The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Trabalho, Educação e Saúde (Online) |
| Texto Completo: | https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/889 |
Resumo: | Thise article analyzes the role of the institutional supporters as individuals responsible for the conduction of public policies. Thus, it aims to understand the way in which institutional relationships are developed from the basis of the Brazilian State, through the establishment of relational dynamics among public agents, especially in the confrontation of complex issues regarding Brazilian federative relationships. The study was conducted at the General Coordination for Primary Health Care Management of the Primary Health Care Department of the Brazilian Ministry of Health. The research was based on qualitative epistemology, with the development of a documentary research, observation, in-depth interviews and focus groups between November 2015 and June 2017. The results enabled the identification of two structuring elements of the work of the supporters - ties to and knowledge of the territory -, which subsidize the development of a typology of the strategy of action developed and operated by the supporters, namely: application, adaptation, and cooperation. We concluded that the advancement in the implementation of the institutional support strategy was fundamentally made possible due to the relational and in-person dynamics among the individuals, and its results indicate concrete possibilities regarding the advancement in the guarantee of the right to health, in spite of the difficulties and contradictions that characterize Brazilian federalism. |
| id |
FIOCRUZ-2_8dbe54bc0e08a55cef86650565e07400 |
|---|---|
| oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/889 |
| network_acronym_str |
FIOCRUZ-2 |
| network_name_str |
Trabalho, Educação e Saúde (Online) |
| repository_id_str |
|
| spelling |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policyLa burocracia cordial: la implementación de la estratégia de apoyo institucional en la política nacional de atención básica en saludA burocracia cordial: a implantação da estratégia de apoio institucional na política nacional de atenção básica em saúdeatenção primária de saúdegestão em saúdeorganização e administraçãofederalismoburocraciaprimary health caremanagement in healthorganization and administrationfederalismbureaucracyatención primaria de saludgestión en saludorganización y administraciónfederalismoburocraciaThise article analyzes the role of the institutional supporters as individuals responsible for the conduction of public policies. Thus, it aims to understand the way in which institutional relationships are developed from the basis of the Brazilian State, through the establishment of relational dynamics among public agents, especially in the confrontation of complex issues regarding Brazilian federative relationships. The study was conducted at the General Coordination for Primary Health Care Management of the Primary Health Care Department of the Brazilian Ministry of Health. The research was based on qualitative epistemology, with the development of a documentary research, observation, in-depth interviews and focus groups between November 2015 and June 2017. The results enabled the identification of two structuring elements of the work of the supporters - ties to and knowledge of the territory -, which subsidize the development of a typology of the strategy of action developed and operated by the supporters, namely: application, adaptation, and cooperation. We concluded that the advancement in the implementation of the institutional support strategy was fundamentally made possible due to the relational and in-person dynamics among the individuals, and its results indicate concrete possibilities regarding the advancement in the guarantee of the right to health, in spite of the difficulties and contradictions that characterize Brazilian federalism.El artículo analiza el papel de los apoyos institucionales como sujetos responsables por la conducción de las políticas públicas. Busca, de ese modo, comprender la forma de construcción de relaciones institucionales desde la base del Estado brasileño, mediante el establecimiento de dinámicas de relación entre agentes públicos, especialmente en el enfrentamiento de las complejas cuestiones sobre las relaciones federativas brasileñas. El estudio fue realizado en la Coordinación General de Gestión de la Atención Básica, del Departamento de Atención Básica del Ministerio de la Salud. Configura una búsqueda surgida en la epistemología cualitativa, con la realización de búsqueda documental, observación, entrevistas en profundidad y grupos focales entre noviembre de 2015 y junio de 2017. Los resultados permitieron la identificación de dos elementos estructurantes del trabajo de los apoyos - vínculo y conocimiento del territorio -, los cuales subsidiaron la construcción de una tipología de la estrategia de actuación desarrollada y operada por los apoyos, a saber: aplicación, adaptación y cooperación. Se concluye que el avance de la implementación de la estrategia de apoyo institucional fue posible fundamentalmente en función de la dinámica de relación y presencial entre sujetos, y sus resultados indican posibilidades concretas de avance en la garantía del derecho a la salud, no obstante las dificultades y contradicciones que caracterizan el federalismo brasileño.O artigo analisa o papel dos apoiadores institucionais como sujeitos responsáveis pela condução das políticas públicas. Busca, desse modo, compreender a forma de construção de relações institucionais desde a base do Estado brasileiro, mediante ao estabelecimento de dinâmicas relacionais entre agentes públicos, especialmente no enfrentamento das complexas questões sobre as relações federativas brasileiras. O estudo foi realizado na Coordenação Geral de Gestão da Atenção Básica, do Departamento de Atenção Básica do Ministério da Saúde. Configura uma pesquisa ancorada na epistemologia qualitativa, com a realização de pesquisa documental, observação, entrevistas em profundidade e grupos focais entre novembro de 2015 e junho de 2017. Os resultados permitiram a identificação de dois elementos estruturantes do trabalho dos apoiadores - vínculo e conhecimento do território -, os quais subsidiaram a construção de uma tipologia da estratégia de atuação desenvolvida e operada pelos apoiadores, a saber: aplicação, adaptação e cooperação. Conclui-se que o avanço da implantação da estratégia de apoio institucional foi possível fundamentalmente em função da dinâmica relacional e presencial entre sujeitos, e seus resultados indicam possibilidades concretas de avanço na garantia do direito à saúde, não obstante as dificuldades e contradições que caracterizam o federalismo brasileiro.