Beleidsvervreemding in de gezondheidszorg

2012 ◽  
Vol 28 (3) ◽  
Author(s):  
Lars Tummers

Policy alienation in the health sector. Professional experiences of midwifes and sonographers Policy alienation in the health sector. Professional experiences of midwifes and sonographers A number of developments – such as increased performance measurement and new governmental policies – put pressure on employees working in the public sector. In this article, we examine pressures healthcare professionals experience during the implementation of the 20-weeks ultrasound policy (structural ultrasound policy). We use an interdisciplinary approach. From public administration literature, we draw on the policy alienation concept, which consists of five dimensions: strategic powerlessness, tactical powerlessness, operational powerlessness, societal meaninglessness and client meaninglessness. These are considered as factors that influence the behavioural support for a policy, based on the concept of ‘behavioural support for a change’, drawn from the change management literature. We test this model using survey data collected among 780 Dutch midwives implementing the 20-week ultrasound policy. Both meaninglessness dimensions proved highly significant, whereas strategic and tactic al powerlessness were found not significant. We conclude that clarifying the value of the policy is important in getting professionals to willing implement a policy, whereas their participation on the strategic or tactical levels seems less of a motivational factor. These insights help in understanding why public professionals embrace or resist the implementation of particular policies.

2019 ◽  
Vol 15 (3) ◽  
pp. 321-329
Author(s):  
Christian Díaz de León-Castañeda ◽  
Jéssica Gutiérrez-Godínez ◽  
Juventino III Colado-Velázquez ◽  
Cairo Toledano-Jaimes

2013 ◽  
Vol 6 (2) ◽  
pp. 33-52 ◽  
Author(s):  
Polonca Kovač

Abstract Th e article analyzes the historical development of public administration as a discipline in research and study programs situated between legal and administrative sciences in Slovenia as part of the Central European political and legal environment. Public administration in Slovenia was initially, and still is, primarily law-driven, but an integrative and furthermore interdisciplinary approach to public-administration studies is considered to be an inevitable trend due to its complex character. However, as indicated by the presented results of research on Slovene administrative study programs and teachers’ habilitation areas, combined with the classification of researchers’ scientific achievements, carried out in order to establish the state of the art of administrative science, research and study programs are developing rather in the framework of administrative-legal science. Hence, as grounded by historical, comparative and empirical analyses of the present study programs, habilitation and research areas in Slovenia, critical assessment of their design and classification leads us to draw several conclusions. Primarily, law is not sufficient, although, simultaneously, in the CEE area it is an indispensable basis for the study of a law-determined public administration. Both mentioned imperatives should systematically be taken into account in future (supra-) national field classifications as well as in the planning and accreditation of study programs and research in the field.


2021 ◽  
pp. 351-367
Author(s):  
Edyta Sokalska

The theories of the information society and the idea of the modern digital state need an interdisciplinary approach. Practical realization of the concept of the digital state issues a challenge to public administration. It might be observed that public entities, while they work on electronic solutions, do not focus adequate attention on their cooperation. In Poland, the scope of digitalization and electronic services provided by public administration has extended. The digital transformation of public institutions is of high importance in the context the human rights. Cybersecurity and some contemporary threats related to the public sphere (cybercrime, cyberterrorism, cyberwar, fake news) trigger the changes in legal systems and public institutions. They also affect people, their cognitive abilities and identity. It is significant that the predictions concerning the information society and the digital state in the context of social changes have been present in the futurological thought. They include the thoughts of Alvin Toffler, Samuel P. Huntington, and Francis Fukuyama. The authors deal with the civilization changes, transformation related to dissemination of modern ICT technology, clash of cultures and their influence on societies and states.


2020 ◽  
Vol 7 (2) ◽  
pp. 35-44
Author(s):  
Anastasia V. Timchenko ◽  
Andrei Timoshenko

This article discusses the influence of digitalization on diverse social activity spheres. The authors analyze the essential notions of digitalization with regard to philosophy, law, political science, and economics. The digital sphere becomes virtual space without understanding and recognizing territorial and hence, nation-state, jurisdiction. Global digitalization for all social spheres becomes a reality. Nowadays, the digital economy is globalizing, the public administration is digitalizing, electronic technologies in finance are developing, and smart cities are being created. Law lags significantly behind new digitalization challenges and does not always react swiftly with regard to social interaction dynamics. Philosophy conceptualizes human existence in digital society in the new digital era.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Anette Lykke Hindhede ◽  
Vibeke Andersen

The public health sector in welfare states is increasingly subject to organisational changes, particularly in hospitals, as organisations comprise coali-tions of various (healthcare) professionals. In this context, due to interprofessional competition, knowledge claims play an important role in achieving jurisdictional control. In this paper, we investigate the manifestations of and health professionals’ reactions to competing institutional discourses. Through qualitative interviews with hospital management, middle managers, and staff employees at three hospitals in Denmark, we demonstrate how managerial attempts to control tenacious profes-sional bureaucracies are exercised through both bureaucratic forms of control and cultural-ideological modes of control with an introduction of new discourses of in-terprofessional teamwork. The findings suggest that hospitals seek not only to con-tain ambiguity through bureaucratic features of control, but also to cultivate it when seeking to strengthen cooperation between professions. Thereby, ambiguity itself becomes a mechanism for management.


