让公民参与监管:荷兰医疗保健中四个实验性参与式监管案例的比较定性研究

Involving citizens in regulation: A comparative qualitative study of four experimentalist cases of participatory regulation in Dutch health care

Regulation & Governance · 2024
被引 6
ABS 3

中文导读

通过比较荷兰医疗保健中四个实验性参与式监管案例,研究发现公民参与能提升透明度和信任,但监管者需主动反思自身假设才能从中获益。

Abstract

Abstract The literature on responsive regulation argues that citizens should be involved in regulatory practices to avoid capture between regulator and regulatee. It also argues that including citizens can add an important perspective to regulatory practices. However, we know little about how citizens' perspectives are brought into regulatory practices. This paper draws on existing qualitative research to compare and analyze four cases of experimental participatory regulation in Dutch health care, focusing on the theoretical assumptions that citizen involvement (a) prevents capture, and (b) stimulates the inclusion of new perspectives. Our results show that involving citizens in regulation can increase transparency and trust in regulatory practices and familiarizes regulators with other perspectives. It is, however, up to the regulator to work on deriving benefits from that involvement—not only the practical work of organizing participatory regulation, but also the conceptual work of reflecting on their own assumptions and standards. We do find evidence for weak forms of capture and argue for the need to extend capture to involve multiple actors. We reflect on these results for theory development and regulatory practice.

医疗保健公共管理监管治理公民参与定性研究