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Book part
Publication date: 13 March 2020

Julinda Hoxha

While Chapter 3 highlights contextual conditions that foster the formation of policy networks, Chapter 5 highlights contextual conditions that impede the formation of policy…

Abstract

While Chapter 3 highlights contextual conditions that foster the formation of policy networks, Chapter 5 highlights contextual conditions that impede the formation of policy networks. The overarching question of this chapter is the following: What are the factors that hinder cross-sectoral arrangements from becoming collaborative in complex policy settings such as low- and middle-income countries with a tradition in centralized policy making? In an attempt to address this question, this study provides a detailed assessment of all cross-sectoral arrangements within the Turkish health sector focusing on the post-2003 period. Within this framework, three types of networks will be examined including (a) consultative networks where stakeholders come together primarily to legitimize certain government policies within national level health policy platforms; (b) cluster networks where stakeholder interaction falls short of becoming collaborative due to diverging interests and persistent competition at the regional level; and (c) patronage networks where governmental actors and a selected number of NGOs linked by clientelism serve as a bridge between the ruling party and its constituency at the community level. Unlike policy networks, these actor constellations observed at different levels of governance do not serve the purpose of policy collaboration. On the contrary, they have the potential to trigger politicization, fragmentation, and even polarization at the social level, especially through the distribution of selective benefits. Ultimately, this chapter aims to rise to the challenge of policy collaboration by assessing the impediments to network collaboration based on insights from the Turkish case.

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

Book part
Publication date: 13 March 2020

Julinda Hoxha

This study is an attempt to (a) introduce Turkey as a country case with statist policy tradition and authoritarian political culture, yet, a growing importance of cross-sectoral

Abstract

This study is an attempt to (a) introduce Turkey as a country case with statist policy tradition and authoritarian political culture, yet, a growing importance of cross-sectoral collaboration in various policy areas, as an opportunity to conduct network research beyond advanced democracies (Chapter 1); (b) develop an integrated framework for the study of policy networks across country cases and policy settings at the sub-national level through the utilization of Network Collaborative Capacity Index (Chapter 2); (c) trace the contextual conditions that led to the formation of policy networks within the health sector from 2011 to 2015 in Turkey (Chapter 3); (d) examine those mechanisms that maximize collaboration along the structural, relational, and institutional dimensions of networks (Chapter 4); and (d) assess the cultural and structural impediments that inhibit cross-sectoral arrangements from becoming collaborative and influencing policy processes and outcomes (Chapter 5). This concluding chapter focuses on the theoretical significance as well as the practical effectiveness of the policy networks under consideration in an attempt to link the local practice of network collaboration with more general theories of governance.

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Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

Open Access
Article
Publication date: 8 March 2022

Mariëlle Blanken, Jolanda Mathijssen, Chijs van Nieuwenhuizen, Jörg Raab and Hans van Oers

To help ensure that children with social and behavioral health problems get the support services they need, organizations collaborate in cross-sectoral networks. In this article…

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Abstract

Purpose

To help ensure that children with social and behavioral health problems get the support services they need, organizations collaborate in cross-sectoral networks. In this article, the authors explore and compare the structure of these complex child service delivery networks in terms of differentiation (composition) and integration (interconnection). In particular, the authors investigate the structure of client referral and identify which organizations are most prominent within that network structure and could therefore fulfill a coordinating role.

Design/methodology/approach

The authors used a comparative case study approach and social network analysis on three interorganizational networks consisting of 65 to 135 organizations within the Dutch child service delivery system. Semi-structured interviews with the network managers were conducted, and an online questionnaire was sent out to the representatives of all network members.

Findings

The networks are similarly differentiated into 11 sectors with various tasks. Remarkably, network members have contact with an average of 20–26 organizations, which is a fairly high number to be handled successfully. In terms of integration, the authors found a striking diversity in the structures of client referral and not all organizations with a gatekeeper task hold central positions.

Originality/value

Due to the scarcity of comparative whole network research in the field, the strength of this study is a deeper understanding of the differentiation and integration of complex child service delivery systems. These insights are crucial in order to deliver needed services and to minimize service silos and fragmentation.

