Zoekresultaat: 33 artikelen

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Artikel

Artsen en moreel ondernemerschap. De casus van de normalisering van verslavende opioïde pijnstillers in de Verenigde Staten

Tijdschrift Tijdschrift over Cultuur & Criminaliteit, Aflevering 3 2018
Trefwoorden Opioid crisis, Addictive painkillers, Medical doctors, Moral entrepreneurs, Big Pharma
Auteurs Dr. Thaddeus Müller
SamenvattingAuteursinformatie

    In this article, I am using Becker’s concept of moral entrepreneur to analyse the role of pain specialists in the labelling process, which has led to the normalisation of the use of opioid painkillers in the United States and ultimately to the death over 200.000 Americans. In general, the literature on labelling centres on crusading reformers, and the criminalisation and stigmatisation of transgressive behaviour. Here I will focus on the moral entrepreneurship of medical experts. What was their role in the normalisation process of opioid painkiller use and are there any similarities with the strategies of crusading reformers? My findings, based on qualitative analysis of documents such as newspaper articles and academic publications, show that, with two exceptions, pain specialists use the strategies of moral crusaders. First, in their narratives, pain specialists represented themselves as neutral objective experts without the emotional stance of moral crusaders. The second exception, which is related to the first, is that there was less emphasis in their narrative on creating villains, as they could not blame openly standard medical practice because they needed the support of the established medical world in order to normalise and legalise opioid painkillers.


Dr. Thaddeus Müller
Thaddeus Müller Docent criminologie, Lancaster University t.muller@lancaster.ac.uk
Article

Access_open Evidence-Based Regulation and the Translation from Empirical Data to Normative Choices: A Proportionality Test

Tijdschrift Erasmus Law Review, Aflevering 2 2018
Trefwoorden evidence-based, regulation, proportionality, empirical law studies, law and society studies
Auteurs Rob van Gestel en Peter van Lochem
SamenvattingAuteursinformatie

    Studies have shown that the effects of scientific research on law and policy making are often fairly limited. Different reasons can be given for this: scientists are better at falsifying hypothesis than at predicting the future, the outcomes of academic research and empirical evidence can be inconclusive or even contradictory, the timing of the legislative cycle and the production of research show mismatches, there can be clashes between the political rationality and the economic or scientific rationality in the law making process et cetera. There is one ‘wicked’ methodological problem, though, that affects all regulatory policy making, namely: the ‘jump’ from empirical facts (e.g. there are too few organ donors in the Netherlands and the voluntary registration system is not working) to normative recommendations of what the law should regulate (e.g. we need to change the default rule so that everybody in principle becomes an organ donor unless one opts out). We are interested in how this translation process takes place and whether it could make a difference if the empirical research on which legislative drafts are build is more quantitative type of research or more qualitative. That is why we have selected two cases in which either type of research played a role during the drafting phase. We use the lens of the proportionality principle in order to see how empirical data and scientific evidence are used by legislative drafters to justify normative choices in the design of new laws.


Rob van Gestel
Rob van Gestel is professor of theory and methods of regulation at Tilburg University.

Peter van Lochem
Dr. Peter van Lochem is jurist and sociologist and former director of the Academy for Legislation.
Artikel

Mediation case law in Germany – an overview

Tijdschrift Nederlands-Vlaams tijdschrift voor mediation en conflictmanagement, Aflevering 4 2017
Trefwoorden Case law, Germany, Voluntariness, Confidentiality, Neutrality
Auteurs Ulla Gläßer
Auteursinformatie

Ulla Gläßer
Prof. Dr. Ulla Gläßer, LL.M., holds a full professorship of mediation, conflict management and procedural theory at the European University Viadrina Frankfurt (Oder)/Germany. She is academic director of the Institute for Conflict Management and the postgraduate, interdisciplinary Master’s Program on Mediation at the European University. Ms Gläßer is teaching mediation, negotiation and conflict management skills at various universities and numerous other institutions in Germany and abroad. She has published broadly on mediation methodology, the legal framework of mediation, quality assurance of mediation and other ADR procedures and the establishment of mediation and ADR procedures in different realms of society. She also is editor of two Publication Series on Mediation and Conflict Management and a comprehensive commentary on the German Mediation Act and corresponding relevant regulation. As a practical mediator and facilitator, Ms Gläßer supports dispute resolution and decision making processes within or between organisations/corporations.

