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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

What the frack?

Politiserende deliberatie in de besluitvorming over schaliegas

Tijdschrift Bestuurskunde, Aflevering 2 2014
Trefwoorden wicked problems, shale gas, hydraulic fracturing, deliberation
Auteurs Tamara Metze
SamenvattingAuteursinformatie

    Within the past two years, hydraulic fracturing for shale gas became a highly contested technology in the Netherlands. Possible negative environmental impacts are at strained terms with possible economic, energy and geo-political benefits. In addition, there are many scientific uncertainties about, for example water contamination, methane emissions, the amounts of gas to extract and the risk of earth quakes. Societal conflict and scientific uncertainties make fracking for shale gas a wicked problem for decision makers. This article demonstrates that the Dutch Ministry of Economic Affairs has implemented several instruments for deliberation, such as a consultation round with stakeholders and a sound board for an independent research. These failed to lead to the desired support for fracking. In this contribution, I demonstrate that these instruments led to reason giving but not to structuring of the problem. They were used by governmental actors and protest groups as a political platform that was fuel for the political conflict.


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

Verandermanagement en beleid: waarom vertonen professionals weerstand tegen nieuw beleid?

Tijdschrift Bestuurskunde, Aflevering 2 2014
Trefwoorden public policy,, change management, policy implementation, public management, resistance to change
Auteurs Lars Tummers
SamenvattingAuteursinformatie

    Professionals often have problems with governmental policies they have to implement. This can lead to diminished legitimacy and lower policy performance. The goal of this article is to identify the main reasons why professionals resist implementing new policies. An interdisciplinary approach is taken. From public administration literature, I use the policy alienation model, which consists of five dimensions: strategic, tactical and operational powerlessness, societal meaninglessness and client meaninglessness. These are possible reasons why professionals resist public policies (‘resistance to change’, a concept drawn from change management literature). I test these assumptions using a survey among 1,317 healthcare professionals. The results show that when professionals experience that a policy is meaningless for society or for their own clients, they show strong resistance. A lack of perceived influence is much less important in explaining resistance, although this is partly dependent on the particular profession someone belong to. The policy alienation model can help policy makers and managers to develop policies which are accepted by professionals. The article ends with practical recommendations for policy makers, managers and professionals.


Lars Tummers
Dr. L.G. Tummers is verbonden aan de opleiding bestuurskunde van de Erasmus Universiteit Rotterdam en het Center for the Study of Law & Society van de University of California, Berkeley.
Artikel

De grote verbouwing

Een bestuurskundig perspectief op veranderingen in stelsels van publieke voorzieningen

Tijdschrift Bestuurskunde, Aflevering 1 2014
Trefwoorden public management reform, New Public Management, New Public Governance
Auteurs Philip Marcel Karré en Cees Paardekooper
SamenvattingAuteursinformatie

    The Netherlands is engaged in reforming several of its public service provision sectors by limiting their hybrid (mixed public/private) character. This special issue deals with these reforms. We have a closer look at the systems of transport, education and housing, and also discuss reforms of the Dutch nation state. Each article poses three basic questions: why has the sector evolved as it has? Why is change seen as necessary? And how does this process take place? By doing so, we draw general lessons on how the Netherlands deals with system change and public management reform.


Philip Marcel Karré
Dr. P.M. Karré is programmaleider van de professional master Urban Management aan de Hogeschool van Amsterdam. Hij doet onderzoek naar de governance van hybride organisaties (www.hybrideorganisaties.nl).

Cees Paardekooper
Drs. C. Paardekooper is adviseur bij WagenaarHoes.

