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These are the answers to the questions of workgroup 1. Governance and Strategy.
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Workgroup 1Governance and Strategy
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The term ‘governance’ is used in both an empirical and descriptive
manner, pointing at mechanisms of steering, and as a theoretical
concept to conceptualize governing structures and processes.
Governance points at governing in networks, encapsulating the role of
social actors, infrastructures, values, and technologies. As a theoretical
concept, governance can be rather abstract and intangible. In this class,
we aim to unravel the theoretical concept of governance by attending to
the literature. We conduct a close reading of four scientific articles, each
focusing on different aspects of governance and its consequences. By
discussing the literature in-depth, we seek to come to grips with the
governance concept.
Preparation for the working group
Students read the literature prior to the working group and start
answering the questions below. When reading the literature, jot down
main issues, as well as what is unclear to you. Please bring your notes to
the working group to have a fruitful discussion.
1. How is governance defined and described in the articles of Peters
(2001), Rhodes (2007), Scholten (2018) and Riley (2006)?
Scholten (2018): Hospital governance: a set of processes and tools
related to decision making in steering the totality of institutional
activity, influencing most major aspects of organizational behavior, and
recognizing the complex relationships between multiple stakeholders.
But it is a complex problem because of two intermingling dynamics: the
first is internal and the second external. Internal: groups within the
hospital working on the challenge to create a viable workplace. External:
pressure from the outside, from the government and the stakeholders,
on the hospital governance. Dual governance: MM and HM. Meso level.
Rhodes (2007): Governance with and through networks. The four points
Rhodes mentions are the characteristics of networks (how they work
etc). Shift from government to governance (what does this mean??
self-steering organizations, going from one big organization/government
which steers from above with set rules toward a collaborative approach
with networks). Macro level.
Riley (2006): Governance relationship/interaction between doctor and
nurse. Different levels of knowledge obtained through interactions that
impact how the clinical environment functions. Different kinds of
knowledge, e.g. schedule knowledge, technical knowledge, medical
knowledge etc. Micro level.
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