    The comparative discussions held during this seminar show that the different jurisdictions make use of – approximately – the same ingredients for their legislation on adult guardianship measures and continuing powers of attorney. Given the common international framework (for example the UN Convention on the Rights of Persons with Disabilities) and given the common societal context (cfr. the strong increase of the ageing population) this may not come as a surprise. Despite these common ingredients, the different jurisdictions have managed to arrive at different dishes spiced with specific local flavours. Given that each jurisdiction bears its own history and specific policy plans, this may not come as a surprise either. The adage ‘same same but different’ is in this respect a suitable bromide.
    For my own research, the several invitations – that implicitly or explicitly arose from the different discussions – to rethink important concepts or assumptions were of most relevance and importance. A particular example that comes to mind is the suggestion to ‘reverse the jurisprudence’ and to take persons with disabilities instead of healthy adult persons as a point of reference. Also, the invitation to rethink the relationship between the limitation of capacity and the attribution of a guard comes to mind as the juxtaposition of the different jurisdictions showed that these two aspects don’t need to be automatically combined. Also the discussion on the interference between the continuing powers of attorney and the supervision by the court, provoked further reflection on hybrid forms of protection on my part. Finally, the ethical and medical-legal approaches may lead to a reconsideration of the traditional underlying concepts of autonomy and the assessment of capacity.


Veerle Vanderhulst Ph.D.
Veerle Vanderhulst works at the Faculty of Law and Criminology, Vrije Universiteit Brussel
Article

Access_open The Right to Mental Health in the Digital Era

Tijdschrift Erasmus Law Review, Aflevering 3 2016
Trefwoorden E-health, e-mental health, right to health, right to mental health
Auteurs Fatemeh Kokabisaghi, Iris Bakx en Blerta Zenelaj
SamenvattingAuteursinformatie

    People with mental illness usually experience higher rates of disability and mortality. Often, health care systems do not adequately respond to the burden of mental disorders worldwide. The number of health care providers dealing with mental health care is insufficient in many countries. Equal access to necessary health services should be granted to mentally ill people without any discrimination. E-mental health is expected to enhance the quality of care as well as accessibility, availability and affordability of services. This paper examines under what conditions e-mental health can contribute to realising the right to health by using the availability, accessibility, acceptability and quality (AAAQ) framework that is developed by the Committee on Economic, Social and Cultural Rights. Research shows e-mental health facilitates dissemination of information, remote consultation and patient monitoring and might increase access to mental health care. Furthermore, patient participation might increase, and stigma and discrimination might be reduced by the use of e-mental health. However, e-mental health might not increase the access to health care for everyone, such as the digitally illiterate or those who do not have access to the Internet. The affordability of this service, when it is not covered by insurance, can be a barrier to access to this service. In addition, not all e-mental health services are acceptable and of good quality. Policy makers should adopt new legal policies to respond to the present and future developments of modern technologies in health, as well as e-Mental health. To analyse the impact of e-mental health on the right to health, additional research is necessary.


Fatemeh Kokabisaghi
Fatemeh Kokabisaghi, Iris Bakx and Blerta Zenelaj are Ph.D. candidates at the Institute of Health Policy and Management, Erasmus University Rotterdam. All authors contributed equally.

Iris Bakx
Fatemeh Kokabisaghi, Iris Bakx and Blerta Zenelaj are Ph.D. candidates at the Institute of Health Policy and Management, Erasmus University Rotterdam. All authors contributed equally.

Blerta Zenelaj
Fatemeh Kokabisaghi, Iris Bakx and Blerta Zenelaj are Ph.D. candidates at the Institute of Health Policy and Management, Erasmus University Rotterdam. All authors contributed equally.
Artikel

Toepassingsmogelijkheden van Quantified Self-data

Enkele voorbeelden uit de forensisch psychiatrische praktijk

Tijdschrift Justitiële verkenningen, Aflevering 1 2016
Trefwoorden quantified self-data, self-monitoring, technological devices, aggression treatment, forensic psychiatry
Auteurs Dr. C.H. de Kogel en Dr. L.J.M. Cornet
SamenvattingAuteursinformatie

    How many hours a night do I sleep? What is my average resting heart rate? How physical active am I during the day? Self-monitoring with help of technological devices, including smartphones, mobile applications and electronic sensors, allow individuals to quantify biometrics that they never knew existed. During the last decade, the ‘quantified-self’ movement has become popular among hobbyists, but also among professionals in the medical field. In this article the authors explore the potentials of quantified-self devices for the criminal justice setting. Could, for example, skin conductance measurements help to improve self-awareness among aggressive patients? And could biofeedback intervention with help of a mobile application serve as an alternative intervention program for those who are currently not responsive to traditional correctional therapy? On the other hand, what are the limitations and perhaps ethical concerns when implementing quantified-self devices in the criminal justice setting?


