Arnošt Veselý

Externalization of policy advice: Theory, methodology and evidence

Abstract This paper examines to what extent advisory activities previously performed inside the government have been relocated to places outside of government. Although this process, labelled as externalization of policy advice, is widely taken as a universal trend, here it is shown that empirical findings suggest a more complicated picture. The level of externalization differs across policy domains, countries and over time. There are also different meanings of externalization and it has both quantitative and qualitative dimensions. In this article it is argued that the provision of policy advice can be conceptualized in terms of two competing processes: externalization and filling-in. The strength of these processes depends upon a wide range of factors. An overview of the empirical findings on externalization is provided and the factors assumed to be conducive to externalization are outlined. The article concludes with implications for further research, arguing that empirical research should be more theory-driven and enhanced by the inclusion of other research designs and methods.

Medical guidelines presentation and comparing with Electronic Health Record.

Electronic Health Record (EHR) systems are now being developed in many places. More advanced systems provide also reminder facilities, usually based on if-then rules. In this paper we propose a method how to build the reminder facility directly upon the guideline interchange format (GLIF) model of medical guidelines. The method compares data items on the input of EHR system with medical guidelines GLIF model and is able to reveal if the input data item, that represents patient diagnosis or proposed patient treatment, contradicts with medical guidelines or not. The reminder facility can be part of EHR system itself or it can be realized by a stand-alone reminder system (SRS). The possible architecture of stand-alone reminder system is described in this paper and the advantages of stand-alone solution are discussed. The part of the EHR system could be also a browser that would present graphical GLIF model in easy to understand manner on the user screen. This browser can be data driven and focus attention of user to the relevant part of medical guidelines GLIF model.

Accountability in Central and Eastern Europe: concept and reality

This article deals with accountability in EU new member states (the EU-10). First, the different meanings of the concept of accountability are reviewed. Second, accountability in the EU-10 is analysed in terms of three theoretical perspectives (accountability deficits, overloads and traps). Then the specificity of the accountability regime in the EU-10 is discussed as well as its possible explanations. It is argued that the accountability regime in the EU-10 is characterized by discrepancy between the formal existence of many accountability mechanisms and their actual performance (‘sleeping accountability’). This might be explained by the context in which accountability mechanisms are embedded (the high level of corruption, clientelism, low level of trust), frequent changes in political representation and public administration and the lack of knowledgeable and impartial accountees. The article concludes with implications for empirical comparative research and theory-building. Points for practitioners Accountability is one of the most important public administration concepts, but its empirical investigation is underdeveloped, especially in Central and Eastern European countries. Empirical research must be led by propositions that have practical relevance. Three such propositions – the accountability deficit, overload and asymmetry – are suggested. This includes considering the broader contexts in which accountability is embedded, analysing accountability relations over time, and carefully distinguishing between de jure and de facto accountability.

Comparing sub-national policy workers in Canada and the Czech Republic: Who are they, what they do, and why it matters?

Abstract This article compares profiles and policy-related activities of policy workers (PWs) in thirteen Canadian provinces and territories with PWs in the Czech Republic regions. Canadian data come from 13 separate surveys conducted in provinces and territories in late 2008 and early 2009 (N = 1357). The Czech data are from analogical large-scale survey carried out at the end of 2012 (N = 783). First, the paper compares basic characteristics of Canadian and Czech PWs. In the two countries the proportion of men and women is similar and PWs are equally highly educated. Examining other characteristics, however, reveals substantial differences. When compared with the Czech PWs, Canadian PWs tend to be older, more often having social science educational backgrounds, more frequently recruited from academia, stay in a single organization for a shorter period of time and anticipate staying in their current position for only a short time. Second, a comparison of policy-related work activities discerns three basic clusters of policy tasks: policy analysis work, evidence-based work, and consulting/briefing. Canadian PWs are much more involved in evidence-based work, especially in evaluation and policy research. They also deal more with policy analysis activities such as identification of policy issues and options. In contrast, Czech PWs are more engaged in consulting with the public and briefing managers and decision-makers. The article concludes with implications for further research and theory building.

On Direct Comparing of Medical Guidelines with Electronic Health Record

Electronic Health Record (EHR) systems are now being developed in many places. The EuroMISE Center has developed a system of the Multimedia Distributed Electronic Health Record (MUDR) that provides universal structure for collecting data and multimedia objects. Moreover, a method to compare data items on the input of EHR system with medical guidelines has been developed. Therefore it is possible to reveal if the input data item, that represents patient diagnosis or proposed patient treatment, contradicts with medical guidelines or not. The method on direct comparing of medical guidelines with EHR has been tested in hospital information system settings and in settings of the remote GP office.

Contemporary policy work in subnational governments and NGOs: Comparing evidence from Australia, Canada and the Czech Republic*

Abstract This article introduces the special issue on policy work at the sub-national government level and non-governmental sector in three countries: Australia, Canada, and the Czech Republic. It consists of three parts. First, new public governance theory is presented as a general theoretical perspective that captures some of the important macro factors influencing the nature of current policy work. Second, an overview of empirical findings on policy work of subnational governments and NGOs is provided. This review discusses different possible interpretations of these findings. Third, main findings from each paper presented in this special issue are summarized.

Teachers’ attitudes towards tracking: testing the socialization hypothesis

The paper examines how teachers’ attitudes towards tracking (separating pupils into groups with different curricula on the basis of their abilities and results) differ among various generations of teachers. Fundamental and quick changes in the educational system occurred in the Czech Republic after the Velvet Revolution in 1989 as a unified educational system moved to a system strongly accenting tracking practices. We use this ‘policy discontinuity’ to validate teacher socialization theory and test three alternative socialization hypotheses based on different key periods in teachers’ development: the pupil experience hypothesis, the pedagogical preparation hypothesis and the pedagogical experience hypothesis. We work with a data-set from 2009 covering 1002 Czech teachers. The mean tests and the logistic regression analysis support the socialization theory, however only the pedagogical experience hypothesis was found to be most influential.

Public Policy Programmes and Policy Analysis Instruction in the Czech Republic

Abstract The aim of the paper is to provide the first systematic review of instruction in public policy programmes (PPP) in the Czech Republic and examine the role and nature of policy analysis therein. First, the Czech higher education system is briefly described. Second, an overview of PPP in the Czech Republic is provided. This analysis is based upon a publicly available list of degree programmes accredited by the Ministry of Education, Youth and Sports, an internet search, e-mail correspondence with public policy and policy analysis instructors, and syllabuses. It is shown that while a diverse set approaches is used, the classical “positivist” perspective is clearly dominant. Third, using survey data (N = 192) we analyse the views of Public and Social Policy graduates on the importance of competences in practice and the quality of actually learnt competences. Last, preliminary conclusions on public policy/policy analysis instruction in the Czech Republic are discussed. It is shown that public policy instruction is rather fragmented and is institutionalized under different disciplines. The respondents were most satisfied with gaining skills in the areas of policy analysis, ability to orient oneself and acquire new knowledge, and strategic and analytical thinking. In contrast, they were least satisfied with acquiring organizational skills, practical professional experience and skills, and computer literacy.