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    Nowadays municipalities in the Netherlands work together more intensively with other municipalities in the region. Also cooperation with companies, institutions and societal organizations is more often looked for at the regional level. In practice this brings along many problems and difficulties. For several reasons it appears not to be easy to combine the implementation strengths of municipalities and societal partners. This article presents a new approach (based on the theory of ‘new regionalism’) to regional implementation strength. This approach is not only about designing regional administrations, but is mainly about the factors that induce administrations as well as companies and institutions to commit themselves jointly for the region. To increase the regional implementation strength more is needed than the formation of a regional administrative structure in which municipalities do not cooperate in a non-committal manner. To induce municipalities and societal partners to commit themselves jointly to handling new tasks or new challenges it is also necessary to have a clear strategic vision on these issues that binds parties and makes them enthusiastic and that regional cooperation is rooted in a societal breeding ground. It also asks for an administrative structure that does justice to the contribution every municipality and societal partner makes to the realization of the strategy and for a democratic involvement of municipal councils and sector-based interest groups.


Marcel Boogers
Prof. dr. M.J.G.J.A. Boogers is hoogleraar Innovatie en Regionaal Bestuur bij de vakgroep Bestuurskunde van de faculteit Management en Bestuur aan de Universiteit Twente en senior adviseur Openbaar Bestuur bij BMC.
Artikel

Politiek, participatie en experts in de besluitvorming over super wicked problems

Tijdschrift Bestuurskunde, Aflevering 2 2014
Trefwoorden wicked problems, scientific knowledge, social engineering, deliberative democracy
Auteurs Tamara Metze en Esther Turnhout
SamenvattingAuteursinformatie

    This special issue focusses on deliberative elements in deciding over wicked problems. We present four case studies in which some form of deliberation was organized: the placement of mobile phone masts, hydraulic fracturing for shale gas, the failed HPV vaccination campaign and climate dialogues organized to enhance deliberative knowledge production over climate change. The case studies demonstrate how each of the deliberative processes has become politicized and that deliberative governance runs the risk of turning into a technocratic policy approach.


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

Esther Turnhout
Dr. E. Turnhout is verbonden aan de Universiteit van Wageningen.
Artikel

Vastgeklonken aan de Fyra

Een pad-afhankelijkheidsanalyse van de onvermijdelijke keuze voor de falende flitstrein

Tijdschrift Bestuurskunde, Aflevering 1 2014
Trefwoorden complex decision-making, high-speed railways, megaprojects, path-dependency
Auteurs Lasse Gerrits en Peter Marks
SamenvattingAuteursinformatie

    In the spring of 2013, the Dutch railway operator, High Speed Alliance, cancelled the acceptance procedures for V250 high-speed train sets they ordered from Italian manufacturer AnsaldoBreda after numerous problems with the build quality and safety systems. It is the latest chapter in a series of failed attempts to build and run a high-speed railway link between Amsterdam and Paris. Inevitably, the question of who was responsible for the decision to order the V250 has become prominent. We study 20 years of public decision-making by analysing the content of over 1,200 documents. Using David’s and Arthur’s theory of path-dependency, we conclude that all the decisions that were taken during those two decades created a situation in which the choice for the V250 was nothing more than an inevitable gamble. It can therefore be concluded that all parties involved, from the railway operator to Parliament, have contributed to the current failure.


Lasse Gerrits
Dr. L.M. Gerrits is als universitair hoofddocent verbonden aan de vakgroep Bestuurskunde van de Erasmus Universiteit Rotterdam.

Peter Marks
Dr. P.K. Marks is als universitair docent verbonden aan de vakgroep Bestuurskunde van de Erasmus Universiteit Rotterdam.
Artikel

In dienst van beleid of in dienst van de democratie?