Details

Journal of Health Organization and Management, vol. 36 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 29 November 2012

Tiina Ritvala and Asta Salmi

This chapter explores socio-political networks and cross-sectoral co-operation in the context of solving environmental problems in an emerging economy: Russia. The aim is to shed…

Abstract

This chapter explores socio-political networks and cross-sectoral co-operation in the context of solving environmental problems in an emerging economy: Russia. The aim is to shed light on key success factors of cross-border co-operation involving public, business and third-sector actors. The case study on protecting the Baltic Sea analyses a Western–Russian partnership between a Finnish non-governmental organisation and a Russian water utility and its embeddedness in business and socio-political networks. We conclude that key factors of success in this case were the successful timing of the NGO's initiative, the historic platform of Finnish-Russian co-operation in the area of clean water, and the gradual building of the actors’ social networks and legitimacy. The chapter contributes to the embryonic area of CSR studies in the emerging market context and extends the legitimation, trust-building and commitment model (Hadjikhani, Lee, & Ghauri, 2008) to the context of CSR in contemporary Russia.

Details

Business, Society and Politics
Type: Book
ISBN: 978-1-78052-990-5

Keywords

Book part
Publication date: 13 March 2020

Julinda Hoxha

This chapter provides a comprehensive, yet, concise overview of the existing debates on policy networks. The aim of the chapter is to identify those mechanisms that encourage…

Abstract

This chapter provides a comprehensive, yet, concise overview of the existing debates on policy networks. The aim of the chapter is to identify those mechanisms that encourage network collaboration among several stakeholders with different motivations, interests, and preferences throughout different stages of policy making from agenda setting to policy evaluation. A systematic review of previous studies on policy networks across various countries highlights the achievements and missing links in the literature, and at the same time, reveals three sets of causal mechanisms, which are crucial to understand Network Collaborative Capacity (NCC) along the structural, relational, and institutional dimensions. Structural and relational mechanisms explain the internal dynamics of a policy network; whereas institutional mechanisms consist of all those external factors in the broader political and economic environment within which the network is embedded. Structural, relational, and institutional mechanisms are further classified into constituting elements that serve as a blueprint for organizing and managing collaborative efforts at the network level. Ultimately this chapter contributes to the existing governance debates by offering an integrated framework for the study of NCC across country cases and policy sectors. Turkish health sector represents a case study to assess the applicability of this framework beyond the context of advanced industrialized economies and democracies with a tradition in collaborative policy making. Finally, the added value of comparative network analysis at the national and sub-national levels will be discussed.

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

Book part
Publication date: 12 December 2022

Larry R. Hearld and Daan Westra

Networked forms of organizing in health care are increasingly viewed as an effective means of addressing “wicked”, multifaceted health and societal challenges. This is because…

Abstract

Networked forms of organizing in health care are increasingly viewed as an effective means of addressing “wicked”, multifaceted health and societal challenges. This is because networks attempt to address these challenges via collaborative approaches in which diverse stakeholders together define the problem(s) and implement solutions. Consequently, there has been a sharp increase in the number and types of networks used in health care. Despite this growth, our understanding of how these networks are governed has not kept pace. The purpose of this chapter is to chart a research agenda for scholars who are interested in studying health care network governance (i.e., the systems of rules and decision-making within networks), which is of particular importance in deliberate networks between organizations. We do so based on our knowledge of the literature and interviews with subject matter experts, both of which are used to identify core network governance concepts that represent gaps in our current knowledge. Our analysis identified various conceptualizations of networks and of their governance, as well as four primary knowledge gaps: “bread and butter” studies of network governance in health care, the role of single organizations in managing health care networks, governance through the life-cycle stages of health care networks, and governing across the multiple levels of health care networks. We first seek to provide some conceptual clarity around networks and network governance. Subsequently, we describe some of the challenges that researchers may confront while addressing the associated knowledge gaps and potential ways to overcome these challenges.

Details

Responding to the Grand Challenges in Health Care via Organizational Innovation
Type: Book
ISBN: 978-1-80382-320-1

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Article
Publication date: 8 January 2019

Nina Kolleck

The purpose of this paper is to address school–NGO interactions by analyzing the power of foundations – a specific type of third sector organization or NGO in education.

