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Introduction
Education
July 1986 - September 1990
July 1983 - June 1986
September 1980 - June 1983
Publications
Publications (187)
Evidence" is a key term in medicine and health services research, including Health Technology Assessment (HTA). Randomized clinical trials (RCTs) have undoubtedly dominated the scene of generating evidence for a long period of time, becoming the hallmark of evidence-based medicine (EBM). However, due to a number of misunderstandings , the lay audie...
Health technology assessment (HTA) aims, through empirical analysis, to shed light on the value of health technologies (O'Rourke et al. [2020, International Journal of Technology Assessment in Health Care 36, 187-90]). HTA is, then, where facts and values meet. But how, where, and when do facts and values meet in HTA? Currently, HTA is usually port...
Objectives:
To conduct a formative evaluation of applying the VALIDATE approach in practice by (i) assessing how students appreciated the e-learning course, (ii) exploring how, for what purposes and with what outcomes the acquired VALIDATE competences subsequently were used in internships in different institutional contexts, and how this was shape...
Prioritization of COVID-19 vaccines is one of the most relevant topics in the current pandemic emergency. Prioritization decisions are political decisions that are value-laden, and as such of ethical nature. Despite the clear political and ethical nature of this topic, prioritization decisions are often interpreted and presented as scientific decis...
This paper seeks to bridge the gap between socio-material and complex adaptive systems approaches in conceptualizing the politics of transformation. Our contribution in particular is a further clarification of the relational nature of power, and the role of non-humans in transitional dynamics of complex adaptive systems. We explore and operationali...
Regenerative agriculture is considered a more sustainable alternative to current farming practices, but it is not yetwell defined. Building on scientific literature we have defined regenerative agriculture as ‘an approach to farming thatuses soil conservation as the entry point to regenerate and contribute to multiple provisioning, regulating and s...
Urban experiments are no longer exclusively undertaken by alternative networks, dominated by new actors and alliances and located at the fringes of the current system. A second generation of initiatives is emerging, which Is characterized by a leading role for local governments, together with other established players. For experimentation at the fr...
Laves phases belong to the group of tetrahedrally close-packed intermetallic phases, and their crystal structure can be described by discrete layer arrangements. They often possess extended homogeneity ranges and the general notion is that deviations from stoichiometry are accommodated by anti-site atoms or vacancies. The present work shows that ex...
Wij analyseren twee burgercollectieven van ‘professionele stadmakers’ die in anticipatie op de Omgevingswet participatie vorm hebben gegeven in circulaire gebiedsontwikkeling. De activiteiten van professionele stadmakers vormen een belangwekkend nieuw verschijnsel dat aandacht behoeft als ook de implicaties: juist door de professionaliteit van de i...
Edited by leading scholars with contributions from over thirty renowned experts this is the leading Handbook on policy, processes and real world governing.'-Klaus Schubert, University of Muenster, Germany 'This is a highly valuable and timely book, which rediscovers and rethinks the relationship between policy processes, policy analysis (expertise...
Transitions to deal with the grand challenges of contemporary societies require novel kinds of leadership, which can both stimulate novel organizational practices and changes in practices and structures in the organization’s context. This article seeks to understand how (changes in) the external structural context may influence organizational-inter...
The final chapter of this volume explores how – at this moment in time – strategies can be developed in the Netherlands to achieve sustainable well-being. In addition to key problems like the non-circularity of supply chains and the vast increase in volumes of mass flows since 1960 (cf. Chap. 22) the Netherlands is also struggling with a ‘welfare p...
THIS BOOK IS OPEN ACCESS (SEE DOI)
This open access book examines more than two centuries of societal development using novel historical and statistical approaches. It applies the well-being monitor developed by Statistics Netherlands that has been endorsed by a significant part of the international, statistical community.
It features The Nether...
In this chapter we analyse the historical genesis of the contemporary crisis of natural capital as groundwork for exploring possible routes for future development up to 2050. The central question is: How did currently problematic couplings between GDP growth, well-being, resource use, energy use and pollution emerge? In this connection, we analyse...
Economische groei heeft lange tijd centraal gestaan in het denken over welvaart en vooruitgang. Gaat het goed met de economie, dan gaat het ook goed met ons. Die ‘wijsheid’ is inmiddels achterhaald. Het welbevinden van een land hangt ook samen met gezondheid, ongelijkheid, het milieu en andere maatschappelijke factoren. ‘De kwetsbare welvaart van N...
The multi-level perspective (MLP) is broadly and successfully used as a framework for understanding transitions. However several aspects need more attention like agency, interactions across system boundaries and multi-regime interactions. We used our detailed and contextualized knowledge and analysis of the developing care farming sector in the Net...
