Burocratas de Médio Escalão: novos olhares sobre velhos atores da produção de políticas públicas

Lotta, Gabriela; Pires, Roberto Rocha Coelho; Oliveira, Vanessa Elias de

doi:10.21874/rsp.v65i4.562

Cited by 49 publications

(65 citation statements)

References 51 publications

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“…Discretion Barrett (2004); Davis (1969); Floyd and Wooldridge (1992); Huising and Silbey (2011); Hupe and Hill (2007); Lipsky (1980); Lotta (2010Lotta ( , 2014; Lotta, Pires and Oliveira (2014); Pires (2009);Wilson (1967).…”

Section: Conceptual Category Referencesmentioning

confidence: 99%

“…The theoretical proposal of this work requires a more critical look at the public policy formulation phase, frequently prepared from bargaining with divergent positions of various political actors, which results in imprecise and contradictory objectives, awash with omissions and reservations (OLIVEIRA, 2012;ZAHARIADIS, 2007). Consequently, the need for these gaps to be resolved in the implementation phase emerges; in other words, at the administrative level, through the action of policy implementers, who act as mediators, information centralizers and strategic intermediaries between political agents and citizens (LOTTA, PIRES and OLIVEIRA, 2014;OLIVEIRA, 2012).…”

Section: The Implementation Of Public Policies and The Field Of Publimentioning

confidence: 99%

“…Denilson Bandeira Coêlho | Jamili da Silva Palmeira (LOTTA, 2010). In practice, institutional, organizational, individual and relational interests may overlap and alter the results of policy implementation, to the point that the same public policy comes to be applied in different ways (LOTTA, 2014;LOTTA, PIRES and OLIVEIRA, 2014).…”

Section: Francesco Bonelli | Antonio Sérgio Araújo Fernandesmentioning

confidence: 99%

“…In this section, based on selected literature, the structural, individual action and relational perspectives, adopted by Lotta, Pires and Oliveira (2014) in an analysis of mid-level bureaucrats' action, are discussed. However, they will be used here in an observation of street-level bureaucrats' action, and will enable the identification of possible paths, in order to advance research on the topic.…”

Section: Perspectives For An Expanded Analysis Of Street-level Bureaumentioning

confidence: 99%

“…In the policy implementation process, these agents need to acquire specific skills -both technical-administrative and relational -to deal with the different actors involved in the uncertainties and occurrences not set out in regulations (CURRIE and PROCTER, 2005). The decisions of these bureaucrats, who are often part of the social context where they work, may fluctuate within a relatively wide margin of discretion, depending on their level of autonomy and the existence of clear and complete rules that delimit behavior and decision-making (LOTTA, 2010(LOTTA, , 2014LOTTA, PIRES and OLIVEIRA, 2014;OLIVEIRA, 2012;PIRES, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Street-level bureaucrats’ action in the implementation of public policies in Brazil: a proposal for expanded analysis

et al. 2019

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Resumo Neste artigo são analisadas as múltiplas dimensões da atuação dos burocratas de nível de rua no contexto brasileiro da implementação de políticas públicas. O objetivo do ensaio é contribuir para uma maior compreensão do tema com uma abordagem analítica expandida. Para tanto, foi realizada uma pesquisa bibliográfica em bases digitais acadêmicas que permitiu identificar e selecionar trabalhos nacionais e internacionais de acordo com critérios metodologicamente definidos. As publicações obtidas foram analisadas e organizadas em razão das seguintes categorias conceituais: discricionariedade, estruturas, ação individual e relações. Da tensão sobre regras e discricionariedade na administração pública, a análise e a interpretação desses textos evidenciaram: a) a necessidade de cotejar, separadamente e em conjunto, três diferentes perspectivas da atuação dos burocratas de nível de rua (a perspectiva estrutural, a de ação individual e a relacional); b) a necessidade de compreender a articulação dessas perspectivas no próprio processo de implementação. Após este trabalho de revisão bibliográfica foram formuladas hipóteses para uma análise expandida da atuação dos burocratas implementadores, traçando-se linhas para pesquisas futuras sobre o tema. Este ensaio contribui para o debate sobre o tema com um construto teórico inédito, que busca integrar as três diferentes perspectivas analíticas apresentadas numa síntese dialética dos conceitos centrais da literatura sobre a implementação de políticas públicas pelos burocratas de nível de rua.

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Section: Conceptual Category Referencesmentioning

confidence: 99%

Section: The Implementation Of Public Policies and The Field Of Publimentioning

confidence: 99%

Section: Francesco Bonelli | Antonio Sérgio Araújo Fernandesmentioning

confidence: 99%

Section: Perspectives For An Expanded Analysis Of Street-level Bureaumentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Street-level bureaucrats’ action in the implementation of public policies in Brazil: a proposal for expanded analysis

et al. 2019

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Discretion and local health policy implementation: street-level bureaucrats and integrative and complementary therapies in Santos’ local health units

Macena

Oliveira

2022

Prim Health Care Res Dev

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This research discusses contextual factors that influence the development of complementary and/or integrative therapies developed by local health units on street-level bureaucracy in Santos. Through a qualitative approach, the research verifies that street-level bureaucracy is free to suggest and implement the aforementioned therapies, even if they do not have formal support of the municipality; however, they need support from their immediate local supervisors so they can adjust and implement the practice’s routine, or the practice might not occur. Additionally, this text also presents guidelines in order to further develop the research.

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Policy mechanisms and types of participation in the implementation of the Brazilian pay-for-performance programme PMAQ

Coelho,

Saddi,

Peckham

et al. 2023

IJPSM

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PurposeThe study compares how distinct mechanisms that connect pre-established policy objectives to professionals' practices, and the health policy implementation context influenced different approaches to frontline staff participation. The authors analysed 26 teams in six cities from two Brazilian states, during the last cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ).Design/methodology/approachAbout 172 in-depth interviews were conducted with frontliners – community health workers (78), nurses (37), doctors (30) – and managers (27). Interview guides were based on key issues identified in the implementation and pay-for-performance (P4P) literature. Drawing on thematic analysis and synthesis of the literature, three types of participation mechanisms were identified: relational, motivational and incremental learning. They were analysed considering distinct contexts at the local level to understand how they influenced different forms of participation: mere adherence, result-oriented and transformative.FindingsAdministrations with stronger institutional organizational structures were able to control work processes and reduce professional discretion. However, sustained participation was more likely where there was greater integration between management and frontline health care teams. Motivation based only on financial incentives could not bring about transformative participation. This depended on the degree of professional's ideational motivation towards primary care. Finally, contexts with unfavourable working conditions tend to demotivate professionals, but incremental learning helps teams cope with these obstacles.Originality/valueThe study overcomes gaps in the literature in relation to PMAQ's implementation process. Overall, the study delves into which/how mechanisms alter frontliners participation in performance-oriented health programs.

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Burocratas de Médio Escalão: novos olhares sobre velhos atores da produção de políticas públicas

Cited by 49 publications

References 51 publications

Street-level bureaucrats’ action in the implementation of public policies in Brazil: a proposal for expanded analysis

Street-level bureaucrats’ action in the implementation of public policies in Brazil: a proposal for expanded analysis

Discretion and local health policy implementation: street-level bureaucrats and integrative and complementary therapies in Santos’ local health units

Policy mechanisms and types of participation in the implementation of the Brazilian pay-for-performance programme PMAQ

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