Full text
| |
| Author(s): |
Gabriela Spanghero Lotta
Total Authors: 1
|
| Document type: | Doctoral Thesis |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Letras e Ciências Humanas (FFLCH/SBD) |
| Defense date: | 2010-08-26 |
| Examining board members: |
Eduardo Cesar Leão Marques;
Carlos Aurélio Pimenta de Faria;
Ana Cristina Braga Martes;
Peter Kevin Spink;
Matthew Mac Leod Taylor
|
| Advisor: | Eduardo Cesar Leão Marques |
| Abstract | |
This research aims to understand public policy implementation as a complex process involving interaction between several actors. We consider that, in order to understand public policy, we must examine the implementation process as a dynamic interaction between users and bureaucrats who, by values, beliefs and ideas, transform the way the policies were designed. Thus, we observe the details of the implementation process, especially operated by street-level bureaucrats to understand how it operates and what are the results of individual and organizational decisions public policy implementation. This research studies the performance of Communitarian Health Agents, inside the Family Health Program, which act as street-level bureaucrats. Using ethnographic research with 24 Agents from three basic health units, we seek to understand the implementation process considering two elements: the practices carried out by bureaucrats and interaction styles that influence how they interact with users. We raise, then, the factors that may alter such forms of implementation, considering two sets of factors: the institutional / organizational, that are related to the way teams are managed, and relational, linked to the Agents social networks and their affiliations and trajectories. We conclude with a survey of the important conditions for the improvement of implementation processes, considering the relational factors, the profile of the bureaucrats and the organization of work. We observe, then, that the public policy practices vary according to factors related to daily implementation and that agents\' interactions with users, their relationships and careers bring new dynamics into the policies, which is transformed directly in the implementation. (AU) | |