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Tijdschrift Beleid en Maatschappij x Jaar 2021 x
Artikel

Regels breken in het belang van de burger

Van rebelse leidinggevende naar rebelse professional?

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden leadership, pro-social rule breaking, red tape, purpose-driven work, professionals
Auteurs Bernard Bernards en Eduard Schmidt
SamenvattingAuteursinformatie

    The recent decentralization of many healthcare and welfare responsibilities from the national to the municipal level in the Netherlands was aimed at reducing unnecessary bureaucracy and giving discretion to the professional. However, this is not (yet) fully achieved. Therefore, calls have been made for more purpose-driven organizations. Pro-social rule breaking, which refers to acts of rule breaking motivated by the benefits that this creates for citizens, might be a way to make organizations more focused on their organizational purpose. Since little is known about the antecedents of pro-social rule breaking, this article looks at the possible effects of red tape and supportive leadership on pro-social rule breaking behavior of professionals. Based on a quantitative large-n study of professionals in the social domain, the results show that red tape significantly affects pro-social rule breaking. Stimulating leadership does not affect pro-social rule breaking behavior, which may be caused by the fact that intended leader support is not be perceived that way by the professional. The article concludes with a discussion on the desirability of rule breaking in a public sector context, followed by practical implications and further avenues for researchers.


Bernard Bernards
Bernard Bernards, MSc MA is promovendus bij het Instituut Bestuurskunde, Universiteit Leiden.

Eduard Schmidt
Dr. Eduard Schmidt is universitair docent bij het Instituut Bestuurskunde, Universiteit Leiden.
Artikel

Rebellerende zorgprofessionals

Improviseren met regels, passie en verantwoording

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden healthcare rebels, administrative burden, quality of care, etnography, accountability
Auteurs Iris Wallenburg, Hester van de Bovenkamp, Anne Marie Weggelaar-Jansen e.a.
SamenvattingAuteursinformatie

    Bureaucracy and ‘red tape’ are seen as a main annoyance in healthcare practice. ‘Rules’ like guidelines and performance indicators would withdraw professionals from their real work, that is, helping patients. However, rules may also improve quality of care if they foster high quality practices. In this research, we explore how healthcare rebels deal with rules in their everyday work: how rebels ignore, engender and bend rules to build new environments for doing good care. Drawing on ethnographic research in three hospitals in the Netherlands (2017-2018), we reveal how rebels build and care for clinical microsystems containing their own clinical unit and related contexts (e.g. pharmaceutical suppliers, ICT companies, primary care) to evoke alternative and situated practices of good care delivery – i.e. focusing on quality of life and person-centred care. Rebels enact mechanisms of decoupling and recoupling to disconnect rules that embark on good care in specific patient situations, and build new routines that foster good care. However, such caring practices are hard to generalize as they often occur ‘under the radar’ and hence remain hardly noticed to the outside world. We argue that through revising accounting processes, and paying more attention to narratives of good care, more convenient quality systems could be found.


Iris Wallenburg
Dr. Iris Wallenburg is universitair hoofddocent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Hester van de Bovenkamp
Dr. Hester van de Bovenkamp is universitair hoofddocent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Anne Marie Weggelaar-Jansen
Dr. Anne Marie Weggelaar-Jansen, MCM is universitair docent, sectie Health Services Management and Organization, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Roland Bal
Prof.dr. Roland Bal is hoogleraar beleid en bestuur van de gezondheidszorg, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.
Artikel

Access_open ‘We gaan het gewoon doen!’

