Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Universidade Federal de Viçosa
2023
|
| Subjects: | |
| Online Access: | 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 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of 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