This paper reviews criticisms of sustainability transition studies, using transition management (TM) as a case study. While these criticisms have yielded theoretical progress, underlying epistemological issues remain. Contrasting the TM approach to complexity with other more deconstructive views on complexity, it becomes clear that some criticisms...
Health systems have long been considered key determinants of well-being within modern societies, a valuable resource which has faced a series of reform initiatives throughout the past decades. These reforms have been used to manage the cost of development, measure the tenability of health systems in globalizing economies and promote the increasing...
Purpose
Care farming is an underexplored example of agricultural diversification. In their process of diversification, care farmers are newcomers to the healthcare sector, facing high entry barriers and lacking the skills required to build a solid and legitimate presence in this new domain. Changes in the care regime have provided opportunities fo...
As a background to later contributions, this chapter provides a concise introduction to different approaches to (i) understanding and (ii) shaping transition dynamics: (1) A sociotechnical approach, with the multilevel perspective as its main concept, and strategic niche management as its governance concept; (2) A complex (adaptive) system-based ap...
In the Handbook on Sustainability Transition and Sustainable Peace 60 authors from many disciplines and from 18 countries on five continents examine in ten parts: Moving towards Sustainability Transition; Aiming at Sustainable Peace; Meeting Challenges of the 21st Century: Demographic Imbalances, Temperature Rise and the Climate–Conflict Nexus; Ini...
The broadly advocated coordination between transport and land-use planning is being hindered by barriers nested in persistent societal structures and intertwined practices. In order to understand how such barriers can be overcome, we use insights from transition studies to develop hypotheses with regard to why and how transitions in transport and l...
Communities struggle with finding ways for collaboratively exploring the value of healthcare technologies. Currently, a strong emphasis is being placed on the assessment of the costs associated with the health gains (expressed in qualityadjusted life years) that are achieved with these technologies. Following Hannah Arendt, we shall try to argue th...
De Rijksnatuurvisie 2014 breekt een lans voor natuurinclusieve landbouw waarbij veel nadruk ligt op de rol van markt en maatschappij. Zulke landbouw behelst wat de nota noemt ‘natuurcombinaties’ waarbij natuur en economische activiteiten met elkaar vervlochten zijn. Een natuurinclusieve landbouw heeft een wezenlijk andere oriëntatie dan gangbare la...
Communities struggle with finding ways for collaboratively exploring the value of healthcare technologies. Currently, a strong emphasis is being placed on the assessment of the costs associated with the health gains (expressed in quality-adjusted life years) that are achieved with these technologies. Following Hannah Arendt, we shall try to argue t...
Social care services provided by farmers provide a community-based collaboration that can empower people and improve their quality of life. The objective of this study was to increase understanding of the collaboration between care organizations and farmers. The study involves 4 cases, and all stakeholders involved in the collaboration were intervi...
This article examines the possible contributions that transition studies can make to better understand the problems that hinder attempts to deliver co-ordination between transport and land-use planning and better integration between modes of transport in urban regions. Recent publications focus on barriers of co-ordination between transport and lan...
Care farming is a promising example of multifunctional agriculture: it is an innovation at the crossroads of the agricultural and healthcare sectors. Our objective is to develop a framework for understanding the success of initiatives in this field. We link empirical data with the multi-level perspective from the transition sciences and extend this...
The aim of this paper is to describe and understand the evolution of the care farming sector in one of its pioneering countries, the Netherlands. Care farms combine agricultural production with health and social services. Care farming is a phenomenon that faces specific challenges associated with connecting two different domains. Organizational eco...
For agricultural and rural development in Europe, multifunctionality is a leading concept that raises many questions. Care farming is a promising example of multifunctional agriculture that has so far received little attention. An issue that has not been examined thoroughly is the strategic mapping of different care farm organizations in this emerg...
a b s t r a c t This paper analyses and illustrates the ways in which organizational adaptivity is important to the resilience of socio-ecological systems (SESs). Resilience and organizational literature are used as theo-retical contributions to help understand the nature of adaptive organizations and how changes in external structure and in organi...
How can the dynamics of the agro-food sector in the long run be addressed? We argue that sustainable agro-food systems cannot be developed through a simple improvement of existing systems, but will require a transition. Therefore, we focus on how transitions to sustainability could be initiated and supported, taking into account renewal initiatives...
The paper discusses how transition dynamics unfolds in between practices of fod productiomn, consumption and retail. case study concerns the Netherlands, 1945-1970s
The problems discussed in the articles of this special issue are not merely wicked in the sense of involving normative dissensus and factual uncertainty. They also are systemic: they reflect institutional inertia, discursive inertia and the disruptive impact of sociological trends (individualization, Europeanization etc.) on incumbent practices and...
