Governance and regulation of healthcare

Runtime: 2014 - 2018
Client: Inspectie Gezondheidszorg en Jeugd (Dutch Health and Youth Care Inspectorate)

Project description

We conducted a formative evaluation of the project of creating a regulatory frame for Good Governance by the Dutch Health and Youth Care Inspectorate. Moreover we conducted a case study on governance and regulation of quality and safety in Dutch hospitals to reveal the processes that formed and developed the concepts of governance and regulation. We found that governance and regulation are intertwined; regulation shapes governance and is simultaneously shaped by changes in the meaning of governance. Insight into these processes is important to better understand what is defined as ‘‘good governance’’ and ‘‘good regulation’’ in a certain context.

Inspired by the literature on institutional layering and institutional work, we aimed to make a contribution to the theoretical concept of institutional layering.  Combining institutional layering with a focus on the lived experiences of actors and their institutional work makes it possible to move into the layered arrangement and better understand its consequences.

Team

Dr. Annemiek Stoopendaal; dr. Hester van de Bovenkamp; Prof.dr. R.Bal

Publications

  • A.M.V. Stoopendaal & H.M. van de Bovenkamp (2018). Naar bestuursgericht toezicht in de zorg: een zoektocht naar passendheid. Accepted by Bestuurskunde.
  • A.M.V. Stoopendaal & H.M. van de Bovenkamp (2017). Toezicht op Governance van Kwaliteit: De kunst van veranderen binnen het systeem. In I. Leistikow, R Bal & A Stoopendaal (Eds.), Toezicht in Turbulente Tijden. Rotterdam: ESHPM
  • A.M.V. Stoopendaal (2016). Al doende leren. Een essay over de experimentele zoektocht naar toezicht op zorgbesturing door de Inspectie voor de Gezondheidszorg. (Extern rapport). Rotterdam: iBMG
  • Bovenkamp, H.M. van de, Stoopendaal, A.M.V., & Bal, R. (2017). Working with layers: The governance of regulation of healthcare quality in an instutionally layered system. Public Policy and Administration, 32(1), 45 – 65. doi: 10.1177/0952076716652934
  • H.M. van de Bovenkamp, A.M.V. Stoopendaal & R.A. Bal (2016). Working in an institutionally layered system on patient safety and quality. In K. Aase (Ed.), Researching Patient Safety and Quality in Healthcare: A Nordic Perspective. Ashgate
  • Stoopendaal A.M.V. & Bovenkamp H.M van de (2015). The mutual shaping of governance and regulation of quality and safety in Dutch healthcare. Health Service Manage Research. 28(1-2), 9-15. doi:10.1177/0951484815607542
  • A.M.V. Stoopendaal & H.M. van de Bovenkamp (2015). Governance: werken met de gelaagdheid van toezicht. In H Den Uijl & T van Zonneveld (Eds.), Zorg voor Toezicht: De maatschappelijke betekenis van governance in de zorg. Mediawerf

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