RNICE Model: Evaluating the Contribution of Replication Studies in Public Administration and Management Research

Replication studies relate to the scientific principle of replicability and serve the significant purpose of providing supporting (or contradicting) evidence regarding the existence of a phenomenon. However, replication has never been an integral part of public administration and management research. Recently, scholars have called for more replication, but academic reflections on when replication adds substantive value to public administration and management research are needed. This article presents the RNICE conceptual model, for assessing when and how a replication study contributes knowledge about a social phenomenon and advances knowledge in the public administration and management literatures. The RNICE model provides a vehicle for researchers who seek to evaluate or demonstrate the value of a replication study systematically. The practical application of the model is illustrated using two published replication studies.     

EU-Professionalismus als transnationales Feld

The article scrutinizes the emergence and expansion of EU-related professions and forms of occupation from a field-analytical perspective. Starting from the observation that the EU is not just an influential political actor, but also an expanding area of work, expert involvement and job specialization the paper discusses various forms, dimensions and loci of the ongoing “professionalization” of Europe. It is shown that the expansion of EU-related professional activities is not just a phenomenon of Brussels and the “Eurocracy”, but has expanded into the member states and various areas of occupational activity and expertise. The EU professionalization is conceptualized as a transnational field of specialization and professionalization which produces own principles, forms of knowledge and resources which are used and reproduced by experts and specialists. The field perspective allows identifying common principles, but also the variance and transnational dimension of EU affairs.     

South European Healthcare Systems under Harsh Austerity: A Progress–Regression Mix?

This article addresses the question of whether the economic crisis provides a politically opportune time to drastically curtail public healthcare in South Europe or whether, instead, there are signs of longer-term reform strategies for potentially balancing fiscal targets with the quest for enhanced value and health outcomes, when eventually growth resumes. After a brief examination of the profile of healthcare systems in Greece, Italy, Portugal and Spain prior to the crisis, we comparatively assess the mix of retrenchment, restructuring and recalibration strategies. The effects of the austerity-driven reforms on current (and expected) health outcomes are also briefly analysed. We conclude with reflections on the future of public healthcare in South Europe.     

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.