Peruhype Rarianne Carvalho, Mitano Fernando, Hoffmann Juliana Feliciati, Surniche Catiucia de Andrade, Palha Pedro Fredemir
Post-doctoral fellow, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. RN, Departamento de Ações em Saúde, Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, RS, Brazil.
PhD, Professor, Escola de Medicina, Universidade de Lúrio, Marrere, Nampula, Mozambique.
Rev Lat Am Enfermagem. 2018 Aug 9;26:e3015. doi: 10.1590/1518-8345.2213.3015.
to investigate the planning pathways in the transfer of Directly Observed Treatment of tuberculosis.
a qualitative study conducted using interviews and a semi-structured guide, administered to five subjects who were among the coordinators and managers of the tuberculosis control programs, and the secretary of health of a municipality in the south of Brazil. Situational Strategic Planning and Discourse Analysis of the French matrix were the theoretical and analytical references used, respectively.
three reflexive axes were identified: weaknesses in the process of planning the Directly Observed Treatment transfer, antagonism between planning and daily requirements and formulation of planning and execution. Lack of systematization regarding the planning and execution for transfer the Directly Observed Treatment policy, demonstrates the fragility and incipience of this activity, and the possibility of its non-existence.
the urgent need for managers and coordinators to better appropriate the theoretical framework for changing public policies, and the related planning mechanisms, includes a proposal for reorganization and qualification of the diffusion process, both practical-operative and political-organization.
探讨结核病直接督导治疗转移中的规划路径。
采用访谈和半结构化指南进行定性研究，对象为巴西南部一个市镇结核病控制项目的协调员、管理人员以及卫生秘书等五人。分别以情境战略规划和法国矩阵话语分析作为理论和分析参考。
确定了三个反思轴：结核病直接督导治疗转移规划过程中的弱点、规划与日常需求之间的对立以及规划与执行的制定。在结核病直接督导治疗政策转移的规划和执行方面缺乏系统化，表明了这项活动的脆弱性和初始性，以及其不存在的可能性。
管理人员和协调员迫切需要更好地运用公共政策变革的理论框架及相关规划机制，包括提出对传播过程进行重组和提升资质的建议，涵盖实际操作和政治组织层面。