    In policy practice sometimes organizational arrangements appear that at first glance manifest itself as cooperative relations between private organizations, but about which on second thoughts the question can be asked if after all there is an active input from the side of the government. This is for instance the case in the construction of biogas infrastructures. In this article the authors discuss if we can talk about PPC after all. In the debate on governance this question is important because in the design of PPC the public interest involved must be sufficiently guaranteed in terms of control and accountability. On the basis of a confrontation between the results of a literature review and an empirical study of the case of a Green Gas pipeline in North-East Friesland (‘Biogasleiding Noordoost Fryslân’) in the Netherlands, the authors conclude that public steering in practice can take a form in disguise. Using ‘intermediate’ civil law legal persons, governmental influence indeed can be and is exercised during the cooperation. Especially law poses specific demands on control and accountability to take care of public interests, like the promotion of the use of renewable energy. Likewise in this kind of projects, especially in comparison with pure private-private cooperation, the public and if possible even the public law regulation must be safeguarded, for instance by transparency of form and content of steering. Of course this has to be done with preservation of the cooperative nature that is typical of PPC.


Maurits Sanders
Dr. M.P.T. Sanders is hoofddocent Bestuurskunde bij Saxion Hogescholen, zakelijk directeur van het Netherlands Institute of Government (NIG) en onlangs gepromoveerd aan de Faculteit Management en Bestuur van de Universiteit Twente.

Michiel Heldeweg
Prof. mr. dr. M.A. Heldeweg is hoogleraar Public Governance Law aan de Faculteit Management en Bestuur van de Universiteit Twente.

    Dramatic incidents, such as the 1986 Challenger Disaster, induce the instalment of a Commission to investigate the process that lead to the incident. The Commission attempts to reconstruct the many smaller and larger steps towards the one or several decisions and actions that turned out to be vital – and sometimes fatal. Most Commissions serve a dual purpose; the want to learn lessons and avert similar incidents to occur again, but they are also part of a process to allocate responsibilities and – sometimes – to point the blame. An analysis of Commission-reports reveals two dominant patterns in the narratives Commissions produce. One is relatively simple and identifies the decision or action that caused the incidents; it shows the mistakes that were made, when and by who, The lessons is often to not make the same mistake again. The second pattern is more complicated and produces less ‘crisp’ explanations for the incident. Decisions, actions take place in ambiguous, complex and inherently uncertain contexts. Actors acts amidst such complexity, are subject to all sorts of dynamics and pressures and in the process do things that look awkward or wrong in hindsight. Mistakes happen, not because actors are not smart enough or do the wrong things, but because they are an inherent element of complex decision making. The lesson that follows from that is for organizations that make important decisions under complex conditions to organize checks and balances and look for heterogeneity in their processes. That produces a difficult dilemma, given the ambivalent role of commissions. The second line of reasoning produces much richer lessons for policy, but is very ‘soft’ in casting blame. The first line of reasoning is clearer about responsibility and blame, but oversimplifies the lessons. That draws attention to a crucial – and yet unanswered – question for researchers, practitioners and also the general public; do we see them as platforms for learning or tools for sanctioning?


Hans de Bruijn
Prof. mr. J.A. de Bruijn is hoogleraar aan de Faculteit Techniek, Beleid en Management aan de TU Delft.

Martijn van der Steen
Dr. M. van der Steen is co-decaan en adjunct-directeur van de Nederlandse School voor Openbaar Bestuur (NSOB) in Den Haag.

    This article analyzes the inquiry into the financial problems at a large educational conglomerate, Amarantis, in the Netherlands. The article is solely based on the text of the report. From a learning point of view, assuming that inquiries should contribute to learning from the past to improve the present and future, there are three weaknesses in the approach followed by the commission. The first is that the commission looks at the principles for governing the organization to explain its fall. However, the principles adopted match very well with professional organizations and are used successfully in other professional organizations. The question why these principles were unsuccessful in the case of Amarantis has not been addressed in the report. Second, the report strongly focuses on the role of the top management of the organization and ignores the middle management, a critical layer in managing professional organisations. And third, by looking back the commission creates a bias of hindsight, ignoring the question of how the managers could have identified upcoming problems at that time.


