Governance and Strategy
Literature
2021-2022
Health Care Management
Erasmus University
Merel21
Table of contents
Table of contents.........................................................................................................................................1
Week 1 - Governance..................................................................................................................................2
Working group.........................................................................................................................................2
Peters (2001). Developments in intergovernmental relations: towards multi-level governance........2
Rhodes (2007). Understanding governance: Ten years on..................................................................3
Scholten (2018). Structuring ambiguity in hospital governance..........................................................5
Riley (2006). Governance in operating room nursing: Nurses’ knowledge of individual surgeons......6
Week 2 – Governance..................................................................................................................................6
Van de Bovenkamp (2017). Working with layers: The governance and regulation of healthcare
quality in an institutionally layered system..........................................................................................6
Stroopendaal (2015). The mutual shaping of governance and regulation of quality and safety in
Dutch healthcare.................................................................................................................................7
Week 3 – Governance..................................................................................................................................8
Working group.........................................................................................................................................8
Lowndes (2008). How low can you go? Rationales and challenges for neighborhood governance.....8
, Saltman (2006). Conceptualizing decentralization in European health systems: A functional
perspective........................................................................................................................................10
Singleton (2005). The promise of public health: Vulnerable policy and lazy citizens.........................11
Bochove (2016). Reconstructing the professional domain: Boundary work of professionals and
volunteers in the context of social service reform.............................................................................12
Week 4 – Serious game.............................................................................................................................14
Extra notes about governance...............................................................................................................14
Week 5 – Strategy......................................................................................................................................14
Wijngaarden (2010). Strategic analysis for health care organizations: the suitability of the SWOT
analysis..............................................................................................................................................14
Working group.......................................................................................................................................16
Mintzberg (1990) The Design School: Reconsidering the Basic Premises of Strategic Management.
Abstract.............................................................................................................................................16
Jarzabkowski (2007). Strategizing: The challenges of a practice perspective.....................................18
De Korne (2012) Hospital benchmarking: are U.S. eye hospitals ready?...........................................19
Spee (2009) Strategy tools as boundary objects................................................................................20
Week 6 – Strategy......................................................................................................................................21
Johnson (2017). Chapter 7: Business strategy and models................................................................21
Scholes (1998). Chapter 10: Stakeholder mapping: a practical tool for managers............................23
Johnson (2010). The Ritualization of Strategy Workshops.................................................................24
Week 1 - Governance
Working group
Read the following articles:
Peters (2001). Developments in intergovernmental relations: towards multi-level governance.
Rhodes (2007). Understanding governance: Ten years on.
Scholten (2018). Structuring ambiguity in hospital governance.
Riley (2006). Governance in operating room nursing: Nurses’ knowledge of individual surgeons.
Peters (2001). Developments in intergovernmental relations: towards multi-
level governance.
In Western democracies political power and institutional capability is less and less derived from formal
constitutional powers accorded to the state, but more from a capacity to wield and coordinate
resources from public and private actors and interests.
, From command-and-control state -> enabling state.
There is a shift from a government towards a governance perspective. Multi-level governance is a logical
extension of these developments. Even though intergovernmental relationships in each country develop
to some extent according to the trajectory of institutional relationships, typical of that national context,
the authors suggest the triggering mechanisms are quite similar.
Movement from a liberal– democratic perspective towards a state model characterized by
complex patterns of contingencies and dependencies on external actors
Multi-level governance: negotiated, non-hierarchical exchanges between institutions at the
transnational, national, regional and local levels -> vertical layering of governance processes at
different institutional levels.
Developments that have propelled the emergence of multi-level governance:
The state has been weakened by the fiscal crisis
The state is being challenged by transnational institutions such as the EU
The changing division of labor among institutions has opened up opportunities for negotiated
arrangements either to complement or to replace legalistic, hierarchical institutional
relationships.
Recent administrative reform. New public management style reform typically aims at allowing
each level of government to separate the political–democratic element of government from the
managerial–service-producing sector of government, and partly because these reforms have
tended to relax the ‘command and control nature’ of previous intergovernmental relationships.
The overall nature of the political project pursued by contemporary Western states has
changed. Previously, the emphasis was on expanding the political sphere in society. The current
main objectives are to increase efficiency in public service delivery and delivering more
customer-attended services.
Rhodes (2007). Understanding governance: Ten years on.
Policy networks: formal and informal institutional connections between government and other actors
structured around shared interests in public policymaking and implementation. These institutions are
interdependent. However, organizations are dependent upon others for their resources, to achieve their
goals.
Organizations B and C have an influence on the decision-making processes of organization A.
The dominant coalition has discretion and employs strategies to regulate the process of exchange.
Corporate management and marketization -> fragmentation; pressure to cooperate.
o Networks are characterized by trust and diplomacy.
With the spread of networks there has been a recurrent tension between contracts (stress on
competition -> best prices) and networks (stress on cooperative behavior).
o Trust is essential for cooperative behavior – networks are high on trust and contracts
low on trust
Governance: process of governing or a changed condition of ordered rules/method by which a society is
being governed.
