Incorporating public values through multiple accountability: A case study on quality regulation of emergency care in the Netherlands by an independent regulatory agency

J. van de Sande, Bert M de Graaff, D. Delnoij, Antoinette de Bont

Research output: Contribution to journalArticleScientificpeer-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
JournalAdministration & Society
Volume54
Issue number6
DOIs
Publication statusPublished - 2022

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