Een studie naar de waarden achter overheidscommunicatie

Tijdschrift Bestuurs­wetenschappen, Aflevering 1 2014
Auteurs Harrie van Rooij en Noelle Aarts
SamenvattingAuteursinformatie

    More than twelve years after the appearance of the report of the Dutch Committee on the Future of Government Communication (‘Commissie Toekomst Overheidscommunicatie’) communication as the responsibility of the government is an important issue of debate and a discipline that is alive and kicking. We may even conclude that communication – in the terminology of this report – has conquered a place in the heart of policy. A lot is still unclear about the communicative function of government. On the normative question ‘why should the government communicate’ diverging answers are possible. However, the question is hardly discussed in practice and in science. For this reason the positioning of government communication as a separate discipline is also unclear. Reflection on the elementary values behind the discipline can reveal themes that have been invisible so far. The article investigates which values and motives are attached in theory and in practice to communication as a governmental function. For this reason a content analysis has been carried out of a number of volumes of five Dutch magazines (practical and scientific). The authors conclude that for professionals communication mainly is an instrument to support policy goals. The possibility to make a purposeful contribution with government communication to democratic values hardly is brought about, not so much in Communication Science as in Public Administration.


Harrie van Rooij
Drs. H.J.M. van Rooij is werkzaam bij het Ministerie van Financiën als beleidsadviseur op het gebied van strategische overheidscommunicatie.

Noelle Aarts
Prof. dr. M.N.C. Aarts is verbonden als bijzonder hoogleraar strategische communicatie aan de Universiteit van Amsterdam en als universitair hoofddocent aan de Universiteit Wageningen.
Artikel

Co-regulering: niet doen! Of toch?

Een essay over de beoordeling van co-regulering vanuit twee interpretaties van governance

Tijdschrift Bestuurskunde, Aflevering 3 2013
Trefwoorden co-regulation, inspection, governance, assessment
Auteurs Haiko van der Voort
SamenvattingAuteursinformatie

    Public regulators and inspectorates are increasingly involved in self-regulatory initiatives. This contribution is about co-regulation, which are co-ordination efforts among public regulators and self-regulating institutions. In co-regulation arrangements typical regulation and oversight activities, such as standard setting, information gathering and sanctioning become subjects of co-ordination between public and private actors. Co-regulation arrangements are typically network efforts. At the same time ‘regulation’ has a hierarchical connotation. This paradox shows in interpretations of ‘governance’ and ‘the move from government to governance’, the latter being a popular phrase qualifying a change of the government’s role in society. Main question in this paper is what the changing role of government in society means for the assessment of co-regulation. Based on literature two implicit, but opposing interpretations of ‘governance’ and the change are described. This implicitness may cause unsound assessments of co-regulation, either too tough or too lenient. In this contribution the normative implications of both interpretations are made explicit for co-regulation. The argument is illustrated by the case of co-regulation in the Dutch coach travel industry.


Haiko van der Voort
Dr. H.G. van der Voort is docent bij de Faculteit Techniek, Bestuur en Management van de TU Delft. In juni is hij gepromoveerd op het onderwerp van dit artikel.
Artikel

Initiatie: de ontbrekende schakel in beleidsevaluatieonderzoek?

Drie hefbomen voor beter gebruik van beleidsevaluaties

Tijdschrift Bestuurskunde, Aflevering 2 2013
Auteurs Peter Oomsels en Valérie Pattyn
Auteursinformatie

Peter Oomsels
P. Oomsels is als wetenschappelijk medewerker verbonden aan het Instituut voor de Overheid en het Steunpunt Bestuurlijke Organisatie Vlaanderen (KU Leuven). Hij is master in het Overheidsmanagement en -beleid en in de Beleidseconomie en bachelor in de Politieke en Sociale Wetenschappen (KU Leuven).

Valérie Pattyn
V. Pattyn is als wetenschappelijk medewerker verbonden aan het Instituut voor de Overheid (KU Leuven). Zij is licentiaat in de politieke wetenschappen (KU Leuven, University of Exeter) en kandidaat in de pedagogische wetenschappen (KU Leuven).
Artikel

Governance by numbers: risico’s verbonden aan de internationale benchmarking en ranking van pensioensystemen

Tijdschrift Beleid en Maatschappij, Aflevering 2 2013
Trefwoorden Governance by numbers, Commensuratie, comparatief onderzoek, doelmatigheid van pensioenen, standaardisatie
Auteurs Drs. Hans Peeters en Dr. Gert Verschraegen
SamenvattingAuteursinformatie

    This article points out some of the pitfalls and ambiguities involved in quantified cross-national policy comparisons by looking at the construction and use of standardized indicators in the field of pension policy. The empirical analysis looks at three cases where the OESO and EU use standardized pension indicators to score and rank the performance of national pension systems. The cases illustrate some of the problems associated with scoring and ranking the outcomes of unique and complex pension systems by means of internationally standardized indicators. Our results show that internationally standardised indicators for pension systems are not neutral in the sense that they favor countries with certain institutional pension policy mixes over others. When particular institutional characteristics are treated differently under the same metric, systematically distorted conclusions about the performance of national pension systems may, and likely do, result. Consequently, these observed biases hinder reliable cross-national comparison that is based on these indicators. The article concludes with some recommendations on the construction and use of international indicators in the field of pension policy. It also discusses where research on the process of commensuration – transforming qualities into quantities − in a comparative context should go from here.


