Incorporating Public Values Through Multiple Accountability: A Case Study on Quality Regulation of Emergency Care in the Netherlands by an Independent Regulatory Agency

Jolien van de Sande*, Bert de Graaff, Diana Delnoij, Antoinette de Bont

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

In this paper, we explore how multiple accountability (MA) can enable an independent regulatory agency to deal with multiple conflicting public values in a complex and politically salient decision-making process. We examined the decision-making process of the Dutch National Health Care Institute on quality regulation of emergency care in the Netherlands. Using insights derived from ethnography, document analysis, and interviews, we show that MA resulted from strategic interactions between the Institute’s vertical and horizontal accountability forums. We argue that MA impeded efficiency but also enabled the Institute to deal with multiple conflicting public values.

Original languageEnglish
Pages (from-to)1178-1206
Number of pages29
JournalAdministration and Society
Volume54
Issue number6
DOIs
Publication statusAccepted/In press - 2021

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: We wish to thank the Dutch National Health Care Institute (Zorginstituut Nederland, ZIN) for funding this research as part of the Research Network HTA NL.

Publisher Copyright:
© The Author(s) 2021.

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