Zoekresultaat: 13 artikelen

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Tijdschrift Bestuurskunde x Jaar 2012 x
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

Waarom ‘Anders omgaan met water’ niet leeft bij burgers

Tijdschrift Bestuurskunde, Aflevering 4 2012
Trefwoorden frames, discourses, myth, flood safety policy, public engagement
Auteurs Trudes Heems en Baukje Kothuis
SamenvattingAuteursinformatie

    Problems with the rivers were the incentive to change Dutch flood safety policy in 2000. ‘A different approach to water’ became the new policy slogan. Government presumes that public engagement in decision-making on flood safety will lead to more water awareness and risk aware behaviour. ‘No or hardly any negative side-effects’ are expected from this strategy. However, our research shows that public engagement in flood safety decision-making leads to fierce policy contestation, since proposed solutions do not meet the safety perception of local citizens. ‘A different approach to water’ strategy does not resonate in Dutch society because most people are convinced that government guarantees water safety. In this article we explain that this so-called ‘myth of water safety’ is based on a deep frame of risk control. We argue that flood safety needs to be reframed and that a new frame should be based on acceptance of vulnerability instead of risk control.


Trudes Heems
Dr G.C. Heems is verbonden aan de Faculteit Techniek, Bestuur en Management van de TU Delft en aan WATERWORKS Social Science Research in Amsterdam.

Baukje Kothuis
Dr B.L.M. Kothuis is verbonden aan de Faculteit Techniek, Bestuur en Management van de TU Delft en aan WATERWORKS Social Science Research in Amsterdam.
Artikel

Wmo-raden, horizontaal tegenwicht of meewerkend voorwerp?

Een verkennende casestudy naar de invloed van vijf Wmo-raden

Tijdschrift Bestuurskunde, Aflevering 3 2012
Trefwoorden Social Support Act, Wet maatschappelijke ondersteuning, municipalities
Auteurs Lotte Penning en Tamara Metze
SamenvattingAuteursinformatie

    In 2010 the Netherlands Institute for Social Research (SCP) concluded that the Social Support Act (Wet maatschappelijke ondersteuning, Wmo) is successful as it leads to greater coherence in policies, and because the public Wmo-advisory councils are satisfied with the role they play. Wmo councils provide solicited and unsolicited advice to municipalities. They defend citizens’ interests against those of health care providers and insurance companies. Despite the positive results of the SCP study, there is an ongoing debate about the restyling of the Wmo-councils to increase their influence on local policy making. Some studies even call for a national council to prevent bargaining between the Associations of Dutch Municipalities (VNG) and the Ministry of Health, Welfare and Sports (VWS).

    In this exploratory article, the authors analyse the influence of five local Wmo-councils - Alkmaar, Delft, Kerkrade, Tilburg and Utrecht - on local policy making. They examined the recognition and authority of these five councils and studied if municipalities heeded their advice. The article shows, that Wmo-councils themselves are dissatisfied with the influence they have. Subsequently, it demonstrates that municipalities anticipated the actions of Wmo-councils but hardly ever changed their policies accordingly. Wmo-councils are meant as a horizontal counterweight but are in danger of not being taken seriously.


Lotte Penning
L. Penning MA werkt als trainee via PBLQ HEC, consultants voor ICT en bestuur in de publieke sector.

Tamara Metze
Dr T. Metze is universitair docent aan de Tilburgse School voor Politiek en Beleid
Artikel

Street-level bureaucrats tussen organisaties: De hernieuwde relevantie van Lipsky's werk

Tijdschrift Bestuurskunde, Aflevering 3 2012
Trefwoorden Street-level bureaucrat, interorganizational cooperation, networks
Auteurs Taco Brandsen, Mirjan Oude Vrielink en Liesbeth Collignon
SamenvattingAuteursinformatie

    Recent developments shed a new light on the role of Lipsky's classic analysis of the street-level bureaucrat. A growing number of social services is provided as a product of cooperation between different actors: government agencies, societal organizations, private businesses, citizens. As a result of this development, the street-level bureaucrat now increasingly operates in an interorganizational network, rather than within one single organization. This (partly) changes the dilemmas he has to deal with. The authors demonstrate this by analyzing the so-called ‘Achter de Voordeur’ projects, whereby house-calls of street-level bureaucrats are linked with full cooperation between local authorities.