Drs. Hans Peeters
Hans Peeters is wetenschappelijk medewerker aan het Centrum voor Sociologisch Onderzoek van de KU Leuven, België, hans.peeters@soc.kuleuven.be.

Dr. Gert Verschraegen
Gert Verschraegen is docent sociologie aan de Universiteit Antwerpen, België, Gert.Verschraegen@ua.ac.be.
Artikel

Groengasprojecten: energietransitie in ruraal Nederland?

Tijdschrift Beleid en Maatschappij, Aflevering 2 2013
Trefwoorden green gas, Biogas, renewable energy, stakeholder analysis, climate policy
Auteurs Drs. Maurits Sanders en Dr. Thomas Hoppe
SamenvattingAuteursinformatie

    ‘Green gas’ is a sustainable alternative to natural gas. It is produced by converting biomass into biogas, which can consequently be upgraded to natural gas standards. Expectations about green gas are high. According to the long term vision of Netbeheer Nederland, the representative association of gas grid operators, green gas will entail 50 percent of the domestic gas mixture by 2050. In line with this vision national government has adopted a green gas innovation support program. Production of green gas takes place in rural areas with abundant supply of organic production resources, especially manure. It is in demonstration projects that green gas niche development is to be proven. In this paper the central question is how green gas demonstration projects manifest at the local level. By conducting a stakeholder analysis, we take a ‘bottom-up’ research approach, which helps us to identify organizational and institutional barriers key local stakeholders have in relation to green gas demonstration projects. We judge this necessary to further understanding in green gas niche development. The results of the analysis are used to advice policymakers about design and use of policy instruments which can help to solve these barriers.


Drs. Maurits Sanders
Maurits Sanders is hoofddocent bestuurskunde bij Saxion en promovendus bij de vakgroep Public Administration aan de faculteit Management en Bestuur van de Universiteit Twente, m.p.t.sanders@utwente.nl, www.utwente.nl/mb/pa/staff/sanders/.

Dr. Thomas Hoppe
Dr. Thomas Hoppe is als universitair docent verbonden aan het Twente Centre for Studies in Technology and Sustainable Development van het Institute for Innovation and Governance Studies aan de faculteit Management en Bestuur van de Universiteit Twente, t.hoppe@utwente.nl, www.utwente.nl/mb/cstm/staff/cv/hoppe.doc/.
Artikel

Legitimiteit van sociaal beleid: maatschappelijke ontwikkelingen en bestuurlijke dilemma’s

Tijdschrift Beleid en Maatschappij, Aflevering 1 2013
Trefwoorden responsiveness, legitimacy, social policy, policy systems, institutional change
Auteurs Dr. Martijn van der Steen, Dr. Menno Fenger, Lieske van der Torre MA MSc e.a.
SamenvattingAuteursinformatie

    Social policy has to be legitimate. But what is legitimacy? And what makes policy legitimate? This article argues that in order to be legitimate policy needs to answer to three different logics: the logic of the policy system, of external conditions, and of societal preferences. However, these three logics are often not coherent and point in different directions. Also, signs are often not coherent and are ambiguous at best. Therefore, following the three logics is not merely a matter of reading the signs, but of interpreting and balancing them. This article shows how policy makers in the Netherlands are balancing for responsiveness in three cases of social policy: social assistance policy, sheltered work policy and labor migration policy. The cases learn that responsiveness does not come from large decisive reforms, but from a wide range of small and often hardly politicized steps. Also, we see that in balancing the various logics, policy makers have a strong bias towards the logic of the policy system and that of public preference, and pay far less attention to external conditions. However, on the longer term external conditions cannot be neglected and policy makers face tough decisions about short term responsiveness towards public preferences and more longer term actions that make for policies that are more balanced with external conditions and therefore sustainable on the longer term.