Dr. C.H. de Kogel
Dr. Katy de Kogel is als senior wetenschappelijk medewerker verbonden aan het Wetenschappelijk Onderzoek- en Documentatiecentrum (WODC) van het ministerie van Veiligheid en Justitie.

Dr. L.J.M. Cornet
Dr. Liza Cornet is als wetenschappelijk medewerker verbonden aan het Wetenschappelijk Onderzoek- en Documentatiecentrum (WODC) van het ministerie van Veiligheid en Justitie.
Artikel

Systeemtoezicht in de Nederlandse gezondheidszorg. Een experimentele innovatie van toezicht.

Tijdschrift Tijdschrift voor Toezicht, Aflevering 2 2014
Trefwoorden systeemtoezicht, kwaliteit en veiligheid van zorg, experimental governance, institutioneel leren, formatief onderzoek
Auteurs Annemiek Stoopendaal, Martin de Bree, Franske Keuter e.a.
SamenvattingAuteursinformatie

    De Inspectie voor de Gezondheidszorg (IGZ) heeft geëxperimenteerd met een nieuwe vorm van inspectie gebaseerd op systeemtoezicht (ST). Het experiment volgt uit voortgaande ontwikkelingen in de governance van zorginstellingen. Het experiment is gevolgd en ondersteund met formatief onderzoek. Geleerd is dat ST in de Nederlandse gezondheidszorg, mits gericht en evenwichtig toegepast, een bijdrage kan leveren aan de doelstellingen van de IGZ ten aanzien van effectief en efficiënt toezicht. ST maakt ‘inspectiemaatwerk’ mogelijk. Daarenboven geeft dit artikel inzicht in de werkwijze die gebruikt kan worden bij de modernisering van toezicht.


Annemiek Stoopendaal
Dr. A.M.V. Stoopendaal is universitair docent/wetenschappelijk onderzoeker, instituut Beleid en Management Gezondheidszorg, Erasmus Universiteit Rotterdam.

Martin de Bree
Dr. ing. M.A. de Bree MBA is adviseur en wetenschappelijk onderzoeker, Rotterdam School of Management, Erasmus Universiteit Rotterdam.

Franske Keuter
Drs. F.G. Keuter MD is Coördinerend Specialistisch Senior Inspecteur, Inspectie voor de Gezondheidszorg.

Paul Robben
Prof. dr. P.B.M. Robben is bijzonder hoogleraar ‘Effectiviteit van toezicht op de kwaliteit van de gezondheidszorg’, instituut Beleid en Management Gezondheidszorg Erasmus Universiteit Rotterdam/ Inspectie voor de Gezondheidszorg.

    Public law is sometimes said to deal with distributive justice. Such allocation issues are at least very dominant when public authorities grant only a limited number of public rights (authorizations, subsidies, etc.) and the number of applicants exceeds this maximum. The characteristics common to these ’limited public rights’ raise the question whether there are some general allocation rules applying to any allocation of limited public rights. This article shows how economic allocation theory can be helpful in constructing general allocation rules as a corollary of general legal principles. Allocation theory turns out to provide for general concepts and results clarifying general allocation rules and revealing mutual connections. Extending this allocation perspective from limited public rights to public law in general requires the hidden allocation issues in public law to be unveiled.


Johan Mr.dr. Wolswinkel
C.J. Wolswinkel LLM MSc PhD is Assistant Professor at the VU University Amsterdam and participates in the research programme Public Contracts: Law and Governance of the VU Centre for Law and Governance. This article expands some methodological issues developed in his PhD thesis De verdeling van schaarse publiekrechtelijke rechten. Op zoek naar algemene regels van verdelingsrecht (The Hague: Boom Juridische uitgevers 2013).

    In judicial review of decisions of administrative authorities courts generally aim towards grounding a judgment on substantively true facts. Such a substantive truth is usually understood as meaning ’that which happened’. But how can true facts be established if the facts have not yet occurred and what implications does this have for judicial review in administrative procedures? In this article this question will be analysed by taking the Dutch Administrative Court’s review of merger decisions of the Dutch Competition Authority - using a substantively close copy of the European merger control assessment framework - as subject of analysis. Judicial review of the substantive assessment in merger control, including the prospective analysis involved and taking into account complexities of economic evidence, will be analyzed and set against the general aim of establishing substantive truth of facts.