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/88910.1590/1981-7746-sol00221Trabalho, Educação e Saúde; v. 17 n. 3 (2019)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/889/192Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMachado, Felipe Rangel de SouzaGuizardi, Francini LubeLemos, Ana Sílvia Pavani 2022-06-24T18:55:25Zoai:ojs.pkp.sfu.ca:article/889Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:57.975267Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy La burocracia cordial: la implementación de la estratégia de apoyo institucional en la política nacional de atención básica en salud A burocracia cordial: a implantação da estratégia de apoio institucional na política nacional de atenção básica em saúde |
| title |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| spellingShingle |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy Machado, Felipe Rangel de Souza atenção primária de saúde gestão em saúde organização e administração federalismo burocracia primary health care management in health organization and administration federalism bureaucracy atención primaria de salud gestión en salud organización y administración federalismo burocracia |
| title_short |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| title_full |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| title_fullStr |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| title_full_unstemmed |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| title_sort |
The cordial bureaucracy: the implementation of the institutional support strategy in the national primary health care policy |
| author |
Machado, Felipe Rangel de Souza |
| author_facet |
Machado, Felipe Rangel de Souza Guizardi, Francini Lube Lemos, Ana Sílvia Pavani |
| author_role |
author |
| author2 |
Guizardi, Francini Lube Lemos, Ana Sílvia Pavani |
| author2_role |
author author |
| dc.contributor.author.fl_str_mv |
Machado, Felipe Rangel de Souza Guizardi, Francini Lube Lemos, Ana Sílvia Pavani |
| dc.subject.por.fl_str_mv |
atenção primária de saúde gestão em saúde organização e administração federalismo burocracia primary health care management in health organization and administration federalism bureaucracy atención primaria de salud gestión en salud organización y administración federalismo burocracia |
| topic |
atenção primária de saúde gestão em saúde organização e administração federalismo burocracia primary health care management in health organization and administration federalism bureaucracy atención primaria de salud gestión en salud organización y administración federalismo burocracia |
| description |
Thise article analyzes the role of the institutional supporters as individuals responsible for the conduction of public policies. Thus, it aims to understand the way in which institutional relationships are developed from the basis of the Brazilian State, through the establishment of relational dynamics among public agents, especially in the confrontation of complex issues regarding Brazilian federative relationships. The study was conducted at the General Coordination for Primary Health Care Management of the Primary Health Care Department of the Brazilian Ministry of Health. The research was based on qualitative epistemology, with the development of a documentary research, observation, in-depth interviews and focus groups between November 2015 and June 2017. The results enabled the identification of two structuring elements of the work of the supporters - ties to and knowledge of the territory -, which subsidize the development of a typology of the strategy of action developed and operated by the supporters, namely: application, adaptation, and cooperation. We concluded that the advancement in the implementation of the institutional support strategy was fundamentally made possible due to the relational and in-person dynamics among the individuals, and its results indicate concrete possibilities regarding the advancement in the guarantee of the right to health, in spite of the difficulties and contradictions that characterize Brazilian federalism. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-06-24 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo Avaliado pelos pares |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/889 10.1590/1981-7746-sol00221 |
| url |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/889 |
| identifier_str_mv |
10.1590/1981-7746-sol00221 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
| dc.relation.none.fl_str_mv |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/889/192 |
| dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio https://creativecommons.org/licenses/by/4.0 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
| publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
| dc.source.none.fl_str_mv |
Trabalho, Educação e Saúde; v. 17 n. 3 (2019) 1981-7746 reponame:Trabalho, Educação e Saúde (Online) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
| instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
| instacron_str |
FIOCRUZ |
| institution |
FIOCRUZ |
| reponame_str |
Trabalho, Educação e Saúde (Online) |
| collection |
Trabalho, Educação e Saúde (Online) |
| repository.name.fl_str_mv |
Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ) |
| repository.mail.fl_str_mv |
revtes@fiocruz.br |
| _version_ |
1798943469255786496 |