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HESTER M. VAN DE BOVENKAMP MARLEEN DE MUL JULIA G.U. QUARTZ ANNE MARIE J.W.M. WEGGELAAR‐JANSEN ROLAND BAL 《Public administration》2014,92(1):208-223
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. 相似文献
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Scholars' criticism of transparency in public–private partnerships (PPPs) often focuses on ‘external’ transparency, that is, the extent to which internal information is visible to the outside world. However, to achieve external transparency, internal transparency – the availability and inferability of information for the public procurer and the private party – is crucial. In this article we analyse input, process, and output transparency from three different perspectives (institutional, cognitive, and strategic) in four PPPs in the Netherlands. We conclude that input transparency is high, but process and output transparency less so. Moreover, output transparency has gained importance in PPPs. Whether this is problematic depends on the PPPs' institutional environment. In some partnerships the desired output is uncontested and predetermined by clear standards in the institutional environment, whereas other PPPs deal with contested output norms, decreasing the partnerships' transparency. These results nuance the current debate on the lack of transparency in PPPs. 相似文献
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Abstract. We are still relatively unfamiliar with the structures and modes of behaviour of Western European cabinets and we need first to identify the range of the differences which exist with respect to two major dimensions along which cabinet governments can be located (collective v. hierarchical decision-making and political representation v. administrative and/or specialist skills). A valuable test can be obtained by considering in detail the cases of a number of countries in which the traditions of cabinet government are known to be different from those of the British model, both because of the existence of coalitions and because of specific traditions of 'administrative' and even 'bureaucratic' government. Marked variations emerge with respect to four elements: ministerial expertise, the large autonomy of ministers, the authority of the prime minister or chancellor, and the relatively limited influence of the council of ministers as a deliberative body. Cabinet government is a flexible machinery which has given rise to a number of different models corresponding to different traditions and to different conditions in which the political system operates. 相似文献
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There is reason to suspect that lower levels of exposure to criminogenic peer‐based risks help explain why immigrant youth are less involved in crime and violence. However, it also is possible that if and when they do encounter these risks, immigrant youth are more vulnerable to them than are native‐born youth. Drawing from literature on the adaptation experiences of immigrant adolescents, we hypothesize that immigrant youth will be relatively more susceptible to the effects of both 1) exposure to deviant peers and 2) unstructured and unsupervised socializing with peers when compared with their nonimmigrant counterparts. Using a sample of approximately 1,800 adolescents from the Project on Human Development in Chicago Neighborhoods (PHDCN) study, we find support for our first hypothesis but not the second. Specifically, in both cross‐sectional and longitudinal models, we find that exposure to deviant peers has a greater impact on violence among immigrant youth than it does for native‐born youth. Furthermore, this pattern of results is supported with supplemental, sensitivity analysis using the AddHealth data. In contrast, there are no statistically significant differences across immigrant generation status with regard to the effect of informal socializing with peers on violence. 相似文献