The Emergence of the Indicative Societal Cost-Benefit Analysis A Case Study

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Wil van Erp
Everard van Kemenade


In this article, we describe the emergence of a new Finance course in line with the concept of the Societal Cost-Benefit Analysis (SCBA). By means of an in-depth case study, we reconstruct the process of dissatisfaction and corresponding discussions among lecturers and students of the Master Integrated Care Design with regard to the learning aims and content of the Finance course, which is a study module of this master. During the period 2015-2021, the aims and content of this module were revised and remoulded several times in order to define a Finance course that was able to both sufficiently and creatively connect the domain of Integrated Care with that of Finance. In this process of reiterating revision both lectures and students played a crucial role. The ultimate result – the indicative Societal Cost-Benefit Analysis – was unexpected and unplanned, producing an outcome that surpassed the sum of its separate parts. In short, the process, as we describe in this case study, bears all the hallmarks of emergence. Moreover, the analysis shows how this process of emergence in combination with emergent leadership led to a practicable and encouraging outcome, which satisfied and committed all stakeholders, setting an example that is worth following.

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How to Cite
van Erp, W., & van Kemenade, E. (2023). The Emergence of the Indicative Societal Cost-Benefit Analysis: A Case Study. The Journal of Quality in Education, 13(21), 45–58.
Author Biographies

Wil van Erp, University of Applied Sciences Utrecht

Dr. Wil van Erp (1962) works as senior lecturer and research fellow at the University of Applied Sciences in Utrecht. His main interest and research involve management accounting and control in the domains of health care and social welfare. His current research is focused on the modelling, application and optimalisation of societal cost-benefit analyses with the aim to demonstrate the multiple value creation of health care and welfare innovations.

Everard van Kemenade, Van Kemenade Audit Coaching & Training

Everard van Kemenade, PhD (1953) started as a university lecturer on Quality Management at Fontys University in the Netherlands. He worked on quality management systems in countries worldwide, like Viet Nam, Egypt, Yemen, Syria, Ghana, Tanzania, Romania, and the Caribbean. He took his Ph.D. on Certification, Accreditation and the Professional from Rotterdam School of Management. He wrote books and articles for TQM Journal, Quality in Higher Education, Quality Progress and many others. He is director/owner of Van Kemenade Audit Coaching and Training. He still does research on emergent leadership. His motto: because excellence in the end is a personal journey.



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