Author(s):  
Ramnik Kaur

E-governance is a paradigm shift over the traditional approaches in Public Administration which means rendering of government services and information to the public by using electronic means. In the past decades, service quality and responsiveness of the government towards the citizens were least important but with the approach of E-Government the government activities are now well dealt. This paper withdraws experiences from various studies from different countries and projects facing similar challenges which need to be consigned for the successful implementation of e-governance projects. Developing countries like India face poverty and illiteracy as a major obstacle in any form of development which makes it difficult for its government to provide e-services to its people conveniently and fast. It also suggests few suggestions to cope up with the challenges faced while implementing e-projects in India.


2019 ◽  
Vol 7 (1) ◽  
pp. 268-288
Author(s):  
Dlan Ismail Mawlud ◽  
Hoshyar Mozafar Ali

The development of technology, information technology and various means of communication have a significant impact on public relations activity; especially in government institutions. Many government institutions have invested these means in their management system, in order to facilitate the goals of the institution, and ultimately the interaction between the internal and external public. In this theoretical research, I tried to explain the impact of the new media on public relations in the public administration, based on the views of specialists. The aim of the research is to know the use of the new media of public relations and how in the system of public administration, as well as, Explaining the role it plays in public relations activities of government institutions. Add to this, analyzing the way of how new media and public relations participate in the birth of e-government. In the results, it is clear that the new media has facilitated public relations between the public and other institutions, as it strengthened relations between them


Author(s):  
Olga Mykhailоvna Ivanitskaya

The article is devoted to issues of ensuring transparency and ac- countability of authorities in the conditions of participatory democracy (democ- racy of participation). It is argued that the public should be guaranteed not only the right for access to information but also the prerequisites for expanding its par- ticipation in state governance. These prerequisites include: the adoption of clearly measurable macroeconomic and social goals and the provision of control of the processes of their compliance with the government by citizens of the country; ex- tension of the circle of subjects of legislative initiative due to realization of such rights by citizens and their groups; legislative definition of the forms of citizens’ participation in making publicly significant decisions, design of relevant orders and procedures, in particular participation in local referendum; outlining methods and procedures for taking into account social thought when making socially im- portant decisions. The need to disclose information about resources that are used by authorities to realize the goals is proved as well as key performance indicators that can be monitored by every citizen; the efforts made by governments of coun- tries to achieve these goals. It was noted that transparency in the conditions of representative democracy in its worst forms in a society where ignorance of the thought of society and its individual members is ignored does not in fact fulfill its main task — to establish an effective dialogue between the authorities and so- ciety. There is a distortion of the essence of transparency: instead of being heard, society is being asked to be informed — and passively accept the facts presented as due. In fact, transparency and accountability in this case are not instruments for the achievement of democracy in public administration, but by the form of a tacit agreement between the subjects of power and people, where the latter passes the participation of an “informed observer”.


Author(s):  
Yevgeny Victorovich Romat ◽  
Yury Volodimirovich Havrilechko

The article is devoted to research of theoretical problems of the concepts of the subject and object of public marketing. The definitions of these concepts are considered in the article, the evolution of their development is studied. The article provides an analysis of the main approaches to the notion of subjects and objects of public marketing, their relationship and role in the processes of public marketing. The authors proposes concrete approaches to their systematization. These approaches allow us to identify specific types of public marketing and their main characteristics. Relying on the analysis of the concept of “subject of public (state) management”, it is concluded that as bodies of state marketing, most often act as executive bodies of state power. In this case, the following levels of marketing subjects in the system of public administration are allocated: the highest level of executive power; Branch central bodies of executive power; Local government bodies; Separate government agencies. It is noted that the diversity of subjects of public marketing is explained, first of all, by the dependence on the tasks of the state and municipal government, the possibilities of introducing the marketing concept of these subjects and certain characteristics of the said objects of state marketing. It is noted that the concept of “subject of public marketing” is not always the identical notion of “subject of public administration”. First, not all public authorities are subjects of state marketing. In some cases, this is not appropriate, for example, in the activities of the Ministry of Defense of Ukraine or the Ministry of Internal Affairs of Ukraine. Secondly, state marketing is just one of many alternative management concepts, which is not always the most effective in the public administration system.


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