Zoekresultaat: 5 artikelen

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Jaar 2006 x
Artikel

Werk in een wantrouwende wereld

Omvang en oorzaken van een uitdijende controle-industrie

Tijdschrift Beleid en Maatschappij, Aflevering 4 2006
Auteurs Frans van Waarden
SamenvattingAuteursinformatie

    Fraud seems to be on the rise. That feeds a demand for controls. This paper sketches the diversity of supply in reaction to this demand: public regulators of course, but also commercial information providers and benchmarkers, self-regulating associations, hallmark producers, certification and accreditation bodies, and internal business management control systems, whereby ever more levels of control are piled on top of each other. More than a million Dutchmen earn a living in this booming control-industry, or 14% of the working population. In addition to fraud, other causes of this trend are being discussed, among them, paradoxically, neo-liberalist deregulation policies. All these causes contribute to a sense of risk and uncertainty. Although this trend has a number of negative consequences, it has a major benefit: jobs! Economists may have long thought that transaction costs are there for the transactions. But it looks as if transactions exist to produce transaction costs.


Frans van Waarden
Frans van Waarden is hoogleraar Organisatie en Beleid aan de Universiteit Utrecht en fellow van het University College Utrecht. Hij studeerde sociologie in Toronto en Leiden, was voorheen werkzaam aan de Universiteiten van Leiden en Konstanz en visiting scholar in Wenen, Leipzig, Stanford, Berkeley, het European University Institute in Florence en het NIAS in Wassenaar. Hij publiceerde over arbeidsverhoudingen, techniekgeschiedenis, innovatie, katoenindustrie, belangengroepen en corporatisme, verzorgingsstaat, ondernemersorganisaties, de relatie overheid – bedrijfsleven, openbaar bestuur, stijlen van regelgeving en -handhaving en marktwerking en deregulering. Correspondentiegegevens: Prof. dr. Frans van Waarden, University College, Utrecht University, Postbus 80145, 3508 TC Utrecht Telefoon: +31-30-253-4820 e-mail: F.vanwaarden@fss.uu.nl

    Demand-steering policies in healthcare are understandable but problematic answers to the desire for democratization that dates from the seventies of the former century. Prominent critics such as Achterhuis and Illich were very critical of the undemocratic character of health care. Yet their romantic idea of society excused them from the need to articulate democratic alternatives. The empty space that they left was filled by the concept of demand-steering. Demand-steering, however, rather than strengthening democratic practices, merely undermines them, by preferring exit above voice, by putting up new bureaucratic barriers between clients and professionals and by undermining the quality of the relationship between clients and professionals.

    Doing more justice to the democratic impulse is possible and desirable. A new step towards this aim is being taken by a fourth logic of steering, (next to the familiar logics of the market, bureaucracy and professionalism) that centers on improving the dialogue between clients and professionals. The one variant, democratic professionalism, starts from the position of the professional and aims at intensifying democratic control, while the other variant, collaboration, starts from the client and aims at providing him with more influence and responsibility for the health care process. This fourth logic however can only provide a new impulse to democratization when the vague notion of the dialogue is elaborated more thoroughly.


Evelien Tonkens
Evelien Tonkens is bijzonder hoogleraar actief burgerschap bij de afdeling sociologie en antropologie van de Universiteit van Amsterdam en opleidingsdirecteur/docent van de masteropleiding social policy and social work in urban areas van de Uva. Correspondentieadres: UvA – afdeling sociologie en antropologie, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, e-mail: e.h.tonkens@uva.nl

    The recent decline in professionalism has frequently been explained as a result of the rise of New Public Management (NPM). As will be shown in this article, however, NPM does not automatically result in a decline in professionalism; its effects differ in various professional contexts. In a case study of the work of social insurance doctors and labor specialists the authors demonstrate that NPM structures the technical aspects of professional tasks, that are the verifiable elements of the professional's judgment. NPM proofs to have strong influence on the techniques for quality insurance (performance of production, time and lawfulness). On the longer term this influence can undermine professional self-regulation. NPM has little impact on the indeterminate task aspects, the professional judgment itself, even though this part has become more 'technical' in years. The case study shows however that this is not due to NPM but to the impact of bureaucratization of the professional task. Furthermore it becomes clear that this impact is stronger in the case of the labor specialist than with respect to the social insurance doctor.


Duco Bannink
Duco Bannink is verbonden aan de Universiteit Twente. Correspondentieadres: Duco Bannink, Universiteit Twente, Faculteit Bedrijf, Bestuur en Technologie, Postbus 217, 7500 AE Enschede, 053-4893222, d.b.d.bannink@utwente.nl

Berber Lettinga
Berber Lettinga is verbonden aan de Universiteit Twente.

Liesbet Heyse
Liesbet Heyse is verbonden aan de Universiteit Twente.

Marja Gastelaars
mw dr Marja Gastelaars is als organisatiesocioloog verbonden aan de Utrechtse school voor Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht
Artikel

Waterschappen en de borging van publieke waarden

Tijdschrift Bestuurskunde, Aflevering 1 2006
Auteurs Willemijn Dicke en Bauke Steenhuisen
Auteursinformatie

Willemijn Dicke
Dr. Willemijn Dicke en ir. Bauke Steenhuisen zijn werkzaam aan de TU Delft bij Faculteit techniek, Bestuur en Management.

Bauke Steenhuisen
Dr. Willemijn Dicke en ir. Bauke Steenhuisen zijn werkzaam aan de TU Delft bij Faculteit techniek, Bestuur en Management.
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