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Die Gesundheitssysteme der meisten westlichen Länder sind hauptsächlich auf die kurative Versorgung ausgerichtet. Sie funktionierten solange gut, wie die zu behandelnden Krankheiten tatsächlich geheilt werden konnten. Das ist heute wegen des Vorherrschens von chronischen Krankheiten, wegen individueller und sozialer Einflüsse auf Gesundheit und Krankheit nicht mehr der Fall. Deswegen gewinnen vorbeugende Strategien ebenso an Bedeutung wie krankheitsbegleitende Förderstrategien. Nur wenn sie stärker eingesetzt werden, kann auch der Wettlauf mit den steigenden Kosten der Versorgung gewonnen werden.
Dieses Lehrbuch hat sich in den ersten beiden Auflagen bereits bei der Ausbildung von angehenden Medizinern, Gesundheitswissenschaftlern, Pflegefachleuten und vielen anderen Gesundheitsprofessionen bewährt. Die dritte Auflage wurde gründlich überarbeitet, aktualisiert und ergänzt.
New Public Management has been around for a quarter of a century in European public sectors, yet despite the movement’s emphasis on indicators and evidence, there have been surprisingly few encompassing evaluations. In this paper, we provide an overview of academic evaluation and impact studies of entire NPM-style reform programmes. We distinguish between two sets of NPM-style changes and reforms. One is that of specific managerial innovations within public organisations. The other consists of changes to the role of government and citizens as a result of NPM ideas. We conclude that a majority of academic research has focused on the first set of changes, while approaches to the second set has been mainly of a critical nature with relatively limited attention for empirical studies.
Measuring Individual and Organisational Performance in the Public Services of EU Member States
(2008)
This study compares and analyses the different individual and organisational performance assessment systems used by the public administrations of the Member States of the European Union (and Norway).
This publication presents an analysis and comparison of the various performance assessment systems in place, their objectives, working procedures, challenges and effects. The focus, therefore, is less on concepts and more on the actual practices of managers doing performance assessments.
The overall goal is to explore the main management challenges and success factors of implementing individual appraisal systems in public services in Europe. Based on deepening insights and practical experiences, the study intends to:
- make available up-to-date information on experiences across European public administrations;
- identify the main leadership challenges in successfully conducting individual assessments and linking them to organisational performance;
- present and discuss good practices in the field;
- provide practical guidance, by identifying the factors that will assist organisations in the design, implementation and revaluation of their systems in order to make performance assessments run more smoothly and contribute to improved organisational performance.
Another purpose of this comparative study is to present more empirical evidence on the relationship between the assessment of individual and organisational performance. What are the criteria used? What is the relationship between organisational performance and individual performance? How can organisational and individual performance be measured? What are the main challenges in measuring organisational performance and individual performance? Are recent reforms in the field of individual performance assessment enhancing organisational performance?
This paper considers the effects of fiscal governance in Central and East European countries 1998-2008. The first part makes predictions about which form of fiscal governance fits which form of government. Under multi-party coalition governments, fiscal contracts where governments make political commitments to multi-annual fiscal plans work well. In countries where two political blocks face off against one another, delegation based around a strong finance ministry should be most effective.
The second part examines electoral and party systems, which affect the form of government in place. The third part documents norms, rules, and institutions in place. The final section considers the joint effects of fiscal governance on fiscal outcomes. On balance, the underlying political climate is crucial for determining what types of fiscal norms, institutions, and rules function best. The more countries diverge from their expected form of fiscal governance, the greater the increase in a country’s debt burden.
Fiscal Governance in Europe
(2009)
This book presents a theoretical framework to discuss how governments coordinate budgeting decisions. There are two modes of fiscal governance conducive to greater fiscal discipline, a mode of delegation and a mode of contracts. These modes contrast with a fiefdom form of governance, in which the decision-making process is decentralized. An important insight is that the effectiveness of a given form of fiscal governance depends crucially upon the underlying political system. Delegation functions well when there few, or no, ideological differences among government parties, whereas contracts are effective when there are many such differences. Based on original research, the book classifies European Union countries from 1985 to 2004. Empirically, delegation and contract states perform better than fiefdom states if they match the underlying political system. Additional chapters consider why countries have the fiscal institutions that they do, fiscal governance in Central and Eastern Europe, and the role of such institutions in the European Union.