Hans de Bruijn
Prof. mr. J.A. de Bruijn is hoogleraar aan de Faculteit Techniek, Beleid en Management aan de TU Delft.
Artikel

Waarom burgers coproducent willen zijn

Een theoretisch model om de motivaties van coproducerende burgers te verklaren

Tijdschrift Bestuurskunde, Aflevering 4 2013
Trefwoorden Co-production, citizens, motivation
Auteurs Carola van Eijk en Trui Steen
SamenvattingAuteursinformatie

    In co-production processes, citizens and professionals both contribute to the provision of public services and try to enhance the quality of the services they produce. Although government offers several opportunities for co-production, not all citizens decide to actually take part. Current insights in citizens’ individual motivations offered by the co-production literature are limited. In this article, we integrate insights from different streams of literature to build a theoretical model that explains citizens’ motivations to co-produce. We test the model using empirical data of Dutch neighborhood watches.


Carola van Eijk
C.J.A. van Eijk MSc. (research) werkt als promovenda bij het Instituut Bestuurskunde, Universiteit Leiden.

Trui Steen
Dr. T.P.S. Steen is universitair hoofddocent bij het Instituut Bestuurskunde, Universiteit Leiden en bij KU Leuven Instituut voor de Overheid.
Artikel

Lobbyen met een commissie

Over hoe de VNG met commissies agendeert en hoe dat soms mislukt

Tijdschrift Bestuurskunde, Aflevering 4 2013
Trefwoorden Lobby, Committee
Auteurs Rien Fraanje
SamenvattingAuteursinformatie

    Committees are connected with the political culture of the Netherlands. It is no surprise that organizations that promote certain interests aim at bringing forward their members’ interests by installing committees. Lobbying through a committee, however, is a delicate matter. What elements lead to a committee that is a successful instrument of lobby? A comparison between the committees of the Dutch Union of Municipalities (VNG) led by Jorritsma, Bovens and Van Aartsen on one hand and the committee led by Nijpels on the other shows that the denial of problems and shortcomings does not help the organization or person that asks for the advice of the committee. This person or organization benefits most if the committee points out existing displeasure with the functioning of the person or organization. Yet at the same time, the committee must present a way ahead and proposals for improvement. This gives a positive turn to the criticism and presents a perspective for improvement.


Rien Fraanje
Drs. M.J. Fraanje is bestuurskundige en als senior adviseur verbonden aan de Raad voor het openbaar bestuur. Hij was scribent van de VNG-Commissies Van Aartsen (2007) en Aarts (2008) en de Interbestuurlijke Taakgroep Gemeenten (2008, commissie-D’Hondt).
Artikel

Stille ideologie in beleid en bestuur

Tijdschrift Bestuurskunde, Aflevering 2 2013
Trefwoorden silent ideology, ideology, values, public debate
Auteurs Cor van Montfort, Ank Michels en Wouter Van Dooren
SamenvattingAuteursinformatie

    Political and policy decisions are often presented as neutral choices. Yet, seemingly neutral and widely accepted views are ideologically embedded in a vision on how society should look and what role citizens have to play. These ideologies, we argue, remain silent. In this special issue, we discuss the value and risks of silent ideologies. While silent ideologies may be functional in some cases, there are also risks. The various contributions show that there is a risk of criticism, new ideas and innovative solutions being removed from the political debate. Also, silent ideologies may conceal conflicting interests of citizens and the state, which may exclude the ‘irresponsible’ citizen from the public domain. We argue that public officials and civil servants should take up a role in addressing silent ideologies and their workings.


Cor van Montfort
Prof. dr. C. van Montfort is als bijzonder hoogleraar verbonden aan de Universiteit van Tilburg, werkzaam als projectleider bij de Algemene Rekenkamer en was tot mei 2013 als visiting fellow verbonden aan de Wetenschappelijke Raad voor het Regeringsbeleid.

Ank Michels
Dr. A.M.B. Michels is werkzaam als universitair docent bij het departement Bestuurs- en Organisatiewetenschap van de Universiteit Utrecht.