There has been scholarly criticism that transition theory has hitherto largely neglected the politics involved in transition governance. This article offers an analytical framework for understanding powering and legitimisation in a way that does not a priori assume that such politics is bound to inhibit transition processes: it seeks to outline how...
Sustainable development cannot be attained by technical innovation alone; it calls for a reorientation of the existing socio-technical regime: a system innovation. This implies the coordination of the distributed agency of the actors that focus on structural change, as well as activities focusing on the development of novel practices. These two ‘tr...
How can the dynamics of the agro-food sector in the long run be addressed? We argue that sustainable agro-food systems cannot be developed through a simple improvement of existing systems, but will require a transition. Therefore, we focus on how transitions to sustainability could be initiated and supported, taking into account renewal initiatives...
This paper investigates the consequences of institutional changes on academic research practices in eight fields of natural science in the Netherlands. The authors analyse the similarities and differences among the dynamics of these different fields and reflect on possible explanations for the changes observed. The study shows that the increasing p...
This paper investigates the varying effects of a changing institutional environment on academic research practices in three fields of Dutch animal science. Our analysis shows that the shifts in funding have stimulated interactions with societal stakeholders in fields where this has helped to sustain a basic research agenda. In other fields research...
In recent years, planning theorists have advanced various interpretations of the notion of reflexivity, inspired by American pragmatism, complexity theory, hermeneutics, discursive and collaborative planning. Scholars agree that “reflexivity” has a strong temporal dimension: it not only aims to solve present planning problems, but to imagine and un...
The transition perspective on promoting sustainable development recognizes a need for not merely new societal practices, but changes in the structures in which these practices are embedded, and which have co-evolved with earlier practices (‘the regime’). This article presents insights on the dynamics of sustainable transitions, developed within the...
The quality of an evaluation largely depends on the quality of the underlying problem definition and the quality of the problem definition often improves as stakeholder involvement increases. By means of a study on the management of attempted suicides by drug overdose, we explored whether an interactive methodology could be adequate for problem str...
Maybe the most disturbing feature of the global influences discussed in this and previous volumes in this book series is that their impacts are not evenly distributed over the globe. For instance, as Úrsula Oswald Spring (chap. 62) points out below, while the benefits of using genetically modified organisms (GMOs) are likely to bestow especially on...
This paper investigates the varying effects of a changing institutional environment on academic research practices in three fields of Dutch animal science. Our analysis shows that the shifts in funding have stimulated interactions with societal stakeholders in fields where this has helped to sustain a basic research agenda. In other fields research...
This policy-focused Global Environmental and Human Security Handbook for the Anthropocene (GEHSHA) addresses new security threats, challenges, vulnerabilities and risks posed by global environmental change and disasters. In 5 forewords, 5 preface essays and 95 peer reviewed chapters, 164 authors from 48 countries analyse in 10 parts concepts of mil...
This policy-focused Global Environmental and Human Security Handbook for the Anthropo-cene (GEHSHA) addresses new security threats, challenges, vulnerabilities and risks posed by global environmental change and disasters. In 6 forewords, 5 preface essays 95 peer reviewed chapcountries analyse in 10 parts concepts of military and political hard secu...
This paper contains an assessment and standardized comparative analysis of the current water management regimes in four case-studies in three European river basins: the Hungarian part of the Upper Tisza, the Ukrainian part of the Upper Tisza (also called Zacarpathian Tisza), Alentejo Region (including the Alqueva Reservoir) in the Lower Guadiana in...
Over the past few decades, there has been a growing concern about the social and environmental risks which have come along with the progress achieved through a variety of mutually intertwined modernization processes. In recent years these concerns are transformed into a widely-shared sense of urgency, partly due to events such as the various pandem...
Sustainable development is prompting a re-assessment of innovation and technological change. This review paper contributes three things towards this re-assessment activity. First, it considers how the history of innovation studies for sustainable development can be explained as a process of linking broader analytical frameworks to successively larg...
State of the art of transition theory from a sociotechnical, complex systems and governance perspective
Sustainable development cannot be attained by technical innovation alone; it calls for a reorientation of the existing socio-technical regime: a system innovation. This implies the coordination of the distributed agency of the actors that focus on structural change, as well as activities focusing on the development of novel practices. These two 'tr...
