Performance regulation in a networked healthcare system: From cosmetic to institutionalized compliance

This article studies the role of a public regulator in managing the performance of healthcare professionals. It combines a networked governance perspective with responsive regulation theory to show the mechanisms that have added to significant changes in medical cost management in the Netherlands. In a five-year period, hospital practices transitioned from cosmetic compliance with performance regulation and strategic upcoding to institutionalized compliance more in line with regulatory goals. The article demonstrates how policy changes transformed incentive structures, introduced new forms of accountability, and added actors to the network with technocratic disciplining tasks. The networked character of performance regulation offered opportunities for a responsive, non-coercive regulatory strategy that engaged various actors in a regulatory conversation about strategic coding. Responsive regulation can reduce strategic responses to performance regulation and manage the gap between administrative and clinical logics. The case study contributes to our understanding of the effectiveness of responsive, non-punitive regulation in networked settings.     

A Comparative Analysis of the Drafting of European Private Law

The development of the 'Common Frame of Reference' is a highly prominent topic on the agenda of European integration. However, its underlying procedures have had only limited investigation. This article discusses the European private law project by inquiring into the drafting experiences of four other private law legislative processes, with a focus on sales law. These instruments concern Article 2 (on sales) of the American Uniform Commercial Code, the Vienna Sales Convention, the Dutch Civil Code and the Directive on Consumer Sales and Associated Guarantees. Ultimately, the article asks what can the European project learn from these experiences.     

Evaluation of the use of freezer mill to improve DNA retrieval from dried cotton swabs

This investigation evaluated the use of a freezer mill to improve retrieval of DNA from dried cotton swabs (using 100 μl saliva) compared to uncrushed swabs and whole saliva by measuring DNA yield and profile average peak height. Three treatments were tested; short, medium (as for a bone sample) and extended. The samples subjected to the freezer mill had the powder that remained on the freezer mill components collected (using a water and agitation method). All freezer mill samples returned a lower average DNA yield than either uncrushed swabs or whole saliva. The powder from the crushed swabs comprised an average of 35% of the total DNA yield, whereas the powder from the components comprised 65%. Allele drop-out was observed in samples exposed to extended treatments. Both short and medium treatments provided significantly higher peak heights than uncrushed cotton swabs with equal quantities of DNA (P < 0.05). Using a freezer mill on dried cotton swabs does not increase the DNA yield. This investigation suggests collecting powder from the freezer mill components will increase DNA yield, especially from trace samples.     

INDIVIDUAL STABILITY OF ANTISOCIAL BEHAVIOR FROM CHILDHOOD TO ADULTHOOD: TESTING THE STABILITY POSTULATE OF MOFFITT'S DEVELOPMENTAL THEORY*

This paper presents a test of Moffitt's (1993) prediction on the stability of longitudinal antisocial behavior, using data from the South‐Holland Study. Aggressive (overt) and non‐aggressive antisocial (covert) behaviors were measured when subjects were 6–11 years old, and at follow‐ups when they were 12–17 years old and 20–25 years old. In accordance with the postulate, we did find a higher level of stability of overt behavior from childhood to adulthood, compared with childhood to adolescence, especially in combination with early manifestations of status violations and/or covert behavior in childhood. Results related to the stability of covert behavior were not in accordance with the prediction, but did support the recently proposed adjustment to the starting age of the adult phase.     

The Influence of Self-Threats on Fairness Judgments and Affective Measures

This paper focuses on the question of why fairness matters to people. Extending on terror and uncertainty management theories and the literature on the self, it is proposed here that fairness can be a means of self-defense. Thinking of a situation that is threatening to the self therefore should make fairness a more important issue to people. The findings of two experiments support this line of reasoning: Asking participants to think about things that are threatening to themselves led to stronger reactions to manipulations of both procedural and distributive fairness. In the discussion it is argued that these findings suggest that fairness especially matters to people when they are trying to deal with threats to their selves.     

The implementation of the EU Transparency Obligations Directive--a country-by-country analysis

Dr Axel Gehringer Hengeler Mueller Stefano Cuccia Head of Market Supervision, TLX, Milan David Byers McCann FitzGerald, Solicitors, Dublin Henri Wagner and Anne-Marie Thomas Allen & Overy, Luxembourg Petra Zijp and Matthieu van Straaten NautaDutilh NV, Amsterdam José Manuel Cuenca and Yolanda Azanza Clifford Chance Daniel Bushner and Jonathan Parry Ashurst, London The first 150 words of the full text of this article appear below.