Wouter Van Dooren
Dr. W. Van Dooren is universitair hoofddocent aan de Universiteit van Antwerpen.
Artikel

Het eindeloze verhaal van de bestuurskunde: complexiteit, vernieuwing en de Big Society

Tijdschrift Bestuurskunde, Aflevering 1 2013
Trefwoorden Big Society, public administration, complexity, innovation, administrative history
Auteurs Thomas Schillemans
SamenvattingAuteursinformatie

    ‘Big Society’ has been one of those inspirational concepts that have recently swept through the public administration literature. With their appeal for a ‘Big Society’, the British Tories contrasted their policy program with Labours’ traditional ‘Big Government’ program. Upon closer inspection, however, it is revealed that the underlying analysis is not new at all, but reflects a specific analysis that can be traced back to Wilson’s famous essay on the study of public administration in 1887. Stripped from its details, the never-ending story claims that public administration now struggles with overwhelming complexity, which makes traditional bureaucratic methods obsolete and calls for innovative, new approaches. The fact that this story has remained fairly constant for over 125 years is cause for some concern. The article traces the historical genesis of this never-ending story and lands on a plea for more sophisticated attention for administrative history, more critical scrutiny of new ideas and more serious study of the nature and effects of complexity.


Thomas Schillemans
Dr. Thomas Schillemans is universitair docent bestuurskunde aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap, Universiteit Utrecht.
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

Watergovernance: het belang van ‘op tijd’ samenwerken

Tijdschrift Beleid en Maatschappij, Aflevering 1 2013
Trefwoorden cooperation, time, water governance, management
Auteurs Dr. Jasper Eshuis en Dr. Arwin van Buuren
SamenvattingAuteursinformatie

    The factor time is an often neglected issue in the literature on network governance. In this article we analyze the differences in perceptions on time between actors involved in water governance and describe the managerial interventions aimed at synchronizing time horizons, managing the available amount of time and the tempo of the governance process. Two case studies of governance processes in the district of Water Board Delfland are included to provide insight in the question how the factor time influences the governance processes and how aspects of time are managed. The case studies show that different perceptions of time may cause tensions in collaborative relationships, and even cause the end of collaborations. This underscores the importance of time-sensitive governance.


Dr. Jasper Eshuis
Dr. Jasper Eshuis is universitair docent bestuurskunde aan de Erasmus Universiteit Rotterdam, eshuis@fsw.eur.nl.

Dr. Arwin van Buuren
Dr. Arwin van Buuren is universitair hoofddocent bestuurskunde aan de Erasmus Universiteit Rotterdam.
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

Morele verantwoordelijkheid te midden van meervoudigheid

De toegevoegde waarde van het kritische individu in complexe omgevingen met meervoudige belangen

Tijdschrift Beleid en Maatschappij, Aflevering 4 2012
Trefwoorden financial markets, financial regulation, lobbying, financial crisis, policy paradigms
Auteurs Dr. Liesbeth Noordegraaf-Eelens en Lotte van Vliet MA
SamenvattingAuteursinformatie

    The lessons learned from the financial crisis are not necessarily limited to the financial sector. Both the financial sector and the public sector have to deal with perverse effects. The effects can be related to a reduction of complexity and plurality through introducing (oversimplified and one dimensional) models and financial incentives. However, in doing this, complexity and plurality are often lost: the neglect of multiple interests, goal replacement and too much focus on short term results. As a consequence perverse effects arise.
    Public sectors and organizations face internal and external pressure to act as they do. At the level of organizations or groups this may involve groupthink; at institutional level uniformity is promoted by the dynamics of isomorphism. This article is a critique on simplification and a plea for the (re)introduction of plurality. More specifically, we stress the importance of individual moral responsibility as a resource for and a way to preserve plurality. Not because that is the only option, but because it is an option that we believe deserves more attention. Other options such as changing regulations and changing the structure of supervision are already broadly discussed. We want to draw attention to the individual as parts of multiple organizations and systems. Individuals are therefore a natural carrier of multiplicity and plurality. Taking moral responsibility serious is not an easy task, but a meaningful step towards awareness of perverse effects due to reduction of complexity and plurality.


