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The aim of this study was to analyze the discourse of health managers on aspects related to delay in tuberculosis diagnosis. This was a qualitative research study, conducted with 16 Family Health Unit managers. The empirical data were obtained through semi-structured interviews. The analysis was based on the theoretical framework of the French school of discourse analysis. According to the managers’ statements, the delay in tuberculosis diagnosis is related to patient and health service aspects. As for patient aspects, managers report fear, prejudice and lack of information as factors that may promote a delayed diagnosis. Regarding health service aspects, structural problems and lack of professional skills were reported. The discourse of managers should be considered to qualify tuberculosis control actions and to prevent delays in diagnosis.

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El concepto de innovaciones democráticas ha ido ganando relevancia en la última década. En general, se refiere a un interés renovado por involucrar a la ciudadanía en los asuntos públicos, buscando incluirles en el proceso de toma de decisiones políticas. Este trabajo tiene un doble objetivo. Por un lado, busca ahondar en el desarrollo y evolución del concepto en la literatura especializada, mostrando cuáles son sus antecedentes teóricos, definiciones y conceptos con los que se relaciona. Por otro, este análisis se complementa con un estudio de tendencias generales en una de las bases de datos que recoge mayor número de experiencias innovadoras.