Rebelse initiatieven in onderwijs en ouderenhuisvesting

Tijdschrift Beleid en Maatschappij, Aflevering 2 2021
Trefwoorden rebellion, housing for older people, education, rules and regulations, room to manoeuvre
Auteurs Marianne van Bochove, Katja Rusinovic, Suzanna Koops-Boelaars e.a.
SamenvattingAuteursinformatie

    Both education and housing are highly regulated sectors in the Netherlands. According to various stakeholders, regulations and formal and informal rules hinder the development of new initiatives aimed at providing attention to personal needs and wishes of children (in education) and older people (in housing). This article focuses on founders of initiatives in both sectors that, despite institutional obstacles, dare to do things differently. We adopt a rebellion perspective, which focuses on how individual and collective actors aim to create favorable circumstances for providing better services, even if this means they have to disrupt existing institutions. In-depth interviews were conducted with 22 founders of rebellious initiatives in education and housing for older people. According to the founders, what makes them different from others is having a dream, learning by doing, and critically assessing rules and regulations. Founders in both sectors not only interpret rules differently, but also try to change them. In order to do so, they need supportive internal and external contexts, which they create through personal contacts and social media. Although rebellion in both sectors has many similarities, sector-specific institutional settings and past events do shape its appearance.


Marianne van Bochove
Dr. Marianne van Bochove is universitair docent, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam en senior onderzoeker aan De Haagse Hogeschool.

Katja Rusinovic
Dr. Katja Rusinovic is lector grootstedelijke ontwikkeling, faculteit Bestuurskunde, Recht & Veiligheid aan De Haagse Hogeschool.

Suzanna Koops-Boelaars
Suzanna Koops-Boelaars, MSc, is promovendus, sectie Health Care Governance, Erasmus School of Health Policy & Management aan de Erasmus Universiteit Rotterdam.

Joost van Hoof
Dr. ir. Joost van Hoof is lector urban ageing, faculteit Sociaal Werk & Educatie, aan De Haagse Hogeschool.
Dossier

Van ‘Etnische minderheden’ naar ‘Samenleven in verscheidenheid’

Vier decennia integratiebeleid in vijf WRR-rapporten

Tijdschrift Beleid en Maatschappij, Aflevering 3 2021
Auteurs Han Entzinger
SamenvattingAuteursinformatie

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.


Han Entzinger
Prof. dr. Han Entzinger is emeritus hoogleraar migratie- en integratiestudies aan de Erasmus Universiteit Rotterdam.
Artikel

Access_open Ontwikkeling en institutionalisering van een anti-establishmentpartij

De casus Leefbaar Rotterdam

Tijdschrift Beleid en Maatschappij, Aflevering 3 2021
Trefwoorden party institutionalization, political parties, local government, Governance, anti-establishment party
Auteurs Gideon Broekhuizen en Julien van Ostaaijen
SamenvattingAuteursinformatie

    There is much research available about the development and government participation of new political parties (e.g. Pedersen, 1982; Deschouwer, 2008). Scholars show that survival for new political parties is often difficult, as they in general had little time for party building (Bollyer & Bytzek, 2017). Moreover, the expectation for specific types of new parties, mainly anti-establishment parties, is that they pay a high(er) electoral price when participating in government (Van Spanje, 2011). The Dutch case of the local political party of ‘Leefbaar Rotterdam’ (Livable Rotterdam, LR) is a noteworthy exception to this rule. It won the Rotterdam local election in 2002 with almost 35 percent of the votes, only months after its establishment. Until this day, LR remains an electorally large and relevant political party, participating in Rotterdam government twice (2002-2006 and 2014-2018). The article shows that in comparison to some national new political parties, LR succeeded in building a solid party organization and that from a party institutionalization perspective, it can be considered an institutionalized party. Regarding theory, it provides some additions to party building literature, such as the importance of personal relations and the balance between organizational unity and member autonomy.


Gideon Broekhuizen
Gideon Broekhuizen MSc LLB is werkzaam als beleidsadviseur bij het ministerie van Volksgezondheid, Welzijn en Sport.