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Abstract

Purpose

The purpose of this paper is to address school–NGO interactions by analyzing the power of foundations – a specific type of third sector organization or NGO in education.

Design/methodology/approach

Data are collected through a quantitative survey, qualitative interviews, official documents, reports and websites. Social network analysis and grounded theory are used to analyze the data with the aim to develop a theoretical approach.

Findings

The study identifies three dimensions, i.e. relational, structural and discursive dimensions of power. Based on the analysis of an illustrative multi-stakeholder initiative, the paper highlights the role of foundations in framing educational settings, concepts and structures of the education system as such.

Practical implications

The three-dimensional power perspective offered in this paper is particularly useful for scholars investigating school–NGO interactions or multi-stakeholder partnerships in education. Furthermore, it is of crucial importance for practitioners, school principals and education administrators dealing with school–NGO interactions given that foundations seem to be increasingly able to draw on new sources of power in these interactions.

Originality/value

While the number and power of the third sector in education continues to rise worldwide, there is wide consensus that NGO power in education has, to date, hardly been researched. This paper contributes to this dearth of research by uncovering foundations’ different sources of power and by developing a theoretical approach for analyzing the power of third-sector organizations in education.

Details

Journal of Educational Administration, vol. 57 no. 4
Type: Research Article
ISSN: 0957-8234

Keywords

Content available
Book part
Publication date: 17 August 1998

Abstract

Details

Advances in Librarianship
Type: Book
ISBN: 978-0-12024-622-9

Book part
Publication date: 13 March 2020

Julinda Hoxha

This book is aimed at extending the study of network collaboration beyond the context of advanced democracies through the exploration of policy networks in Turkey – a country with…

Abstract

This book is aimed at extending the study of network collaboration beyond the context of advanced democracies through the exploration of policy networks in Turkey – a country with statist policy style and authoritarian political culture. The focus here will be on cross-sectoral collaboration taking place within the Turkish health sector – a policy area that has been steadily improving with the initiation of the Health Transformation Programme (HTP) in 2003. To date, many scholars have studied the outcomes of the HTP reforms on the healthcare system including indicators such as healthcare access, health insurance coverage and healthcare services. However, despite the transformative nature of the program, a limited number of studies have assessed the impact of HTP reforms on changing policy and governance patterns in Turkey. Considering this gap in the literature, the aim of this book is to empirically examine the context, capacity and consequences of cross-sectoral collaboration within the health sector in Turkey through a micro- and meso-level investigation of policy networks developed in the sub-areas of public health, medical industry, and health tourism covering the years between 2011 and 2015. Furthermore, this book provides an account of those factors that impede cross-sectoral arrangements from turning into venues of policy collaboration. Such juxtaposition is designed to enhance the understanding of policy networks as conceptual devices and practical tools of collaboration in public policy.

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

Book part
Publication date: 13 March 2020

Julinda Hoxha

This chapter investigates the origins of cross-sectoral collaboration by exploring when and why policy networks form within the Turkish health sector – a least likely case for…

Abstract

This chapter investigates the origins of cross-sectoral collaboration by exploring when and why policy networks form within the Turkish health sector – a least likely case for network formation. The analysis presented here draws on information collected from a number of official documents, semi-structured interviews with professional experts, and two multi-stakeholder meetings. Timewise, networks entered the policy jargon during the introduction of the Health Transformation Program in 2003. Yet, the years between 2011 and 2015 were ground-breaking in producing concrete cross-sectoral collaborative instruments of policy making. The findings of the analysis reveal that policy networks form as a result of central government’s choice to devolve responsibility and expand the policy space with new issues and actors. Moreover, policy networks emerge not only during the times of policy change which has a reactionary, abrupt, and nature but also during the times of policy stability and legitimacy. These contextual factors are crucial in maintaining an atmosphere of trust among stakeholders, particularly between state and non-state actors. The refugee crisis and spreading securitization discourse in the post-2015 period explain the shifting policy and political agenda leading to public sector retrenchment from cross-sectoral projects within the field of health. This chapter intends to contribute to the literature of comparative public policy by examining the link between policy networks and policy change in addition to adding to the debates on network governance by exploring the processes of network formation. Finally, this chapter contributes to Turkish studies by examining the process of network formation within the Turkish health sector.

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

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