Literature
2021-2022
Health Care Management
Erasmus University
Merel21
Table of contents
Table of contents.........................................................................................................................................1
Week 1 - Governance..................................................................................................................................2
Working group.........................................................................................................................................2
Peters (2001). Developments in intergovernmental relations: towards multi-level governance........2
Rhodes (2007). Understanding governance: Ten years on..................................................................3
Scholten (2018). Structuring ambiguity in hospital governance..........................................................5
Riley (2006). Governance in operating room nursing: Nurses’ knowledge of individual surgeons......6
Week 2 – Governance..................................................................................................................................6
Van de Bovenkamp (2017). Working with layers: The governance and regulation of healthcare
quality in an institutionally layered system..........................................................................................6
Stroopendaal (2015). The mutual shaping of governance and regulation of quality and safety in
Dutch healthcare.................................................................................................................................7
Week 3 – Governance..................................................................................................................................8
Working group.........................................................................................................................................8
Lowndes (2008). How low can you go? Rationales and challenges for neighborhood governance.....8
, Saltman (2006). Conceptualizing decentralization in European health systems: A functional
perspective........................................................................................................................................10
Singleton (2005). The promise of public health: Vulnerable policy and lazy citizens.........................11
Bochove (2016). Reconstructing the professional domain: Boundary work of professionals and
volunteers in the context of social service reform.............................................................................12
Week 4 – Serious game.............................................................................................................................14
Extra notes about governance...............................................................................................................14
Week 5 – Strategy......................................................................................................................................14
Wijngaarden (2010). Strategic analysis for health care organizations: the suitability of the SWOT
analysis..............................................................................................................................................14
Working group.......................................................................................................................................16
Mintzberg (1990) The Design School: Reconsidering the Basic Premises of Strategic Management.
Abstract.............................................................................................................................................16
Jarzabkowski (2007). Strategizing: The challenges of a practice perspective.....................................18
De Korne (2012) Hospital benchmarking: are U.S. eye hospitals ready?...........................................19
Spee (2009) Strategy tools as boundary objects................................................................................20
Week 6 – Strategy......................................................................................................................................21
Johnson (2017). Chapter 7: Business strategy and models................................................................21
Scholes (1998). Chapter 10: Stakeholder mapping: a practical tool for managers............................23
Johnson (2010). The Ritualization of Strategy Workshops.................................................................24
Week 1 - Governance
Working group
Read the following articles:
Peters (2001). Developments in intergovernmental relations: towards multi-level governance.
Rhodes (2007). Understanding governance: Ten years on.
Scholten (2018). Structuring ambiguity in hospital governance.
Riley (2006). Governance in operating room nursing: Nurses’ knowledge of individual surgeons.
Peters (2001). Developments in intergovernmental relations: towards multi-
level governance.
In Western democracies political power and institutional capability is less and less derived from formal
constitutional powers accorded to the state, but more from a capacity to wield and coordinate
resources from public and private actors and interests.
, From command-and-control state -> enabling state.
There is a shift from a government towards a governance perspective. Multi-level governance is a logical
extension of these developments. Even though intergovernmental relationships in each country develop
to some extent according to the trajectory of institutional relationships, typical of that national context,
the authors suggest the triggering mechanisms are quite similar.
Movement from a liberal– democratic perspective towards a state model characterized by
complex patterns of contingencies and dependencies on external actors
Multi-level governance: negotiated, non-hierarchical exchanges between institutions at the
transnational, national, regional and local levels -> vertical layering of governance processes at
different institutional levels.
Developments that have propelled the emergence of multi-level governance:
The state has been weakened by the fiscal crisis
The state is being challenged by transnational institutions such as the EU
The changing division of labor among institutions has opened up opportunities for negotiated
arrangements either to complement or to replace legalistic, hierarchical institutional
relationships.
Recent administrative reform. New public management style reform typically aims at allowing
each level of government to separate the political–democratic element of government from the
managerial–service-producing sector of government, and partly because these reforms have
tended to relax the ‘command and control nature’ of previous intergovernmental relationships.
The overall nature of the political project pursued by contemporary Western states has
changed. Previously, the emphasis was on expanding the political sphere in society. The current
main objectives are to increase efficiency in public service delivery and delivering more
customer-attended services.
Rhodes (2007). Understanding governance: Ten years on.
Policy networks: formal and informal institutional connections between government and other actors
structured around shared interests in public policymaking and implementation. These institutions are
interdependent. However, organizations are dependent upon others for their resources, to achieve their
goals.
Organizations B and C have an influence on the decision-making processes of organization A.
The dominant coalition has discretion and employs strategies to regulate the process of exchange.
Corporate management and marketization -> fragmentation; pressure to cooperate.
o Networks are characterized by trust and diplomacy.
With the spread of networks there has been a recurrent tension between contracts (stress on
competition -> best prices) and networks (stress on cooperative behavior).
o Trust is essential for cooperative behavior – networks are high on trust and contracts
low on trust
Governance: process of governing or a changed condition of ordered rules/method by which a society is
being governed.
