官僚层级关系及其对公共卫生服务合作生产的影响

IF 0.2 Q4 PUBLIC ADMINISTRATION
Grazielli Faria Zimmer Santos, Paula Chies Schommer
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引用次数: 0

摘要

研究目标:本研究分析了不同级别的地方官僚机构(高层、中层和基层)之间的关系——以及它们运作的规则和价值观背景——如何影响公共卫生服务合作生产的做法。理论框架:该研究基于两个不同的理论概念,很少与文献相关:公共服务的共同生产和官僚机构的水平。方法:这是一项定性研究,考察了巴西三个中等城市的家庭保健战略。结果:六种合作生产安排表明,合作生产实践以不同的方式实现,与用户分享或多或少的权力,这取决于各级官僚机构、官僚机构与公民之间不同的关系模式。独创性:很少有研究从国家的角度来分析合拍片。因此,本研究探索了文献中的空白,重点关注官僚主义水平之间的关系及其对公共服务合作生产实践的影响。理论和实践贡献:研究结果提出了四个值得理论发展的观点,这些观点也值得从事合拍片的从业者注意:(1)任何级别的官僚机构都可能对合拍片产生抵制或开放,这不是由等级决定的;(2)高层和中层官僚机构对合作制作的支持和激励结构不能保证基层官僚机构的参与;(3)中高层官僚协作是扩大合作成果的必要条件;(4)各级官僚机构之间、官僚机构与公民之间的关系模式不同。关键词:合作生产,官僚主义水平,合作生产安排,公共卫生服务合作生产。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services
Research objective: This research analyzes how relationships between different levels of local bureaucracy (top, mid, and street-level) – and the context of rules and values in which they operate – affect the practices of co-production of public health services. Theoretical Framework: The study is based on two distinct theoretical concepts rarely associated in the literature: the co-production of public services and levels of bureaucracy. Methodology: It is a qualitative research examining the family health strategy in three medium-sized Brazilian municipalities. Results: The six co-production arrangements identified showed that co-production practices materialize in different ways, sharing more or less power with users, depending on the different patterns of relationship between levels of bureaucracy and the bureaucracy and citizens. Originality: Few studies analyze co-production from the state’s point of view. Therefore, this research explores a gap in the literature, focusing on the relationships between levels of bureaucracy and their influence on public service co-production practices. Theoretical and practical contributions: The results raised four points to be theoretically developed, points that also deserve the attention of practitioners operating in co-production: (1) Any level of bureaucracy can offer resistance or openness to co-production, and this is not hierarchically determined; (2) A structure of support and incentive for co-production by the top and mid-level bureaucracy does not guaranteethe engagement of street-level bureaucracy; (3) The collaboration of top and mid-level bureaucracy is essential to expand co-production results; (4) Different relationship patterns between levels of bureaucracy and between the bureaucracy and citizens.   Keywords:Co-production, Levels of bureaucracy, Co-production arrangements, Co-production of public health services.
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来源期刊
Administracao Publica e Gestao Social
Administracao Publica e Gestao Social PUBLIC ADMINISTRATION-
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