Dr. Liesbeth Noordegraaf-Eelens
Liesbeth Noordegraaf-Eelens is als universitair docent verbonden aan de Erasmus School of Economics. Eerder verschenen van haar De overspelige bankier (2004) en Op naar de volgende crisis (2009). In 2010 promoveerde zij op het proefschrift Contested Communication. A Critical Analysis of Central Bank Speech. Liesbeth Noordegraaf-Eelens is een van de auteurs van het RMO-advies Tegenkracht organiseren. Lessen uit de kredietcrisis. Correspondentiegegevens: Dr. Liesbeth Noordegraaf-Eelens, Erasmus School of Economics, Burgemeester Oudlaan 50, 3000 DR Rotterdam, noordegraaf@ese.eur.nl.

Lotte van Vliet MA
Lotte van Vliet MA werkt als senior adviseur bij de Raad voor Maatschappelijke Ontwikkeling (RMO). Zij is een van de auteurs van het RMO-advies Tegenkracht organiseren. Lessen uit de kredietcrisis. Correspondentiegegevens: l.vliet@adviesorgaan-rmo.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.
Artikel

Van optimale schaalgrootte naar legitieme schaalgrootte

Een analyse van het publieke debat over schaalgrootte in de zorg

Tijdschrift Bestuurskunde, Aflevering 4 2012
Trefwoorden scale, healthcare organization, legitimacy, values
Auteurs Jeroen Postma, Kim Putters en Hester van de Bovenkamp
SamenvattingAuteursinformatie

    Over the last decades an increasing number of mergers and acquisitions between Dutch healthcare organizations has taken place (up scaling). More recently there is a rise in the numbers of new small-scale healthcare organizations and small-scale care facilities (down scaling in the numbers). The wide variety of scales, each with its pros, cons and (historical) contexts, makes the existence of one optimal scale an illusion. Our research question is: when, and on the basis of which values, is scale of healthcare organizations legitimate? We answer this question by analyzing 650 newspaper articles from fourteen national newspapers. By using theory about legitimacy and values, we argue that five values underlie the public discussion on scale: governance, the human size, quality of care, market power and efficiency. We conclude that achieving legitimate scale involves dealing with those five values, which are not always commensurable and sometimes conflicting. With this article we contribute to the scientific debate about scale and values. We also give recommendations to policy makers and executives that can be used to improve the legitimacy of scale decisions.


Jeroen Postma
J.P. Postma MScBA is adviseur bij BMC AdviesManagement en promovendus aan het instituut Beleid en Management Gezondheidszorg (iBMG) van de Erasmus Universiteit Rotterdam (EUR).

Kim Putters
Prof. dr K. Putters is bijzonder hoogleraar Management van instellingen in de gezondheidszorg aan het iBMG.

Hester van de Bovenkamp
Dr H. van de Bovenkamp is universitair docent aan het iBMG.
Artikel

Beeldenstrijd. Framing van en door publieke organisaties in de media

Tijdschrift Bestuurskunde, Aflevering 4 2012
Trefwoorden framing, public organizations, news media, (in)direct framing, media strategies
Auteurs Thomas Schillemans en Sandra Jacobs
SamenvattingAuteursinformatie

    Public organizations delivering public services are the subjects of approximately a third of the daily news in the quality press. This article investigates the media frames in which public organizations are portrayed and also investigates the direct and indirect strategies that public organizations use to influence those frames. The analysis is relevant because public organizations are subjected to decision making processes by politicians that are informed by the frames in media stories. The article is based on a combination of quantitative and qualitative content analysis of media reporting, and focus-groups and interviews with senior officials from multiple Dutch and Australian public service providers. The analysis reveals that public organizations deploy both direct strategies via communication as well as indirect strategies (such as networking with journalists and applied research) in order to influence media framing. The interaction between news media and public organizations is depicted as a struggle for control over media messages, where journalists and politicians often get the upper hand but where public organizations have specific traits that may serve to generate specific frames.


Thomas Schillemans
Dr T. Schillemans, universitair docent, is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap, Universiteit Utrecht.

Sandra Jacobs
S.H.J. Jacobs MSc MA, promovenda, is verbonden aan de Utrechtse School voor Bestuurs- en Organisatiewetenschap, Universiteit Utrecht.
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