Zoekresultaat: 7 artikelen

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Tijdschrift Bestuurskunde x Jaar 2018 x
Artikel

Naar bestuursgericht toezicht in de zorg: een zoektocht naar passendheid

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden healthcare governance, management-oriented regulation, experimenting, recoupling, reflective regulation
Auteurs Dr. Annemiek Stoopendaal en Dr. Hester van de Bovenkamp
Samenvatting

    In this article, we discuss how regulation of governance in healthcare has been shaped over the past decade. We describe the presuppositions under this movement. Searching and balancing was needed to meet the complexity of care management. This has to do with the fact that the external pressure on the regulator after incidents is high. Due to this pressure, it is necessary to constantly ensure that management-oriented regulation does not narrow to the supervision on the actor with final responsibility. The regulation of good governance requires reflectivity of the inspectors and is aimed at stimulating recoupling between management and shop floors. This requires space for experimentation for both managers and inspectors. To provide this space, we do not only need a political and social debate about the quality of care and its management, but also attention and appreciation for the difficult considerations of organizing care.


Dr. Annemiek Stoopendaal

Dr. Hester van de Bovenkamp
Artikel

Aangescherpt bestuursgericht toezicht in de corporatiesector

Het wakend oog van de Autoriteit woningcorporaties onder de loep genomen

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden public accountability, regulation strategies, policy change, policy implementation, (social) housing sector
Auteurs Olga Verschuren Msc en Dr. Stefanie Beyens
Samenvatting

    The Dutch social housing sector is still recovering from a series of incidents that harmed the sector’s reputation drastically. Part of the recovery plan is the installation of an independent Housing Authority, who focuses specifically upon the ‘governance’ of housing corporations. This article explores the implementation and development of the Authority’s regulation strategy. It finds that although the strategy sharpens the focus of housing corporations and limits risky circumstances and behavior, it also triggers adverse effects. The Authority should therefore adopt a broader outlook, that is more sensitive to (1) the complexity of the social housing task, and (2) the pathologies of multiple accountabilities being placed upon the corporation(sector).


Olga Verschuren Msc

Dr. Stefanie Beyens
Artikel

Access_open Van toezicht op kwaliteit naar toezicht op bestuur

Ontwikkeling van bestuursgericht toezicht in semipublieke sectoren

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden Inspection, Governance, Semipublic sector, Quality improvement, Opportunities and risks
Auteurs Dr. Meike Bokhorst, Dr. Marieke van Genugten, Dr. Mirjan Oude Vrielink e.a.
Samenvatting

    In Dutch semi-public sectors of education, healthcare, and housing there is a tendency towards governance based inspection. The attention of inspectorates shifts from inspection on minimum quality standards to inspection on governance based quality improvement. The aim of this special issue is to learn more about the opportunities and risks of governance based inspection. The survey and sector articles show that governance based inspection (1) puts the responsibility of governors to stimulate quality on the agenda, (2) makes governors more aware of the quality targets they want to achieve within their organisations, and (3) has a deregulating effect. However, the risks are (1) reregulation via sector norms, (2) a lack of reality checks, and (3) a narrow focus on governors instead of the quality of public services. Consequently, inspectors have to learn new skills and competences. All in all, governance based inspection can complement but not replace other ways of inspection.


Dr. Meike Bokhorst

Dr. Marieke van Genugten

Dr. Mirjan Oude Vrielink

Prof. dr. Thomas Schillemans
Artikel

Lokaal bestuur en burgerkracht: slimme sturing in het sociale domein

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden Family Group Conference, participatory governance, professional care worker, care system reform, municipal care teams
Auteurs Dr. Annie de Roo en Dr. Rob Jagtenberg
Samenvatting

    The Dutch social care system was fundamentally reformed in 2015. A key policy aim was to activate citizens and their social networks, turning them from mere consumers into co-producers of care. The expectation was that, by doing so, public spending could be reduced and community engagement could be restored at the same time. Regulation was put in place to incentivize network support.
    Whether this constitutes ‘smart governance’, however, depends on whether the variety of factors determining sustainable network support can be identified in the first place. At present, the new care policy is supposed to apply indiscriminately, and is as such not yet evidence based. In addition, flaws in the present budgetary and regulatory steering mechanisms need to be addressed. Potential users are not very familiar with the regulation in place for incentivizing network support, and the regulation is currently neutralized by law courts, unaware of the participatory relationship between care authorities and citizens as envisaged by the 2015 reform. Moreover, engaging networks is time-consuming and requires investments before returns can start to materialize. From a normative stance, network volunteers moreover ought to participate in decision-making, as they will be investing their private resources (such as time) instead of tax payers money. Effectiveness and legitimacy are thus two prerequisites for governance in the social domain to be genuinely ‘smart’.