Dr. Martijn van der Steen
Dr. Martijn van der Steen is codecaan en adjunct-directeur van de Nederlandse School voor Openbaar Bestuur (NSOB) en directeur van de NSOB Denktank, steen@nsob.nl.

Dr. Menno Fenger
Dr. Menno Fenger is universitair hoofddocent bestuurskunde aan de Erasmus Universiteit Rotterdam, Fenger@fsw.eur.nl.

Lieske van der Torre MA MSc
Lieske van der Torre MA MSc is wetenschappelijk docent bestuurskunde aan de Erasmus Universiteit Rotterdam en bereidt een proefschrift voor over strategieën van sociale werkvoorzieningsbedrijven, Vandertorre@fsw.eur.nl.

Arno van Wijk BA
Arno van Wijk BA is junior onderzoeker bij de NSOB, vanwijk@nsob.nl.
Artikel

Laveren tussen belanghebbenden

Reële autonomie en financieel toezicht

Tijdschrift Beleid en Maatschappij, Aflevering 4 2012
Trefwoorden regulatory governance, de facto autonomy, financial supervision, bureaucracy, institutional reform
Auteurs Dr. Caelesta Braun
SamenvattingAuteursinformatie

    De facto autonomy, the actual potential of regulatory agencies to go about their daily work, is often conceived to be more important to explain regulatory capacity than its formal autonomy and responsibilities. In this article we investigate whether external context factors, such as the financial and economic crisis have an impact on de facto autonomy. More specifically, we investigate whether the de facto autonomy varies after the crisis and distinctively so for specific subsets of employees within regulatory agencies. According to literature, mid-level managers of agencies are key to de facto autonomy and building a secure reputation for the agency in question. We test these external and internal effects on de facto autonomy with a survey among employees of the Dutch Financial Market Authority (N = 248). The findings show that the perceived influence of stakeholders is relatively constant, but that it is more dynamic for European stakeholders. Both middle managers and employees working at strategic and policy departments of the agency conceive the impact of European stakeholders as increasing in nature. The findings have important implications for our studies of de facto autonomy of regulatory agencies as well as reform potential after major institutional crises.


Dr. Caelesta Braun
Caelesta Braun is universitair docent aan het Department of Governance Studies, Vu University en als gastonderzoeker verbonden aan Antwerp Centre for Institutions and Multilevel Politics (ACIM), University of Antwerp. Correspondentiegegevens: Dr. Caelesta Braun, afdeling Bestuurswetenschappen, faculteit Sociale Wetenschappen, De Boelelaan 1081, 1081 HV Amsterdam, c.braun@vu.nl.
Artikel

Handelingsperspectieven in het politiek-financieel complex

Tijdschrift Beleid en Maatschappij, Aflevering 4 2012
Trefwoorden financial crisis, action logics, decision-making theories, regulatory bodies, financial institutions
Auteurs Dr. Kutsal Yesilkagit
SamenvattingAuteursinformatie

    The world-wide meltdown of financial markets is one of the largest human-made crises in modern times. The question that trembles on the lips of many researcher is why the main actors, all considered as rational, have displayed such self-destructing behaviour. Answers have been sought and partially found in theories as varied as ‘regulatory capture’, ‘failed regulation’, and inadequate crisis management. In this special issue, an alternative view is suggested. The financial sector, like any other complex sector, is made up of loosely coupled actors and actor settings (i.e. financial institutions, regulatory bodies, political actors), each driven by different action logics. The studies in this special issue each deeply examine the action logic of one actor group. The purpose of this issue is hence to parcel out the various action logics and suggest directions for further research to combine better the various actors and their differing action logics.


Dr. Kutsal Yesilkagit
Kutsal Yesilkagit is universitair hoofddocent bestuurskunde aan de Universiteit Utrecht. Correspondentiegegevens: A.K.Yesilkagit@uu.nl.

Martijn Groenleer
Dr M.L.P. Groenleer is universitair docent bestuurskunde aan de Faculteit Techniek, Bestuur en Management van de TU Delft.

