Soares Catharina Leite Matos, Paim Jairnilson Silva
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2011 May;27(5):966-74. doi: 10.1590/s0102-311x2011000500014.
This study focuses on policy implementation by public organizations. This was a qualitative, exploratory case study focusing on Brazil's National Oral Health Policy, known as "Smiling Brazil", implemented in Salvador, the State capital of Bahia. The study aimed to identify factors that facilitated or hindered the policy's implementation, based on the public policy cycle and Carlos Matus' government triangle concept, for the period from 2004 to 2007. Data collection strategies included analysis of municipal documents, interviews with key informants, and direct observation of top management meetings at the Municipal Health Secretariat. The main factors that hindered implementation of the municipal oral health policy were the project's lack of specificity; lack of human resources; and lack of financial autonomy in the Municipal Health Secretariat. The study showed that the lack of connection between the variables comprising the government triangle raised obstacles to the implementation of oral health policy in Salvador.
本研究聚焦于公共组织的政策实施。这是一项定性的探索性案例研究，重点关注在巴伊亚州首府萨尔瓦多实施的巴西国家口腔健康政策，即“微笑巴西”。该研究旨在依据公共政策周期和卡洛斯·马图斯的政府三角概念，确定2004年至2007年期间促进或阻碍该政策实施的因素。数据收集策略包括分析市政文件、采访关键信息提供者以及直接观察市卫生秘书处的高层管理会议。阻碍市口腔健康政策实施的主要因素包括项目缺乏明确性、人力资源短缺以及市卫生秘书处缺乏财政自主权。研究表明，构成政府三角的各变量之间缺乏联系，给萨尔瓦多口腔健康政策的实施带来了障碍。
