Secretaria Municipal de Saúde, Diretoria de Gestão de Trabalho e Educação na Saúde. João Pessoa, Paraíba, Brasil.
Instituto Federal de Educação, Ciência e Tecnologia da Paraíba (IFPB), Campus Avançado João Pessoa Mangabeira. João Pessoa, Paraíba, Brasil.
Rev Gaucha Enferm. 2021 Dec 6;42:e20200427. doi: 10.1590/1983-1447.2021.20200427. eCollection 2021.
To analyze the effects of meanings produced by the speechess of health managers about the Policy Transfer of Directly Observed Treatment of Tuberculosis.
Qualitative study developed in 2017 with six managers working in health services located in municipalities in the state of Paraíba. The corpus, constituted by interviews, was analyzed by Discourse Analysis.
The speeches expressed aspects favorable to the operationalization of the policy transfer process, such as investing in human, technological, physical and material resources; coordinating management in the organization of the network and raising the awareness of the professionals involved. Barriers were identified, such as the prevalence of cases in the Reference Unit; professional turnover; prejudice and social vulnerability.
The study showed that financial investments, government pacts and commitment of the actors involved in the production of care are necessary to carry out the policy transfer process in the municipalities investigated.
分析卫生管理人员关于结核病直接观察治疗政策转移的言论所产生的意义。
这是一项 2017 年开展的定性研究，参与者为来自帕拉伊巴州各市卫生服务机构的 6 名管理人员。通过访谈获得语料库，采用话语分析进行分析。
言论表达了有利于政策转移过程运作的方面，例如投资于人力、技术、物理和物质资源；协调网络管理和提高相关专业人员的认识。还确定了一些障碍，如参考单位的病例流行；人员流动；偏见和社会脆弱性。
该研究表明，在被调查的城市中，进行政策转移过程需要财政投资、政府协议和参与照顾生产的各方的承诺。