Esther Versluis
Dr E. Versluis is universitair hoofddocent aan de Faculteit der Cultuur- en Maatschappijwetenschappen van de Universiteit Maastricht.
Artikel

Kieskeurige kiezers

Een panelstudie naar de veranderlijkheid van partijvoorkeuren

Tijdschrift Beleid en Maatschappij, Aflevering 2 2012
Trefwoorden electoral volatility, party preference, voters, party system, consistency
Auteurs Dr. Tom van der Meer, E.J. Erika van Elsas MA MSc, Rozemarijn Lubbe BA e.a.
SamenvattingAuteursinformatie

    The Dutch electorate is the most volatile of Western Europe. At its height in 2002 more than 30 percent of the seats in the Dutch Lower House changed to another party. But what does the increased electoral volatility mean? Are volatile voters whimsical, behaving randomly like drift-sand? Or are volatile voters emancipated, no longer committed to a single political party but still loyal to their own preferences?We answer these questions by analysing the 1VOP panel data set, which covers 55.847 adult respondents who participated in at least 2 of the 58 waves between November 2006 and June 2010.First, we assess the presence, frequency, and direction of changes in voters’ party preferences. More than half of the respondents (52 percent) changed party preference at least once. However, they mostly stick to one of two ideologically coherent party blocks.Second, we explain why some voters are more likely to change party preference than others. Especially middle groups are volatile: people with modal income and average levels of education, and people who position themselves in the political center. However, the lower educated are more likely to switch between dissimilar parties. These findings support the view that increased volatility reflects voter emancipation.


Dr. Tom van der Meer
Dr. T.W.G. van der Meer is universitair docent verbonden aan de vakgroep Politicologie van de Universiteit van Amsterdam. Correspondentiegegevens: Dr. T.W.G. van der Meer, vakgroep Politicologie, Universiteit van Amsterdam, Oudezijds Achterburgwal 237, 1012 DL Amsterdam. t.w.g.vandermeer@uva.nl.

E.J. Erika van Elsas MA MSc
E.J. van Elsas, MA MSc is als junior onderzoeker verbonden aan de vakgroep Politicologie van de Universiteit van Amsterdam. Correspondentiegegevens: E.J. van Elsas, vakgroep Politicologie, Universiteit van Amsterdam, Oudezijds Achterburgwal 237, 1012 DL Amsterdam.

Rozemarijn Lubbe BA
R.E. Lubbe, BA is als junior docent verbonden aan het departement Politieke Wetenschap van de Universiteit Leiden. Correspondentiegegevens: R. Lubbe, departement Politieke Wetenschap, Postbus 9555, 2300 RB Leiden.

Prof. dr. Wouter van der Brug
Prof. dr. W. van der Brug is hoogleraar Algemene Politicologie aan de Universiteit van Amsterdam. Correspondentiegegevens: W. van der Brug, vakgroep Politicologie, Universiteit van Amsterdam, Oudezijds Achterburgwal 237, 1012 DL Amsterdam.
Artikel

De kracht van de stad

Tijdschrift Bestuurskunde, Aflevering 1 2012
Trefwoorden local government, urban affairs, urban governance, innovation, institutional change
Auteurs Jos Koffijberg en Henk Wesseling
SamenvattingAuteursinformatie

    Currently, Dutch cities are facing persistent societal problems as well as changing circumstances, due to the financial crisis and changing national policies. This special issue seeks to take analysis beyond a sense of mere crisis and investigates contemporary urban initiatives in order to discern what innovative modes of governance they offer.


Jos Koffijberg
Dr J.J. Koffijberg is hoofd onderzoek bij Nicis Institute, Den Haag.

Henk Wesseling
Drs H.W.M. Wesseling is verbonden aan Berenschot en leidt daar het Expertisecentrum Arrangementbouw.
Artikel

EU-besluitvorming en internationale milieuonderhandelingen

Een principaal-agentperspectief op het intern functioneren van de Europese Unie tijdens multilaterale milieuonderhandelingen

Tijdschrift Bestuurskunde, Aflevering 4 2011
Trefwoorden control, cooperation, European Union, international environmental negotiations, principal-agent
Auteurs Tom Delreux
SamenvattingAuteursinformatie

    This article analyses how the European Union functions internally when it participates in international environmental negotiations. It examines the relations between, on the one hand, the European member states and, on the other hand, the EU negotiator who represents the member states around the international negotiation table. Applying a principal-agent model, this article demonstrates, first, that the member states are able to control their negotiator and the way the latter negotiates internationally through the so-called ad locum control mechanisms, being the on the spot EU coordination meetings and the ability of the member states to attend the international negotiations. Second, this article argues that these institutional structures not only have a control function, but also a cooperation function. Finally, the analysis shows that the EU decision-making processes with regard to international environmental negotiations are not only characterized by the principals controlling their agent, but also by the agent keeping its principals under control.