Anna Dr. Gerbrandy Ph.D.
Dr. Anna Gerbrandy is associate professor in Public Economic Law at the Europa Institute, Utrecht University.
Artikel

Access_open Alternative Methodologies: Learning Critique as a Skill

Tijdschrift Law and Method, 2013
Trefwoorden governmentality, methodology, method, skill
Auteurs Bal Sokhi-Bulley
SamenvattingAuteursinformatie

    How can we teach critical legal education? The article tackles this key question by focusing on the role of methodology in legal education and research. I argue that critical legal education requires marketing methodology as a ‘skill’, thereby freeing it from what students and researchers in Law often view as the negative connotations of ‘theory’. This skill requires exploring ‘alternative methodologies’ – those critical perspectives that depart from legal positivism and which Law traditionally regards as ‘peripheral’. As an example, the article explores the Foucauldian concept of governmentality as a useful methodological tool. The article also discusses the difference between theory, methodology and method, and reviews current academic contributions on law and method(ology). Ultimately, it suggests a need for a ‘revolt of conduct’ in legal education. Perhaps then we might hope for students that are not docile and disengaged (despite being successful lawyers) but, rather, able to nurture an attitude that allows for ‘thinking’ (law) critically.


Bal Sokhi-Bulley
Bal Sokhi-Bulley is Lecturer in Law atQueen’s University in Belfast.
Artikel

Medical liability: do doctors care?

Tijdschrift Recht der Werkelijkheid, Aflevering 2 2012
Auteurs Ben C.J. van Velthoven en Peter W. van Wijck
SamenvattingAuteursinformatie

    Van Velthoven and Van Wijck review empirical studies on the effects of tort law in the medical sector. The data they present comes mainly from the US, because from the 1970’s US states have enacted a variety of reforms in their tort systems. This variation has provided very useful data to study preventive effects. The empirical evidence analysed shows that medical malpractice risk affects the behaviour of health care providers. It has a negative impact on the supply of services and it encourages extra diagnostic testing;yet if the additional tests and procedures have any value, it is only a marginal one. Furthermore it has been found that changes in the supply of services do not affect health adversely. This suggests that the physicians who are driven out of business have a below average quality of performance. The authors conclude that, at the margin, medical liability law may have some social benefits after all.


Ben C.J. van Velthoven
Ben van Velthoven is associate professor of law and economics at Leiden University. His research interests are: liability issues, civil litigation, and criminal law enforcement.

Peter W. van Wijck
Peter van Wijck is associate professor of law and economics at Leiden University and coordinator strategy development at the Dutch Ministry of Security and Justice. His research interests concern tort law, contract law, civil litigation, and crime.
Praktijk

Securing legal certainty within a multilevel regulatory space

Evidence from the regulatory practice of marketing authorisation of medical devices in Europe

Tijdschrift Recht der Werkelijkheid, Aflevering 1 2012
Trefwoorden legal certainty, multilevel regulation, regulatory space
Auteurs Nupur Chowdhury
SamenvattingAuteursinformatie

    One of the primary functions of law is to ensure that the legal structure governing all social relations is predictable, coherent, consistent and applicable. All these characteristics of law are referred to as legal certainty. In traditional approaches to legal certainty, law is regarded as a hierarchic system of rules characterised by stability, clarity, predictability, uniformity, calculable enforcement, publicity and predictability.1xWeber 1925, p. 68. Others like Llewellyn have underlined the importance of appellate courts in ensuring legal certainty by filling up gaps in the law.2xLlewellyn 1960. Also see, Stinchcombe 1999. Such traditional approaches to legal certainty were developed within the context of national legal orders, in which rule making, rule enforcement and rule adjudication authority vested within public actors functioning as representatives of the state.

Noten

  • 1 Weber 1925, p. 68.

  • 2 Llewellyn 1960. Also see, Stinchcombe 1999.


Nupur Chowdhury
Nupur Chowdhury is doctoral fellow at the Law and Regulation Group, School of Management and Governance, University of Twente.

Elena Fagotto
Rotterdam Institute of Law and Economics, Erasmus University Rotterdam; Ash Center for Democratic Governance and Innovation, Harvard Kennedy School. E-mail: fagotto@frg.eur.nl. The author wishes to thank Alessandra Arcuri, Michael Faure, participants in the European Society for Risk Analysis Conference in London (June 2010) and an anonymous referee for valuable comments. I am also deeply indebted to Archon Fung at Harvard Kennedy School.
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