The Conditions for health and social care policy : routines and institutions in the dutch case of need assessment
By: RAAK, Arno Van
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Contributor(s): PAULUS, Aggie | MADE, Jan Van der.
Material type: 
ArticlePublisher: Malden, MA : Blackwell Publishers, December 2007Public Administration : an international quarterly 85, 4, p. 1077-1095Abstract: By focusing on institutions (rules for action) and routines (patterned behaviour) our intention is to contribute to the understanding of government policy and its outcomes in health and social care. We analysed data to show how the relationship between a new idea for a routine and new rules from the government on the one hand, and existing rules and routines in society on the other, as well as the interaction between rule makers and rule takers (i.e. those who are governed by those rules), have an impact on the change or maintenance of routines. The data concern the case of government policy for need assessment (that is, assessment of needs) in The Netherlands.Abstract: As our discussion will show, even a national government, however, is not able to completely impose its will on other agents in order to change existing routines. The concept of negotiated order helps us to understand why. In the case reported here, the Dutch government and the home care agencies had to exercise give and take, the outcome being a suboptimal result for both
By focusing on institutions (rules for action) and routines (patterned behaviour) our intention is to contribute to the understanding of government policy and its outcomes in health and social care. We analysed data to show how the relationship between a new idea for a routine and new rules from the government on the one hand, and existing rules and routines in society on the other, as well as the interaction between rule makers and rule takers (i.e. those who are governed by those rules), have an impact on the change or maintenance of routines. The data concern the case of government policy for need assessment (that is, assessment of needs) in The Netherlands.
As our discussion will show, even a national government, however, is not able to completely impose its will on other agents in order to change existing routines. The concept of negotiated order helps us to understand why. In the case reported here, the Dutch government and the home care agencies had to exercise give and take, the outcome being a suboptimal result for both
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