Tom Delreux
Dr T. Delreux is verbonden aan de Katholieke Universiteit Leuven en heeft in 2008 de Van Poeljeprijs gewonnen voor het onderzoek dat aan dit artikel ten grondslag ligt.

    Dutch housing policy has been reformed dramatically over the last fifteen years. The reforms were preceded by an equally dramatic policy crisis during the 1970s and 1980s. This article attempts to explain the development of both the crisis and the subsequent reforms. An important explanatory variable is the logic of provision, relating to the fact that housing comes in the shape of stock and capital. However, the institutional logic of Dutch housing policy, notably the fact that most social housing providers are traditionally private nonprofits, has also proved of vital significance in determining the outcome of the reform process. Distinguishing the effects of the logic of provision and the institutional logic enables an analysis of how policy feedback, the inheritance from previous policies, may cause both policy crisis and policy reform.


Jan-Kees Helderman
Jan-Kees Helderman is als universitair docent bestuurs- en beleidswetenschappen verbonden aan het Instituut Beleid en Management Gezondheidszorg, Erasmus Medisch Centrum, Erasmus Universiteit Rotterdam. Hij werkt op dit moment aan de afronding van zijn dissertatie Bringing the market back in? A comparative analysis of the politics and policies of market-oriented reforms in Dutch housing and health care. Adres Jan-Kees Helderman: Instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam, Postbus 1738, 3000 DR Rotterdam, tel.: 010-4088544, e-mail: helderman@bmg.eur.nl

Taco Brandsen
Taco Brandsen is universitair docent bij de Tilburgse School voor Politiek en Bestuur, Faculteit Rechten, Universiteit van Tilburg. Hij promoveerde in 2001 aan de Universiteit Twente op een proefschrift over de Nederlandse volkshuisvesting als 'quasie markt' en is de auteur van het in 2004 verschenen boek Quasi-Market Governance: An anatomy of Innovation, uitgegeven bij Lemma bv, Utrecht. Adres: Taco Brandsen, Tilburgse School voor Politiek en Bestuur, Faculteit Rechten, Universiteit van Tilburg, Postbus 90153, 5000 LE Tilburg, tel.: 013-4662156, e-mail: t.brandsen@uvt.nl

    In managing new cleavages between conflicting values (such as materialism and post-materialism), we cannot simply fall back on a classical approach to cleavage management. The segments surrounding the new cleavage are clearly more fluid than those surrounding the religious or socio-economic cleavages from consociationalism and neo-corporatism, such as is rightly emphasised in the network approach. In the conflict between the materialist and post-materialist value pattern, representation logic is not a given certainty. Not only the facts, but also the negotiating players and the decision-making arenas are the subject of negotiation and strategic action. This is reflected in the new forms of consultation politics. Similarly, consensus formation cannot make do with the (party) political integration of the segments because, given the conditions of post-materialism, this integration can only be partial. It seems important in the new cleavage management to devote attention to the existence of several arenas in which political interests are weighed up. For the players involved in a particular policy issue, this means the lure of strategic forum shopping and thus complication of the conflict-resolving ability of each of the forums.


Johan Weggeman
Johan Weggeman is verbonden aan de opleiding bestuurskunde van de Erasmus Universiteit Rotterdam. Hij studeerde politicologie aan de Universiteit Leiden en promoveerde als bestuurskundige aan de Erasmus Universiteit Rotterdam. De titel van zijn proefschrift luidt Controversiële Besluitvorming (Lemma 2003). Adres: Erasmus Universiteit Rotterdam, opleiding bestuurskunde, postbus 1738, 3000 DR Rotterdam, tel: 010 4082635, e-mail: weggeman@fsw.eur.nl
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

Decentralisatie: maatwerk of uniformiteit?

