Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services
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Redalyc
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidade Federal de Viçosa
2023
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| _version_ | 1876490085807947776 |
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| author | Grazielli Faria Zimmer Santos |
| author_facet | Grazielli Faria Zimmer Santos |
| contents | Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services Grazielli Faria Zimmer Santos Paula Chies Schommer Multidisciplinarias (Ciencias Sociales) Co production Levels of bureaucracy production arrangements 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. 2023 artículo científico 2175-5787 https://www.redalyc.org/articulo.oa?id=351574729006 https://www.redalyc.org/journal/3515/351574729006/ https://www.redalyc.org/journal/3515/351574729006/html/ https://www.redalyc.org/journal/3515/351574729006/351574729006.epub https://www.redalyc.org/journal/3515/351574729006/movil en http://www.redalyc.org/revista.oa?id=3515 Administração Pública e Gestão Social application/pdf Universidade Federal de Viçosa Administração Pública e Gestão Social (Brasil) Num.2 Vol.15 |
| format | Artículo científico |
| id | redalyc_351574729006 |
| institution | Redalyc |
| language | en |
| publishDate | 2023 |
| publisher | Universidade Federal de Viçosa |
| spellingShingle | Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services Grazielli Faria Zimmer Santos Multidisciplinarias (Ciencias Sociales) Co production Levels of bureaucracy production arrangements production of public health services Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services Grazielli Faria Zimmer Santos Paula Chies Schommer Multidisciplinarias (Ciencias Sociales) Co production Levels of bureaucracy production arrangements 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. 2023 artículo científico 2175-5787 https://www.redalyc.org/articulo.oa?id=351574729006 https://www.redalyc.org/journal/3515/351574729006/ https://www.redalyc.org/journal/3515/351574729006/html/ https://www.redalyc.org/journal/3515/351574729006/351574729006.epub https://www.redalyc.org/journal/3515/351574729006/movil en http://www.redalyc.org/revista.oa?id=3515 Administração Pública e Gestão Social application/pdf Universidade Federal de Viçosa Administração Pública e Gestão Social (Brasil) Num.2 Vol.15 |
| title | Relationships between Levels of Bureaucracy and their Effects on the Co-production of Public Health Services |
| topic | Multidisciplinarias (Ciencias Sociales) Co production Levels of bureaucracy production arrangements production of public health services |
| url | https://www.redalyc.org/articulo.oa?id=351574729006 https://www.redalyc.org/journal/3515/351574729006/ https://www.redalyc.org/journal/3515/351574729006/html/ https://www.redalyc.org/journal/3515/351574729006/351574729006.epub https://www.redalyc.org/journal/3515/351574729006/movil |