleveld, Universiteit Leiden, Faculteit Rechtsgeleerdheid, afdeling sociaal recht, Steenschuur 25, 2311 ES Leiden, a.eleveld@law.leidenuniv.nl.

Dr. Ir. Maroesjka Versantvoort
Maroesjka Versantvoort is gastonderzoeker aan de Universiteit Leiden en senior wetenschappelijk medewerker bij het Sociaal en Cultureel Planbureau. Correspondentiegegevens: Dr. ir. M.C. Versantvoort, Universiteit Leiden, Faculteit Rechtsgeleerdheid, Afdeling Economie, Steenschuur 25, 2311 ES Leiden, M.Versantvoort@scp.nl.
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.

    According to many observers, multicultural integration policies have strongly eroded in the Netherlands since the early 1990s and particularly following the rise of Pim Fortuyn in 2002. In this view, the Netherlands now follow harsh, assimilationist policies that threaten the foundations of democracy. Policy studies on the local level have however found strong continuities. This article investigates changes and continuities in Dutch integration policies on the national level. The cross-national policy data compiled in the Migration Policy Index show that the Netherlands are in 2007 still among the European countries that offer immigrants and their descendants the largest degree of legal equality. Comparative data on accommodation policies regarding immigrant cultures and religions show that Dutch policies are still culturally pluralist compared to most other European countries, e.g., by recognizing immigrants' ethnic and religious identities and practices, subsidizing and incorporating their associations, and providing preferential access to public sector jobs. Quantitative comparative policy data are supplemented by qualitative examples of pluralist policies in the media, the police force, and nature conservation and recreation. The article concludes that in spite of rhetoric to the contrary, there is strong path dependence in Dutch integration policies, also on the national level.


Ruud Koopmans
Ruud Koopmans is directeur van de afdeling 'Migration, Integration, Transnationalization' aan het Wissenschaftszentrum Berlin für Sozialforschung (WZB). Correspondentiegegevens: Prof. dr. R. Koopmans Wissenschaftszentrum Berlin für Sozialforschung (WZB) Reichpietschufer 50 10785 Berlijn Duitsland koopmans@wzb.eu
Artikel

De diplomademocratie

Over de spanning tussen meritocratie en democratie

Tijdschrift Beleid en Maatschappij, Aflevering 4 2006
Auteurs Mark Bovens
SamenvattingAuteursinformatie

    Contemporary western democracies, such the United States, Great Britain, and The Netherlands have become diploma democracies. They are ruled by the well educated, whereas the least educated, even though they still comprise about half of the population, have virtually vanished from most political arenas. Of course, the well educated have always been more politically active than the less educated, but in the past decades this gap has widened substantially. Well-educated citizens are more inclined to vote, to write letters to the editor, or to visit consultative or deliberative meetings than citizens with a low level of education; and most, if not all, members of parliament, all the political officials, and almost all of the political advocates and lobbyists, have college or graduate degrees. The paper substantiates the rise of diploma democracy in The Netherlands, discusses what is problematic about such an educational meritocracy in the context of democracy, and looks at what could be done to mitigate or remedy some of its negative effects.


Mark Bovens
Prof. dr. Mark Bovens is als hoogleraar Bestuurskunde verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap van de Universiteit Utrecht, Bijlhouwerstraat 6, 3511 ZC Utrecht. Zijn meest recente boek is De digitale republiek: Democratie en rechtsstaat in de informatiemaatschappij (AUP 2003). Correspondentiegegevens: m.a.p.bovens@uu.nl www.usg.uu.nl/research/m.bovens

Johan Mackenbach
Johan Mackenbach (1953) is epidemioloog en sociaal-geneeskundige, en als hoogleraar Maatschappelijke Gezondheidszorg verbonden aan het Erasmus MC, Universitair Medisch Centrum Rotterdam. Veel van zijn onderzoek ligt op het terrein van de sociale epidemiologie. Hij publiceerde ongeveer 300 artikelen in internationale wetenschappelijke tijdschriften, alsmede een groot aantal artikelen in Nederlandstalige wetenschappelijke tijdschriften. Hij is redacteur van het leerboek Volksgezondheid en gezondheidszorg (derde druk, Elsevier 2004), en lid van verschillende adviesorganen, waaronder de Gezondheidsraad en de Raad voor Volksgezondheid en Zorg. Correspondentieadres: Prof. dr. J.P. Mackenbach Afdeling Maatschappelijke Gezondheidszorg, Erasmus MC Postbus 2040 3000 CA Rotterdam j.mackenbach@erasmusmc.nl
Artikel

Werkende vaders, zorgende mannen

De mogelijkheid van verandering

Tijdschrift Beleid en Maatschappij, Aflevering 1 2006
Auteurs Jan Willem Duyvendak en Monique Stavenuiter
SamenvattingAuteursinformatie

