Abstract

This paper investigates the changed roles and strategies of professionals in a context of hybrid welfare state reform. This context exposes public professionals to market regulation and rationalization (new public management), and simultaneously expects them to work across professional borders to co-produce public services together with their clients, colleagues and other stakeholders (new public governance). Adopting a comparative perspective, we studied different types of professionals for their views on the implications of this reform mix on their work. Hence, we investigate ‘strategy’ at the macro level of public sector reform and at the micro level of professionals’ responses. The study is based on literature and policy documents, participatory observations and especially (group) interviews with professionals across Dutch hospitals, secondary schools and local agencies for welfare, care or housing. We found that professionals across these sectors, despite their different backgrounds and status, meet highly similar challenges and tensions related to welfare state reform. Moreover, we show that these professionals are not simply passive ‘victims’ of the hybrid context of professionalism, but develop own coping strategies to deal with tensions between different reform principles. The study contributes to understanding new professional roles and coping strategies in welfare state reform, in a context of changing relationships between professions and society.

Highlights

  • This paper examines whether diverse models of strategic public management in the transformation of public sector blend and/or clash in the daily work of professionals across three sectors: healthcare, education, and social policy

  • Our focus is on a context of reforms for marketization and managerialism, related to the model of new public management (NPM), and for collaboration across borders of professions and organizations, promoted by the new public governance model (NPG) (Osborne 2006; Pollitt and Bouckaert 2017)

  • In this paper we explore whether reform initiatives related to NPM and NPG blend and/or clash in the daily work of professionals working in hospitals, schools and local agencies for welfare, care or housing

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Summary

Introduction

The story of the medical doctors in two hospitals tracks how individual professionals in surgical care delivery are challenged to collaborate across professional borders. The story of the teachers in three secondary schools shows that while being geared to follow managerial guidelines for standardization and performance management in the hierarchy of their organizations (NPM), these professionals are simultaneously pushed towards offering student-centered education, requiring more teamwork and tailor-made education to individuals (NPG) Teachers endorse this stronger student focus, but struggle to reconcile these competing demands. The storyline of the professionals in local public agencies for social and employment policy, care (mental care and youth care) and housing, is a collective ambition for co-production given the growing recognition of the diverse needs of clients (NPG) Rather than viewing their professional role as executing standardized rules and/or management objectives (NPM), they aim for inter-professional and inter-organizational collaboration to improve public services. For an in-depth overview of national rules and conditions in the three sectors, including the history of policymaking and reforms, we refer to earlier publications (Hendrikx and Van Gestel 2017; Van Gestel and Hillebrand 2011; Van Gestel et al 2009)

Strategic Management Models in Public Sector Reform
How Strategic Models of Public Management Reform Affect Professions
Changed Roles and Coping Strategies of Professionals
Research Design and Methods
Case Selection
Data Selection Procedures
Data Analysis
The Impact of NPM and NPG Oriented Reform on Professional Work
Coping Strategies of Professionals
Discussion and Conclusions
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