Taco Brandsen
Prof. dr T. Brandsen is hoogleraar Bestuurskunde aan de Radboud Universiteit Nijmegen.

Mirjan Oude Vrielink
Dr M. Oude Vrielink is senior onderzoeker aan de Universiteit Twente.

Liesbeth Collignon
Drs. L. Collignon is bestuurskundig onderzoeker en adviseur.

Leo Huberts
Prof. dr L.W.J.C. Huberts is hoogleraar Bestuurskunde aan de Vrije Universiteit Amsterdam.
Artikel

Veel dynamiek, weinig slagvaardigheid

Een studie naar de praktijk van lokale veiligheidsnetwerken

Tijdschrift Bestuurskunde, Aflevering 2 2012
Auteurs Ronald van Steden, Ilse de Groot en Hans Boutellier
Auteursinformatie

Ronald van Steden
Dr R. van Steden, Drs. I. de Groot en prof. dr H. Boutellier maken deel uit van de onderzoeksgroep Veiligheid en Burgerschap van de Vrije Universiteit Amsterdam.

Ilse de Groot
Dr R. van Steden, Drs. I. de Groot en prof. dr H. Boutellier maken deel uit van de onderzoeksgroep Veiligheid en Burgerschap van de Vrije Universiteit Amsterdam.

Hans Boutellier
Dr R. van Steden, Drs. I. de Groot en prof. dr H. Boutellier maken deel uit van de onderzoeksgroep Veiligheid en Burgerschap van de Vrije Universiteit Amsterdam.
Praktijk

Innovatieve organisatievormen in de publieke dienstverlening

Van compact en klein naar meervoudig en hybride

Tijdschrift Bestuurskunde, Aflevering 2 2012
Auteurs Philip Marcel Karré
Auteursinformatie

Philip Marcel Karré
Dr P.M. Karré is programmaleider van de Master Urban Management i.o. aan de Hogeschool van Amsterdam.
Boekbespreking

Dissertaties

Tijdschrift Bestuurskunde, Aflevering 2 2012
Artikel

De kanteling van de Wmo: Transformatie van de verzorgingsstaat in de stad?

Tijdschrift Bestuurskunde, Aflevering 1 2012
Trefwoorden welfare state, reform, big society, local level, participation
Auteurs Jeroen Hoenderkamp
SamenvattingAuteursinformatie

    This article investigates whether the local practices growing under the Wet Maatschappelijke Ondersteuning (Wmo; Law for social participation) can be viewed as examples of ‘transformation of the welfare state’-in-action. The article argues that indeed, a number of Dutch cities is trying to create a shift in the balance of responsibilities of citizens, social networks, civil society and government that can be judged an operationalization of the more abstract recommendations of many ‘welfare state reformers’. It remains to be seen however, whether these attempts will actually result in change. There are both practical problems and fundamental questions to be tackled. The question whether the transformation wished for by many from a political perspective, is actually feasible (given the political and societal constraints) should be addressed firmly by both local and national actors.As it goes, the opposite is the case: the question of the feasibility of the Wmo seems to have vanished in the void between parliament and municipalities.


