PhD-thesis Policy Alienation: Analyzing the ... - Lars Tummers

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283 | A P P E N D I X 1 Dimension Sub-dimension Definition of sub-dimension The The perceived perceived influence influence of of the the professionals professionals on on Strategic Strategic decisions decisions concerning concerning the the content content of of the the policy, policy, as as it it is is captured captured in in rules rules and and regulations regulations The The perceived perceived influence influence of of the the professionals professionals on on decisions decisions concerning concerning the the way way the the policy policy is is concretized concretized within within their their organisation organisation Tactical Tactical Powerlessness Powerlessness The The perceived perceived influence influence of of the the professional professional during during actual actual policy policy implementation, implementation, for for instance instance in in the the sort, sort, quantity quantity and and quality quality of of sanctions sanctions and and rewards rewards Operational Operational Policy Policy alienation alienation The perception of the professionals concerning the added value of the policy to socially relevant goals Societal Societal Meaninglessness Meaninglessness The perception of the professionals concerning the added value of their own implementation of the policy for their own clients Client Client Figure A1.1 The policy alienation concept, including definitions of the sub-dimensions 283
A P P E N D I X 1 | 284 1.3 STEP 2 – ASSESS THE EXTENT TO WHICH THE CHARACTERISTICS OF YOUR CASE FIT THE POLICY ALIENATION FRAMEWORK Once you have a basic understanding of the policy alienation framework, you should examine the extent to which the policy and its implementers fit the criteria needed to use the policy alienation framework. If the fit is not perfect, you can consider thoughtfully adapting the policy alienation framework so that it better fits your situation. We would advise you to discuss the adapted policy alienation framework with some policy alienation experts, and also experts from the case you wish to study (see also Step 4). For example, if you want to analyze a specific change (such as a new IT system or a merger) in a private organization, you should first analyze and discuss the policy alienation framework with numerous experts to ensure that it fits the case in hand. Criterion 1 – Is the policy captured in national rules or regulations? The first criterion is that the policy should be captured in national rules and regulations. A number of sub-dimensions of policy alienation explicitly focus on the national level. For instance, strategic powerlessness examines the professionals’ perceived degree of influence concerning the content of the policy, as this is captured in national rules and regulations. Criterion 2 – Is the policy being implemented by public professionals? The second criterion is that the implementers of the policy should be public professionals. Gabe, Bury, and Elston (200 4:163) note that: “to describe an occupation as a ‘profession’ may be simply to identify it as a particular kind of occupation, typically one with high status and high rewards, requiring long formal training and delivering a personal service” (see Section 1.2). Public professionals by definition work in the public sector, which can be broadly defined as “those parts of the economy that are either in state ownership or under contract to the state, plus those parts that are regulated and/or subsidized in the public interest” (Flynn, 2007:2). This definition covers physicians, teachers, and judges; and the policy alienation framework is tailored towards such public professionals. For example, the sub-dimension of operational powerlessness (discretion) looks at the perceived degree of freedom in making choices concerning the type, quantity, and quality of sanctions and rewards on offer when implementing a policy. While this is an important topic for public professionals, it is less so for other workers such as cashiers and desk officers. Further, the professionals should be public professionals since the sub-dimension of societal meaninglessness examines the value added by the policy to socially relevant goals. This is more relevant for public professionals such as physicians and teachers than for, say, lawyers or notaries. Criterion 3 – Can the policy be clearly distinguished from other policies? To measure the degree of policy alienation, the influencing factors, and the onward effects properly, it is essential that the policy can be clearly distinguished from other policies. This is one reason why, in our case studies, we chose to examine Diagnosis Related Groups in
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PhD-thesis Policy Alienation: Analyzing the ... - Lars Tummers

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