INSTITUTIONAL LAYERING IN GOVERNING HEALTHCARE QUALITY

Since the 1980s, regulated markets and New Public Management have been introduced in the public sector across the world. How they have affected existing governance mechanisms such as self‐regulation and state regulation has remained largely unexplored, however. This article examines the origins and consequences of institutional layering in governing healthcare quality. Dutch health care, where a market‐based system has been introduced, is used as a case study. The results show that this market‐based system did not replace but modified existing institutional arrangements. As a result, hospitals have to deal with the fragmentation of quality demands. Using the concept of institutional layering, this study shows how different arrangements interact. As a consequence, the introduction of a certain policy reform will work out differently in different countries and policy sectors. Our ‘archaeological’ study in this layering can be seen as an example of how such incremental change can be studied in detail.     

"Transcending gynocentric space”: Spatial metaphorics in feminist theory and criticism

Many studies assert that there are new gender constructions among young Scandinavian girls, who seem to be more individualized than earlier generations. In this article questions are raised as to what effect these girls’ newly won status as subjects might have on their construction of bodily gender, especially the part referred to as generative femininity. A “loss” of the generative body is argued to be a general tendency in postmodern discourse, as well as a dilemma in the individual girl's striving for being both individual and gender. This dilemma and its tentative solution is illustrated through the analysis of an 18‐year‐old Norwegian girl, who was the subject of an in‐depth interview in a three‐generational study of gender in change.     

The PDS in the new German party system

The success of the Party of Democratic Socialism (PDS) cannot be explained solely with a rising tide of GDR nostalgia and/or with the efficiency of PDS members as service providers and advocates at the grass‐roots level. We stress the importance of the PDS as the main political representative of a specific socio‐economic and cultural milie in the former GDR. Furthermore, the article traces the evolution of the PDS from a populist voice of protest of the losers of unification to the beginnings of a new political party. As such it defines its identity more as a radical left‐wing party with strong social libertarian characteristics than a traditional socialist party. The party programme and the electorate of the PDS display remarkable similarities to the fundamentalist wing of the West German Greens in the 1980s, although differences as to the origins of the left‐libertarian ideas remain important. While the PDS seems to have strengthened the significance of the new politics agenda in post‐unification Germany, it is still too early to conclude whether this agenda is firmly rooted in the party or whether it is simply a vehicle to electoral success.     

The Tunisian Revolt: Learning from the Mistakes of the Iranian Revolution

The Great Arab Revolt of 2011 has moved swiftly from the peaceful overthrow of autocrats in the nation‐states of Tunisia and Egypt to brutal repression in the tribal societies of Libya, Syria, Bahrain and Yemen. Meanwhile, the wired youth bulge of the Middle East that brought change is dissipating into an impotent diaspora while the organized interests of the old regimes and the once‐suppressed Islamists charge ahead to power. This section examines the revolt, the reaction and the power struggles in its aftermath.