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

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 im...

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Detalles Bibliográficos
Autores principales: Macena, Ariel, de Oliveira, Vanessa Elias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247683/
https://www.ncbi.nlm.nih.gov/pubmed/35651301
http://dx.doi.org/10.1017/S1463423622000172
Descripción
Sumario: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.