Zoekresultaat: 4 artikelen

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Jaar 2018 x
Artikel

Lokale netwerken als instrument voor centraal beleid?

De relativiteit van metagovernance

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden metagovernance, Local networks
Auteurs Filip De Rynck, Caroline Temmerman en Joris Voets
Samenvatting

    Collaboration between public actors and social partners is becoming increasingly important as an administrative solution for complex societal challenges in health care, spatial development, mobility management or water management. In this article we focus on the relationship between the central Flemish government and local networks that are set up by this government. In the scientific literature much attention is paid to the concept of metagovernance as analytical perspective to analyze the relationship between the government and networks. The concept offers the government a toolbox with roles and instruments from which it can choose to support and stimulate networks in order to achieve the desired network results. However, our research shows that such an approach is not sufficient to capture the relationship between the central government and local mandated networks in Flanders. We argue for a broader interpretation of the concept of metagovernance, in which the dynamics of local networks are viewed as the outcome of power relations between actors that are represented at both local and central level and that are intertwined with each other. Only in this way will we we understand why certain choices are made about local mandated networks, why local networks show a lack of dynamism and why local actors in local networks also do not want local networks to become more dynamic and effective. We do notice that the pressure on these arrangements is increasing, partly due to new actors who are not involved in these arrangements.


Filip De Rynck

Caroline Temmerman

Joris Voets
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
Casus

Access_open In de zorg voelt de winst van de een nu als het verlies van de ander

Naar een beter begrip van winst in de zorg door in de discussie over winst in de zorg onderscheid te maken tussen een leefwereld- en een systeemwereldperspectief

Tijdschrift Beleid en Maatschappij, Aflevering 1 2018
Trefwoorden Profit, healthcare providers, health insurers, lifeworld perspective, system perspective
Auteurs Drs. Piet de Bekker en Dr. Eric van der Hijden
SamenvattingAuteursinformatie

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.
    Systematic research on societal responses to profit in healthcare is scarce. It is a highly complex topic, with many tensions in the public and political debate. In a recent Dutch publication on profit, authors use a ‘lifeworld’ perspective to assess profit in their research, while their assessment could have been different using a ‘system’ perspective. Both perspectives have their merit, and debate on the role of profit in health care should separate the two perspectives. We describe both perspectives and use them to clarify whether making a profit is different from paying that profit to shareholders. We conclude that in healthcare, the general tension between the perspectives can be summarized as ‘profit for one actor may feel – but isn’t always – someone else’s loss’. Recognizing these tensions and searching for a strategy to align interests in which everyone gains may help the current stagnated debate on this issue in the Netherlands.


Drs. Piet de Bekker
Drs. Piet de Bekker is PhD-onderzoeker aan de Vrije Universiteit Amsterdam, Talma Instituut, sectie Gezondheidseconomie. Hij is tevens partner en adviseur bij Zorgvuldig Advies.

Dr. Eric van der Hijden
Dr. Eric van der Hijden is teamleider Gepaste Zorg aan de Vrije Universiteit Amsterdam, Talma Instituut, sectie Gezondheidseconomie. Hij is tevens beleidsadviseur zorginkoop bij Zilveren Kruis Zorgverzekeringen.

Rik Reussing
Dr. G.H. Reussing is onderwijscoördinator van de joint degree Public Governance across Borders aan de Universiteit Twente en redactiesecretaris van Bestuurswetenschappen.
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