Julien van Ostaaijen
Dr. Julien van Ostaaijen is werkzaam als universitair docent bestuurskunde aan Tilburg University en lector Recht en Veiligheid bij Avans Hogeschool.
Dossier

Access_open Verschuivingen in informatievoorziening tijdens Covid-19

Gevolgen voor vertrouwen en democratische processen

Tijdschrift Beleid en Maatschappij, Aflevering 1 2021
Trefwoorden Covid-19, Democracy, Trust, information environment
Auteurs Prof. dr. Rens Vliegenthart, Dr. Bert N. Bakker en Prof. dr. Claes de Vreese
SamenvattingAuteursinformatie

    Combatting the coronavirus politicians and policy makers have to continuously make a trade-off between public health and democratic rights. How do citizens’ attitudes towards democracy develop in a pandemic? In this study we test whether changes in the information environment affect citizens’ trust in the local and national government. Moreover, we study whether changes in the information environment are associated with the perceptions about the extent to which democratic processes are under pressure. We address these questions using a five wave panel study in the Netherlands conducted between April and September 2020. We find that during this period media use and political trust decreased. Moreover, Dutch citizens are worried about the effects of the corona crisis on local and national democracy. When it comes to the effects of media use on political trust and attitudes towards democracy, we find that media use has a limited effect on attitudes towards democracy. If anything, consuming news via the public broadcaster has a positive effect on political trust. To conclude, our study provides descriptive evidence about the development of attitudes towards democracy in the Netherlands during a major public health crisis. Dutch citizens are worried about democracy but media play a limited role in amplifying or reducing these worries.


Prof. dr. Rens Vliegenthart
Prof. dr. Rens Vliegenthart is hoogleraar media en samenleving en wetenschappelijk directeur van de Amsterdam School of Communication Research.

Dr. Bert N. Bakker
Dr. Bert N. Bakker is assistant professor aan de Amsterdam School of Communication Research.

Prof. dr. Claes de Vreese
Prof. dr. Cleas de Vreese is professor political communication aan de Amsterdam School of Communication Research.
Artikel

De invloed van contractuele en relationele aspecten op stakeholdermanagement

Een casusstudie van de A9 en A16 DBFM-infrastructuurprojecten

Tijdschrift Beleid en Maatschappij, Aflevering 1 2021
Trefwoorden infrastructure projects, public-private partnerships, contractual governance, relational governance, stakeholder management
Auteurs Sander Philips MSc, Ir. Bert de Groot en Dr. Stefan Verweij
SamenvattingAuteursinformatie

    In the past decade, large infrastructure projects in the Netherlands have often been implemented through Public-Private Partnerships (PPPs), specifically using Design-Build-Finance-Maintain (DBFM) contracts. While the decision to implement projects through PPPs is based on expected advantages for internal parties – the public and private partners in the PPP –, there is a call for more focus on the advantages and disadvantages of PPPs for external stakeholders. External stakeholder management in DBFM projects is based on a contractual division of risks and responsibilities between the partners. However, it is clear from the literature that the contract does not guarantee successful stakeholder management. Relational aspects are important. Little research has been done, however, into the interplay of contractual and relational aspects in achieving successful stakeholder management. This article addresses this research need. A comparative case study was conducted into the PPP projects A9 Gaasperdammerweg and A16 Rotterdam. The study first shows that sanctions, when combined with a relational approach, have a positive effect on the relationships with stakeholders. Second, external stakeholder management cannot be simply outsourced to the private partner and continuous involvement of the public partner is important for success.


Sander Philips MSc
Sander Philips MSc volgde op het moment van schrijven de double degree master Environmental and Infrastructure Planning (Rijksuniversiteit Groningen) en Water and Coastal Management (Universität Oldenburg). Inmiddels is hij afgestudeerd.

Ir. Bert de Groot
Ir. Bert de Groot is senior adviseur projectbeheersing bij Rijkswaterstaat, ministerie van Infrastructuur en Waterstaat, en external PhD bij de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie.

Dr. Stefan Verweij
Dr. Stefan Verweij is universitair docent infrastructuurplanning, governance en methodologie aan de Rijksuniversiteit Groningen, faculteit Ruimtelijke Wetenschappen, basiseenheid Planologie.
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