Jeroen Hoenderkamp
Dr J. Hoenderkamp was de afgelopen vijftien jaar in dienst van verschillende adviesbureaus in het sociale domein. Recent is hij in dienst getreden van de gemeente Maastricht, waar hij de in dit artikel beschreven transformatie van verzorgingsstaat naar participatiestad mee helpt vormgeven.
Artikel

Het falen van deliberatie

Tijdschrift Bestuurskunde, Aflevering 1 2012
Auteurs Sonja van der Arend en Jelle Behagel
SamenvattingAuteursinformatie

    Deliberative democracy is a topic of fierce debate in political philosophy, democratic theory and other disciplines. Over the last two decades, the notion of deliberation - or dialogue - as a key democratic asset has also pervaded practices and empirical studies of public policy and governance. Although avid advocates and critics of deliberative governing and policy making may be found, the majority of scholars and professionals in this field take on a pragmatic, agnostic stance, and a public debate between them remains largely absent. Thus, deliberation is hardly contested or questioned, while in practice, it regularly leads to failure and disappointment. The article introduces and transcribes a dialogue on the failing of deliberation that was performed at a symposium on ‘Contested democracy’ by The Netherlands Organisation for Scientific Research (NWO) (Jan. 2011, The Hague). An optimist and a cynic deliberate the role of deliberation, accompanied by a chorus of administration scientists.


Sonja van der Arend
Dr ir S.H. van der Arend is verbonden aan de TU Delft.

Jelle Behagel
Drs J. Behagel is promovendus aan Wageningen University.
Boekbespreking

Dissertaties

Tijdschrift Bestuurskunde, Aflevering 1 2012

    The problems discussed in the articles of this special issue are not merely wicked in the sense of involving normative dissensus and factual uncertainty. They also are systemic: they reflect institutional inertia, discursive inertia and the disruptive impact of sociological trends (individualization, Europeanization etc.) on incumbent practices and institutions. This systemic character tends to makes them persistent: while fundamental change is unavoidable, such change is likely to be bothered by the very institutional and discursive inertia it seeks to address. Reflecting, from a public policy studies point of view, on previous articles we deduce four principles from urban practices to deal with these challenges: 1) reduce dissent and uncertainty where possible; 2) acknowledge normative diversity by promoting context-specific solutions; 3) organize policies around societal/market initiatives that have emerged in a context and 4) define institutional changes that may further promote and simplify such policies and seize opportunities for structural change.


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

Jos Koffijberg
Dr J.J. Koffijberg en prof. dr W.A. Hafkamp zijn als respectievelijk hoofd onderzoek en wetenschappelijk directeur verbonden aan Nicis Institute.

Wim Hafkamp
Dr J.J. Koffijberg en prof. dr W.A. Hafkamp zijn als respectievelijk hoofd onderzoek en wetenschappelijk directeur verbonden aan Nicis Institute.

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

Kraamkamers van een nieuwe verzorgingsstaat

Tijdschrift Bestuurskunde, Aflevering 1 2012
Trefwoorden neighbourhood approach, wicked problems, institutional change, citizen initiatives, welfare state
Auteurs Maurice Cramers en Jos van der Lans
SamenvattingAuteursinformatie

    In 2010 and 2011 a committee of experts inspected if and how forty of the most deprived areas in Dutch cities have benefitted from the major national neighbourhood policy program launched by the previous government in 2007. The aim of the program was to restore living conditions in those areas within the next ten years, by investments in the physical, social and economic field, thus trying to improve the living conditions and chances (social mobility) of the neighbourhood citizens. According to the Committee, the forty neighbourhoods have proved to be laboratories for institutional change. There is growing confidence among local parties that with less disintegrated bureaucracy and more possibilities for citizen initiatives, interventions can be organised which are more effective and cheaper. Realising the objectives of the neighbourhood approach demands continuous involvement, effective organization, creative solutions and intensive contact between professionals and citizens. Government organizations and institutions need to relinquish control and facilitate and support the problem solving abilities of the professionals and citizens, who live and work in these neighbourhoods day in day out. In the most problematic neighbourhoods of Dutch cities, the seeds of the new welfare state are being planted.


Maurice Cramers
M. Cramers is beleidsadviseur bij het ministerie van BZK en was secretaris van de Visitatiecommissie wijkenaanpak.

Jos van der Lans
J. van der Lans is cultuurpsycholoog en publicist. Hij was, naast W. Deetman en R. Scherpenisse, één van de voorzitters van deze commissie. Deze bijdrage schrijven zij op persoonlijke titel.
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