Dr. Annie de Roo

Dr. Rob Jagtenberg
Artikel

Access_open Hybride stadsregionaal bestuur belicht: effectiviteit en legitimiteit in vier grootstedelijke gebieden

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden hybrid governance, city-region, effectiveness, legitimacy
Auteurs dr. Linze Schaap, dr. Carlo Colombo, dr. Maaike Damen e.a.
Samenvatting

    This article reports on an analysis of the effectiveness and legitimacy of modes of governance in four European regions that clearly show signs of hybridity, that is, they have private as well as public characteristics. Berlin, Eindhoven, Copenhagen-Malmö and Zurich thus aim to increase the problem-solving capacity of their regional governance and to govern ‘smartly’ in a complex and multi-level context. The individual cities search for effective links with private and societal actors, each in its own way. Legitimacy is an issue that is hardly reflected upon, though. Hybrid modes of governance may have negative impacts on both effectiveness and legitimacy, but also offer new opportunities for good governance. ‘Hybrid’ and ‘smart’ do not always go hand in hand, but they are not mutually exclusive either.


dr. Linze Schaap

dr. Carlo Colombo

dr. Maaike Damen

dr. Niels Karsten Msc MA
Artikel

Verkeer als stelsel met stelselverantwoordelijkheid voor veiligheid?

Naar een moderne governance opvatting van ‘co-responsibility’ bij stelsels

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden traffic safety, systems approach, governance, co-responsibility
Auteurs Dr. mr. Dick Ruimschotel
Samenvatting

    Lack of safety leading to death or injury has many aspects: personal violence, traffic, accidents at home or the work place, not to mention other external sources as radiation and fine dust or internal sources like diseases. In this paper we restrict ourselves to the lack of safety in traffic as a system, and address the following questions: (1) Is traffic a system with one dominant responsible actor (Ministry of Traffic)? (2) What explanations are offered for the lack of safety? (3) Who is responsible for safety? (4) What sort of interventions are suitable for enhancing safety? and (5) What type of process/consultancy is most appropriate for answer the preceding questions?
    The paper arrives at its conclusions via an indirect way, namely a short analysis of what a system comprises and what constitutes an explanation, responsibility and effectiveness. It appears that we are all causally involved in the lack of safety, and we are all responsible at all levels of society: micro-individual, meso-organizational and macro-societal. Therefore a promising route to maximize safety is a governance perspective comprising multiple stakeholder co-responsibility. It remains to be seen whether this perspective should replace the predominant command and control governance or complement it.


Dr. mr. Dick Ruimschotel
Artikel

Hoezo zijn (on)veiligheidsbeslissingen lastig publiekelijk te verantwoorden?

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden justification of risk policies, risk perception, risk acceptance, intractable citizen
Auteurs Prof. dr. Ira Helsloot
Samenvatting

    This article analyses a cause for the abundance of disproportional risk policies in the Netherlands. Many policymakers and academics believe that people in the Netherlands today are so risk averse that they are not willing to accept any risk that may result from reasonable risk policies. However, as some examples that we present show, there appears to be another kind of Dutch citizen: a citizen that understands and supports the decision of authorities that increase the risk to citizens but are necessary from the perspective of the common good. We argue that the belief in the unreasonable citizen is informed by one-sided research that only asks citizens how they perceive risks and what they want as risk consumers. Asking the same respondents face-to-face what they would do as policymakers themselves, however, results in diametric answers that show a rational and social side of those respondents. Respondents give higher priority to the education system or traffic safety than to preventing unusual risks such as asbestos or terrorism to themselves. Hence, the justification of reasonable risk policies is not as difficult as generally assumed.


Prof. dr. Ira Helsloot
Interface Showing Amount
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