    Fathers may fundamentally change their behaviour, depending on the context. In this article, this aspect was investigated on the basis of three exceptional practices. The 'standard practice' has been defined as a living unit consisting of a man, a woman and one or more children, with the man working outside the home at regular times (generally from 9-17 hours) and the woman being (largely) responsible for household and care tasks. We speak of an exceptional practice if the man works non-regular hours, or has an unusual working pattern, or is part of a special type of household. The study involved around thirty such households, subdivided into the households of homosexual fathers, shiftworkers and teleworkers. The main conclusion of the article into exceptional practices is that men's views and preferences as regards the distribution of tasks between men and women are closely linked to the context in which they perform these tasks. In households characterised by a more balanced distribution of tasks, the alleged skills and preferences of men and the tradition in which they grew up have become largely or totally irrelevant. It turns out that men's opinions may change in situations where men are forced to carry out certain tasks because of a change in circumstances (different working hours, working patterns or alternative lifestyles). In that case, even supposedly poor skills are suddenly of little or no importance. Being 'alone' at home with the children appears to be an important stimulus to actually perform care tasks.


Jan Willem Duyvendak
Jan Willem Duyvendak is hoogleraar algemene sociologie aan de Universiteit van Amsterdam en mede-auteur van het boek Working Fathers, Caring Men, Den Haag/Utrecht: Ministerie SZW/Verwey-Jonker Instituut. Correspondentieadres: UvA – afdeling sociologie en antropologie, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, duyvendak@uva.nl

Monique Stavenuiter
Monique Stavenuiter is werkzaam als hoofd van de onderzoeksgroep Maatschappelijke Participatie bij het Verwey-Jonker Instituut te Utrecht en mede-auteur van het boek Working Fathers, Caring Men, Den Haag/Utrecht: Ministerie SZW/Verwey-Jonker Instituut.

    This article identifies institutions and arrangements concerning the reconciliation of working life and family life for various European countries. These institutions and arrangements concern time (flexible working hours and leave arrangements), money (tax systems) and facilities (childcare facilities). A fairer distribution of all work and care tasks requires proper facilities at national level in respect of childcare, parental leave, so-called leave savings schemes, the right to work part-time, etc. Such facilities are of particular importance while taking the first steps towards a fairer distribution: they will enable men to take on more tasks at home, while making it easier for women to work outside the home. The article concludes that with regard to reconciliation facilities, the differences between the several welfare states within the European Union are fading away. This is interesting, because as a result the EU countries are increasingly finding common ground in terms of solutions for reconciliation and more specifically the role of men.


Ivy Koopmans
Ivy Koopmans is als onderzoeker verbonden aan de Utrecht School of Economics van de Universiteit Utrecht. Adres: Utrecht School of Economics, Vredenburg 138, 3511 BG Utrecht, I.Koopmans@econ.uu.nl

Joop Schippers
Joop Schippers is hoogleraar Arbeids- en Emancipatie-economie aan de Universiteit Utrecht en tevens is hij als programmahoogleraar verbonden aan de Organisatie voor Strategisch Arbeidsmarktonderzoek (OSA). Adres: Utrecht School of Economics, Vredenburg 138, 3511 BG Utrecht
Artikel

Onderwijssegregatie in de grote steden

Tijdschrift Beleid en Maatschappij, Aflevering 2 2005
Auteurs Sjoerd Karsten, Charles Felix, Guuske Ledoux e.a.
SamenvattingAuteursinformatie

    Across Europe, urban education systems are struggling with the process of integration of immigrants in its schools. This article explores the most important aspects of this new urban phenomenon and its impact on urban school systems in the Netherlands. It clearly shows that ethnic segregation in elementary and secondary schools is widespread in Dutch cities. This ethnic segregation is caused by a combination of residential segregation, and, as our own studies prove, of parental choice. The article also deals with recent Dutch studies on the effects of segregation. Finally, it treats the question how schools and authorities, in a long-standing tradition of parental choice, are dealing with this segregation.


Sjoerd Karsten
Sjoerd Karsten is Universitair hoofddocent onderwijsbeleid, Universiteit van Amsterdam. Adres: SCO-Kohnstamm Instituut, Wibautstraat 4, 1091 GM Amsterdam, tel.: 020 - 525 1232, e-mail: S.Karsten@uva.nl

Charles Felix

Guuske Ledoux

Wim Meijnen

Jaap Roeleveld

Erik van Schooten
Artikel

Gezondheidszorg: een stelsel van stelsels

Tijdschrift Beleid en Maatschappij, Aflevering 4 2004
Auteurs Tom van der Grinten, Jan-Kees Helderman en Kim Putters
SamenvattingAuteursinformatie

    There is probably no other sector of the welfare state where the gap between citizen's expectations and government's opportunities is deepening so intensely and has such a complex and politicized reform agenda as the health care sector. Health care is a critical case par excellence to study the relation between efficiency and legitimization of welfare state reform. The leading question of this special issue of Beleid & Maatschappij is: how does the Dutch health care system and the connected public policymaking accommodate the different and often conflicting goals (input), organizing concepts (throughput) and outcomes (output)? With these questions in mind the dominant governance principles of Dutch health care, especially the system of regulated competition, are scrutinized. One of the findings is, that 'second best' solutions are the highest achievable in this field, a notion that reform policies should take into account.