We investigate the effect of fiscal institutions such as the strength of the finance minister in the budget process and deficits on interest rate spreads of Eurozone countries. Deficits significantly increase risk premia measured by relative swap spreads. The effect of deficits is significantly lower under EMU. This effect partly results from neglecting the role of fiscal institutions. After controlling for institutional changes, fiscal policy remains a significant determinant of risk premia in EMU. Better institutions are connected with lower risk premia. Furthermore deficits matter less for risk premia in countries with better institutions. Markets acknowledge that better institutions reduce fiscal difficulties rendering the monitoring of annual developments less important.
Auf dem Weg zu einem Informationssystem Zivilgesellschaft : Anspruch, Potentiale, Verknüpfungen
(2009)
Die vorliegende Veröffentlichung ist der erste Band aus der Reihe »Zivilgesellschaft in Zahlen«, in welcher Fortschritte und Ergebnisse des gleichnamigen Projekts veröffentlicht werden. »Zivilgesellschaft in Zahlen« ist ein Gemeinschaftsprojekt des Stifterverbandes für die Deutsche Wissenschaft, der Bertelsmann Stiftung und der Fritz Thyssen Stiftung.
Ziel ist es, in Kooperation mit dem Statistischen Bundesamt und dem Centrum für soziale
Investitionen und Innovationen, die Grundlagen für eine Berichterstattung zu schaffen, die regelmäßig aktuelle Zahlen zu Entwicklungen und Trends in der Zivilgesellschaft in Deutschland liefert.
Im Rahmen des Workshops »Informationssystem Zivilgesellschaft« wurden Anforderungen und Potentiale für eine praxis- und politikrelevante Berichterstattung zur Zivilgesellschaft in Deutschland systematisch beleuchtet. Die Inhalte und Ergebnisse werden mit diesem Band dokumentiert. An Beispielen wird gezeigt, welche Beiträge thematisch relevante und angrenzende Daten- und Informationssysteme für ein umfassendes »Informationssystem Zivilgesellschaft« leisten können und welche Ansprüche aus Sicht der Politik, der Wissenschaft und der Zivilgesellschaft an ein solches Informationssystem gerichtet werden.
Globalizing policy fields can contain institutional voids in which effective regulatory frameworks and the corrective counterbalance of civil society are equally absent. With the inherently incomplete regulation of global finance on the one hand and the evident dearth of civil society institutions on the other, a central governance question emerges:
under what conditions could civil society help to recapture the financial system by embedding it in a wider social and economic policy, and thereby reversing the erosion of confidence in market capitalism and liberal democracy?
For this purpose, this article proposes the systematic development of a transnational civil society infrastructure in terms of organizational capacity and expertise for accountability enforcement, policy review, performance oversight and advocacy. The goal of this infrastructure is to fill the institutional void and form a counterveiling force against the unchecked might of global finance.
Aus dem Werk Dahrendorfs und der neueren Institutionentheorie schöpfend, soll hier am Beispiel der gegenwärtigen Wirtschafts- und Finanzkrise eine These verfolgt werden, die in ihrer Gesamtheit eine recht kritische Diagnose impliziert, aber dennoch auf Optionen im Sinne kreativer Politikgestaltung hinweist: »Die organisierte Zivilgesellschaft wird die transnationalen Konflikte des beginnenden 21. Jahrhunderts moderieren müssen, um der Überforderung von Staat und Markt in einer globalisierten Welt entgegenzuwirken«. Hierbei wird das globale Governance-Problem zentral angesprochen und die entscheidende Frage gestellt: Unter welchen Bedingungen könnte die Zivilgesellschaft ein ordnungspolitisches Korrigendum »von unten« werden, um die bruchstückhafte Struktur uniformer und universaler Regeln sinnhafter, tragfähiger und handlungswirksamer zu machen?