Download Public Sector Process Rebuilding

Public Sector
Process Rebuilding
Kim V. Andersen
Rony Medaglia
Madrid, 16 October 2008
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Public Sector Process Rebuilding
 Rebuilding of the public sector starts and ends
with the citizens
 Politics is part of e-services, not a disturbing
element
 The fault is not that citizens start using new
media, but is rather that the public sector needs
to find ways to respond to needs and still ensure
a long term role/ prioritization
 Information Systems is one of the key
cornerstones of rebuilding the public sector, not
an add-on
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Assessment and Benchmarking
 At stake: legitimacy (accessibility, transparency,
and accountability)
 International and national benchmark not
factoring in democracy variables when
evaluating/ capturing websites
 This does not mean that e-government is
ignoring democracy issues, rather the contrary
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E-government
E-government
E-democracy
E-democracy
E-government
E-government
E-democracy
E-demo
cracy
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E-government and e-democracy
Citizen as user/ customer of
public services, mismatch
demand-supply
Cost saver
Citizen as organizer and
(in)direct involvement in
prioritization
Cost driver
Effectiveness and effiency
Orientation of decision
making process
Interaction patterns
Values & legitimacy
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The Health Sector
 Consuming a major part of government running
costs
 Prioritization dilemma
 High degree of media interest
 A matter of life and death
 Patient grateful for the services and obey
decisions OR patient active part in the decision
process and controller of the services
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Patient–Health Sector Interaction
 Booking of consultation with the GP and
supporting documents (pharmacy receipts, letter
of discharge)
 Patient network hosted by third party by e.g
Facebook
 Patient network controlled by patient and
bringing in expert ad hoc
 Patient network controlled/ mediated by public
sector and hosted by the public sector (Patient
network at sundhed.dk)
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The e-government and e-democracy
challenges
Who should decide which public sector
held information can be feeded?
Part of the information is private property
(e.g. the GPs), hence not accessible for
the patient unless the GPs allow the
patient to access information
Cost driver or long term reduction of health
care costs?
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Consequences
 If the public sector is not more proactive,
legitimacy could erode
 Public sector needs to find ways to respond to
needs and still ensure a long term role/
prioritization
 E-government and e-democracy research and
policy programs challenged in moving ahead
combining the overarching themes and factoring
in the domain specific challenges and solutions
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Thank you for your attention
[email protected]
[email protected]
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