Tom van der Grinten
Tom van der Grinten is hoogleraar Beleid en Organisatie Gezondheidszorg aan de Erasmus Universiteit te Rotterdam en lid van de Raad voor de Volksgezondheid en Zorg. Recente publicaties: 'Hervormingen van de gezondheidszorg: zal het deze keer wel lukken?' (b en m 29 (3) 172-176) en 'Sturingslogica's en maatschappelijk ondernemerschap in de gezondheidszorg' (TSG 82 (2) 123-127). Adres: Instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam, 010-4088544, vandergrinten@bmg.eur.nl

Jan-Kees Helderman
Jan-Kees Helderman is als universitair docent bestuurs- en beleidswetenschappen verbonden aan het instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam. Hij verricht onderzoek naar de hervormingsontvankelijkheid van de verzorgingsstaat. Hij is daarnaast programme-director van de internationale masteropleiding Health Economics, Policy and Law (HEPL) van dit instituut. Adres: Instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam, 010-4088544, helderman@bmg.eur.nl

Kim Putters
Kim Putters is als bestuurskundige werkzaam bij de Tilburgse School voor Politiek en Bestuur aan de Universiteit van Tilburg. Hij is aan de Erasmus Universiteit Rotterdam gepromoveerd op een onderzoek naar beleid en bestuur in de Nederlandse ziekenhuiszorg (Geboeid ondernemen, 2001) en was aldaar werkzaam als docent bij de opleiding Bestuurskunde. Daarnaast was Kim Putters tot 2003 werkzaam bij de Raad voor de Volksgezondheid en Zorg, waar hij betrokken was bij adviesprojecten rond marktwerking en overheidssturing in de gezondheidszorg. Naast de wetenschappelijke activiteiten is hij lid van de Eerste Kamer der Staten-Generaal. Adres: Tilburgse School voor Politiek en Bestuur, Faculteit Rechten, Universiteit van Tilburg, Postbus 90153, 5000 LE Tilburg, 013-4662156, k.putters@uvt.nl

    Recently in The Netherlands, as in other countries, many have called for administrative and democratic reform. The perspectives implicated in the arguments for change differ, however. Some argue for a strengthening of mechanisms of control and accountability. Others opt for more – and more direct – citizen participation in governance. In effect, these perspectives often contradict. In this article we will look into J.S. Mill's effort to combine such different perspectives. It is shown that in his considerations on good government a third principle is active: administrative competence or quality. Mill, thus, makes us aware of a deficiency in many contemporary evaluations of administrative and democratic renewal.


Berry Tholen
Dr. Berry Tholen is als bestuurskundige verbonden aan de Radboud Universiteit Nijmegen. Zijn onderwijs omvat de cursussen 'Binnenlands Bestuur' en 'Bestuurlijke Ethiek'. In zijn onderzoek concentreert hij zich op vragen van rechtvaardigheid en legitimiteit in bestuur en beleid. Hij publiceerde recentelijk onder meer in International Review of Administrative Sciences en in European Journal of Migration and Law. Adres: Afd. Bestuurskunde, Faculteit der Managementwetenschappen, Radboud Universiteit Nijmegen, Postbus 9108, 6500 HK Nijmegen, email: b.tholen@fm.ru.nl

    This paper addresses the question whether potentially conflicting health policy goals can explain the presence of multiple competing health policy programs. For more than fifteen years, successive government coalitions have proposed to replace the dominating policy program of supply and price regulation by the policy program of regulated competition. Due to its institutional and technical complexity, however, so far most efforts have been focused on the realization of the appropriate preconditions for regulated competition and the actual implementation is still in its infancy. The remarkable perseverance of the market-oriented policy program can be explained by the fact that it offers, at least in theory, a single comprehensive solution for satisfying both efficiency and equity goals. Even if the program succeeds in fostering efficiency while maintaining equity, several reasons are pointed out why the market-oriented program is unlikely to fully replace supply and price regulation. First, the market-oriented program does not seem suitable for all health sectors or even for all geographical markets within a specific sector. Second, the market-oriented program is unlikely to meet political objectives about the desired level of public health spending.


Erik Schut
Erik Schut is als bijzonder hoogleraar Gezondheids-beleid en Economie van de Gezondheidszorg verbonden aan het instituut Beleid en Management Gezondheidszorg (iBMG) van het Erasmus Universitair Medisch Centrum Rotterdam. Daar geeft hij onderwijs en verricht hij onderzoek op het terrein van de organisatie, financiëring en economie van de gezondheidszorg. Hij is auteur van een groot aantal nationale en internationale publicaties over gezondheidseconomie en gezondheidszorgbeleid. Voorts was hij lid van diverse adviescommissies op het terrein van de ziektekostenverzekeringen, de ziekenhuissector en de financiering van de huisartsenzorg. Adres: Instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam, 010-4088544, Schut@bmg.eur.nl

Anton Hemerijck
Prof. dr A.C. Hemerijck is hoogleraar vergelijkende analyse van de Europese verzorgingsstaat aan de Erasmus Universiteit Rotterdam en is secretaris van de WRR.
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.