Het Wmo-beleid van Nederlandse gemeenten

Tijdschrift Beleid en Maatschappij, Aflevering 3 2011
Trefwoorden decentralization, local government, social care
Auteurs Judith van der Veer MSc., Jelmer Schalk MSc. en Dr. Rob Gilsing
SamenvattingAuteursinformatie

    A main motive for policy decentralization is the belief that municipalities are better able to customize public policy to local circumstances, and to realize made-to-measure service provision. In this respect, the introduction of the Social Support Act (Wmo) is an interesting example. With the lack of ‘vertical’ accountability obligations to the national government, the Wmo is governmentally innovative. Whether the decentralization results in customized forms of social support is a fascinating one because a detailed reading of the Wmo and its implementation displays possible incentives as well as barriers to made-to-measure service provision. The empirical exploration in this article uses data from the 2007-2009 evaluation of the Wmo conducted by the Netherlands Institute for Social Research (SCP). The evaluation shows that municipalities involve diverse stakeholders in formulating Wmo policy, and that their involvement seems to lead to customized service provision. At the same time, municipalities follow nationwide models, and information provided by the central government seems to have a major impact on local social care policy. The article concludes with an outlook on future directions in local debates on social care and the recommendation to give time for major decentralization trajectories such as the Wmo.


Judith van der Veer MSc.
Judith van der Veer is promovendus en was als medewerker verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: J.C.V. van der Veer, Vrije Universiteit Amsterdam, Faculteit der Sociale Wetenschappen/Bestuurswetenschappen, De Boelelaan 1081, 1081 HV Amsterdam, j.c.v.vander.veer@vu.nl.

Jelmer Schalk MSc.
Jelmer Schalk is promovendus en was als medewerker verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: J. Schalk, Universiteit van Utrecht, Sociologie/ICS, Heidelberglaan 2, 3584 CS Utrecht, j.schalk@uu.nl.

Dr. Rob Gilsing
Rob Gilsing is Hoofd Onderzoeksgroep Jeugd, opvoeding en onderwijs en was als projectleider verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: Dr. R. Gilsing, Verwey-Jonker Instituut, Kromme Nieuwegracht 6, 3512 HG Utrecht, rgilsing@verwey-jonker.nl.
Artikel

Als systemen botsen: omgaan met co-existentieproblemen in de landbouw

Tijdschrift Beleid en Maatschappij, Aflevering 3 2011
Trefwoorden agriculture, co-existence, sustainable development, policy controversy, issue publics
Auteurs dr Anne Loeber, emeritus prof.dr.ir Leo (J.L.A.) Jansen en dr.ir Carin W. Rougoor
SamenvattingAuteursinformatie

    Agricultural production systems may influence each other in a negative way, with conflicts as a consequence. In general, such conflicts are resolved technically in an ad hoc manner, at farm or greenhouse level. There is no structural attention to so-called co-existence problems. This article makes a plea for acknowledging such problems as policy issues and for grouping these together under the label of co-existence conflicts, broadening this phrase beyond its traditional meaning related to conventional, organic and GM crop production. Co-existence conflicts are concrete, local expressions of the tensions between conflicting values incorporated in the current agricultural system. It is argued that because they are manifestations of conflicting value systems, they offer useful stepping-stones to practically organise and channel discussions on sustainable development in agriculture.


dr Anne Loeber
Anne Loeber is lid van het Platform Landbouw, Innovatie & Samenleving (LIS) en werkzaam als universitair docent bij de Universiteit van Amsterdam, afdeling Politicologie. Correspondentiegegevens: Dr. A. Loeber, O.Z. Achterburgwal 237, 1012 DL Amsterdam.

emeritus prof.dr.ir Leo (J.L.A.) Jansen
Leo (J.L.A.) Jansen is voormalig lid van het Platform Landbouw, Innovatie & Samenleving (LIS) en is consultant duurzame ontwikkeling. Correspondentiegegevens: Emeritus prof. dr. ir. J.L.A. Jansen, Kerkeland 16, 6883 HA Velp.

dr.ir Carin W. Rougoor
Carin W. Rougoor is secretaris van het Platform Landbouw, Innovatie & Samenleving (LIS) en is werkzaam als senior adviseur bij CLM Onderzoek en Advies BV. Correspondentiegegevens: CLM, t.a.v. Dr. ir. C.W. Rougoor. Postbus 62, 4100 AB Culemborg, crougoor@clm.nl.
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