De Volksgezondheid Toekomst Verkenning als infrastructuur voor evidence-based gezondheidsbeleid

Egmond, S. van; Bekker, Marleen; Bal, Roland; Grinten, Tom van der

doi:10.1007/bf03078729

Cited by 8 publications

(5 citation statements)

References 8 publications

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“…These debates for one thing emphasized that clear measures about the public health status of Dutch citizens and the costs of the system, necessary to develop health policies, were lacking. Based on a government white paper, the ''Report 2000'' published in 1986, the government had commissioned the National Institute of Public Health and the Environment (RIVM) to develop a structural overview of the public health status of Dutch citizens, which was first published in 1993 (Boer 1986;NRV 1987;van Egmond et al 2007). Although with this report the government possessed a tool that provided insights into public health trends, it lacked an instrument to rationalize the financial policy choices in the health care system.…”

Section: The Need For One Economic Model For Health Care Policiesmentioning

confidence: 99%

“…Therefore, the Social and Cultural Planning Office (SCP) took part, for its expertise on microeconomic modeling and its focus on socioeconomic issues in Dutch society, such as effects of health policy measures on, for example, the accessibility of health care for individuals 3 (Trommel 2003). In addition, the National Institute for Public Health and the Environment (RIVM) was asked, because of its expertise on public health issues 4 (van Egmond et al 2007). And the Netherlands Bureau for Economic Policy Assessment (CPB), was asked for its expertise in economic modeling and its authoritative position in Dutch economic policy analysis 5 (Den Butter and Mosch 2003;Pesch 1999;Van den Bogaard 1999).…”

Section: The Need For One Economic Model For Health Care Policiesmentioning

confidence: 99%

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Boundary Configurations in Science Policy: Modeling Practices in Health Care

Egmond

Bal

2010

Science, Technology, & Human Values

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This article addresses the role of science and science advisory bodies in modeling practices for the support of policy-making procedures in the Netherlands in the field of health care. The authors show, based on a detailed investigation of a prestigious interdisciplinary modeling project in which an economic care model was developed for governmental use, that science advisory bodies are entangled with the policy actors they advise in what we call boundary configurations. Boundary configurations are strongly situated interconnections between science advisory institutes and policy institutions that share a specific approach to problem definitions and methods and that are embedded in (and at the same time embed) specific social, discursive, and material elements. Importantly, as the case study shows, such boundary configurations shape the kind of science, and related, the kind of social and political theories about the world, that is effectuated in modeling practices. In this case study, the boundary configuration in which economic experts and policy makers participated contributed to the articulation of health care in terms of a market-based policy program for the health care sector.

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Section: The Need For One Economic Model For Health Care Policiesmentioning

confidence: 99%

Section: The Need For One Economic Model For Health Care Policiesmentioning

confidence: 99%

Boundary Configurations in Science Policy: Modeling Practices in Health Care

Egmond

Bal

2010

Science, Technology, & Human Values

Self Cite

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“…the accessibility of health care for individuals (Trommel, 2003). The third party was the National Institute for Public Health and the Environment (RIVM) that deals with many public health issues (van Egmond et al, 2007). These three science advisory institutions 5 are authoritative in the use of simulation models for the assessment of policy proposals for the Dutch National Government.…”

Section: Stans Van Egmond and Ragna Zeissmentioning

confidence: 99%

Modeling for Policy Science-based models as performative boundary objects for Dutch policy making

Egmond¹,

Zeiss²

2010

S&TS

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This paper investigates the role of models for policy by drawing on and exploring the tensions between the notions of boundary objects and performativity. The notion of boundary object has proven to be useful in gaining a better understanding both of the hybrid character of science-based models and their role in the coordination between different social worlds. However, by assuming that these worlds remain stable, an investigation into the performative nature of models tends to be overlooked. Therefore, this paper investigates how models are constituted by negotiations between scientists and policymakers and at the same time constitute social worlds. It examines two simulation models developed in different Dutch policy contexts: a macroeconomic model for the health care system and an ecological landscape planning and assessment model. The paper shows that models not only actively coordinate social worlds but also contribute to changing them. The performativity of models ranges from generic instrumental) to substantial as they infl uence social worlds to the extent that these worlds start behaving the way models describe.

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“…real-life context. Knowledge production in public health should therefore be more tailored to what users of public health policy and practice need [ 9 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Conditions for sustainability of Academic Collaborative Centres for Public Health in the Netherlands: a mixed methods design

Jansen

Oers

Middelweerd

et al. 2015

Health Res Policy Sys

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BackgroundContemporary research should increasingly be carried out in the context of application. Nowotny called this new form of knowledge production Mode-2. In line with Mode-2 knowledge production, the Dutch government in 2006 initiated the so-called Academic Collaborative Centres (ACC) for Public Health. The aim of these ACCs is to build a regional, sustainable knowledge-sharing network to deliver socially robust knowledge. The present study aims to highlight the enabling and constraining push and pull factors of these ACCs in order to assess whether the ACCs are able to build and strengthen a sustainable integrated organizational network between public health policy, practice, and research.MethodsOur empirical analysis builds on a mixed methods design. Quantitative data was derived from records of a survey sent to all 11 ACCs about personnel investments, number and nature of projects, and earning power. Qualitative data was derived from 21 in-depth interviews with stakeholders involved. The interviews were tape-recorded, transcribed, and manually coded as favourable or unfavourable pull or push factors.ResultsThe extra funding appeared to be the most enabling push factor. The networks secured external grants for about 150 short- and long-term Mode-2 knowledge production projects in the past years. Enabling pull factors improved, especially the number of policy-driven short-term research projects. Exchange agents were able to constructively deal with the constraining push factors, like university’s publication pressure and budget limitations. However, the constraining pull factors like local government’s involvement and their low demand for scientific evidence were difficult to overcome.ConclusionsA clear improvement of the organizational networks was noticed whereby the ACC’s were pushed rather than pulled. Efforts are needed to increase the demand for scientific and socially robust evidence from policymakers and to resolve the regime differences between the research and policy systems, in order to make the bidirectionality of the links sustainable.

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De Volksgezondheid Toekomst Verkenning als infrastructuur voor evidence-based gezondheidsbeleid

Cited by 8 publications

References 8 publications

Boundary Configurations in Science Policy: Modeling Practices in Health Care

Boundary Configurations in Science Policy: Modeling Practices in Health Care

Modeling for Policy Science-based models as performative boundary objects for Dutch policy making

Conditions for sustainability of Academic Collaborative Centres for Public Health in the Netherlands: a mixed methods design

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