In dit artikel doen we een poging om meer inzicht te geven in de voorwaarden waaronder “evidence” een basis kan zijn voor een meer effectief overheidsbeleid. We betogen dat om tot effectief beleid in de publieke sector te komen, het noodzakelijk is dat evaluaties een beter zicht bieden op de (complexe) verbanden tussen mechanismen achter de interve...
Zorglandbouw is een vorm van metropolitane landbouw. Het verbindt de zorgvraag uit metropolitane gebieden aan agrarische ondernemers die dagbesteding aanbieden. Hierdoor ontstaat nieuwe (agrarische) bedrijvigheid die ervoor zorgt dat agrarisch cultuurlandschap rond de stad kan worden behouden. Een solide businessmodel voor professionele zorglandbou...
Climate change, from many perspectives and for many reasons, is a complex issue: scientifically, politically, and in terms of global justice. As such, climate change might be the global societal and political challenge of the 21st century. Dealing with it, either via mitigation or via adaptation, will ask for enormous societal efforts. This book ad...
De Provincie Noord-Holland zet in de ontwerp-Structuurvisie (Noord-Holland 2009) in op behoud van een vitale en duurzame agrarische sector, inclusief veehouderij. Deze structuurvisie geeft in specifieke gebieden ook ruimte voor ‘schaalvergroting, structuurverbetering en (mondiaal) concurrerende landbouw’, met minder landschappelijke beperkingen. Gr...
The authors analyzed two types of regional cooperation. Regional foundations of care farms and care institutions collaborating with a group of farmers. The initiatives were analyzed with a conceptual framework based on transition sciences and institutional entrepreneurship. The presence of a committed institutional entrepreneur with vision, strateg...
Long-term policy is enjoying something of a come-back in connection with sustainable development. The current revival tries
to avoid the pitfalls of an earlier generation of positivistic long-range planning and control approaches. Instead, this new
generation of policy design emphasises reflexive governance concepts. These aim at inducing and navig...
The Dutch Health Care Insurance Board (HCIB) commissions research to guide their policy recommendations. However, the studies conducted do not always yield relevant information. This may result from differences in problem definitions held by the HCIB and target populations. To compensate these problems, researchers were asked to analyse the problem...
The year 2007 could perhaps accurately be described as the year when climate change finally received the attention that this challenge deserves globally. Much of the information and knowledge that was created in this field during the year was the result of the findings of the Fourth - sessment Report (AR4) of the Intergovernmental Panel on Climate...
A possible explanation for policy implementation failure is that the views of the policy's target groups are insufficiently taken into account during policy development. It has been argued that involving these groups in an interactive process of policy development could improve this. We analysed a project in which several target populations partici...
The Dutch animal production sector faces significant pressure for change. We discuss a project for the design of a sustainable husbandry system for pigs. Named after the Greek hero Hercules, the project aimed for structural changes in both animal and crop production. However, instead of changing the course of the river, the project ended up merely...
The concept of sustainable development that “humanity has the ability to make development sustainable — to ensure that it meets the needs of the present without compromising the ability of future generations to meet their own needs” (World Commission on Environment and Development 1987) brings together social, environmental, and economic considerat...
Globalization and Environmental Challenges pose new security dangers and concerns. In this reference book on global security thinking, 92 authors from five continents and many disciplines, from science and practice, assess the global reconceptualization of security triggered by the end of the Cold War, globalization and manifold impacts of global e...
How does steering for sustainability work within the world of contemporary politics, where roles are increasingly ambiguous and power dispersed? This paper explores this question empirically by studying the practice of reflexive governance—a mode of steering that encourages actors to scrutinize and reconsider their underlying assumptions, instituti...
Many authors have discussed criteria for assessing the quality of qualitative studies. However, relatively few have presented the results of using criteria for validity of qualitative studies. We investigated the quality of reconstructing interpretative frames, a method for analyzing interview transcripts. The aim of this method is to describe a pe...
The practical significance of health technology assessment (HTA) in policy decisions or clinical practice has been challenged. Possibly, problem definitions underlying HTA do not concur sufficiently with the problem definitions held by policy makers or clinicians. We performed an in-depth case study on mebeverine, a drug prescribed to patients with...
Interactive evaluation involves a deliberative procedure that has been designed to address poorly structured policy problems in the context of power differences between stakeholders. Basically, it consists of an iterative cycle of interviews with these stakeholders. Power differences are dealt with by anonymising the procedure, the researcher actin...
Not coincidentally, deliberative policy analysis has been practiced often in cases that in a very essential sense involve value dissent and major uncertainties: cases of what Beck, Giddens and others have designated`reflexive designated`reflexive modernisation'. Deliberation, under such circumstances, is to support a synthesising kind of judgment a...
