Editors’ Introduction

Author(s):  
Ewan Ferlie ◽  
Kathleen Montgomery ◽  
Anne Reff Pederson

This introductory chapter offers an overview of the purpose and structure of the Handbook. It begins by explaining why the health care management field is a worthy object of academic study. Next, it offers a reasoned critique of two main streams of current literature in the field and then articulates three propositions that guided the Handbook structure: (i) both classic and emerging social science perspectives and theories can add analytical richness and variety to health management research today; (ii) an expanding range of health policy-related phenomena can and should be explored academically; and (iii) building a wider international literature base is a valuable endeavor. The second half of the introduction reviews the main themes of each chapter and the four Parts of the book. Finally, it discusses the extent to which the original three propositions have been fully worked out in the Handbook and where further work should take place.

Author(s):  
Laura Caccioppoli

This chapter will examine how nonprofits are both bridging the gaps left behind from health policy, and are at the intersection of institutions, interests, and the policy process. Using cultural competency as a theoretical lens, the chapter will make use of the current literature, demographic trends, and other qualitative and quantitative data to situate three case studies. As the Affordable Care Act, and other health policies tout themselves as solutions to gaps in health care services for minorities, this chapter offers an overview and evaluation of these policies as well as an explanation of the role nonprofits have in filling necessary service delivery and advocacy.


2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Rafael Soder ◽  
Isabel Cristine Oliveira ◽  
Luiz Anildo Anacleto Da Silva ◽  
José Luís Guedes Santos ◽  
Caroline Cechinel Peiter ◽  
...  

Objetivo: Analisar os desafios da gestão do cuidado na atenção básica a partir da perspectiva da equipe de enfermagem. Método: Estudo descritivo-exploratório de abordagem qualitativa. Os dados foram coletados por meio de entrevistas com 20 profissionais de enfermagem da Estratégia Saúde da Família de municípios do interior do Rio Grande do Sul e analisados mediante técnica de análise de conteúdo. Resultados: Apresentam-se três categorias: Morosidade da gestão pública; Sobrecarga de trabalho; e, Fragmentação e descontinuidade da assistência. Conclusão: Os desafios apresentados podem ser propulsores de mudanças, por meio de ações de gestão planejada desenvolvidas coletivamente, conforme a realidade de cada cenário.Descritores: Organização e Administração; Gestão em Saúde; Atenção Primária à Saúde; Enfermagem de Atenção Primária; Estratégia Saúde da Família.CHALLENGES FOR THE CARE MANAGEMENT IN PRIMARY HEALT H CARE: PERSPECTIVE OF THE NURSING TEAMObjective: To analyze the challenges for the care management in primary health care from the perspective of the nursing team.Method: Descriptive-exploratory study of a qualitative approach. Data were collected through interviews with 20 nursing professionals from the Family Health Strategy of municipalities in the interior of Rio Grande do Sul and analyzed using a content analysis technique.Results: Three categories are presented: Morosity of public management; Work overload; and, Fragmentation and discontinuance of assistance. Conclusion: The challenges presented can be drivers of change, through planned management actions developed collectively, according to the reality of each scenario.Descriptors: Organization and Administration; Health Management; Primary Health Care; Primary Care Nursing; Family Health Strategy.DESAFÍOS DE LA GESTI ÓN DEL CUIDADO EN LA ATEN CIÓN BÁSICA: PERSPECTIVA DEL EQUIPO DE ENFERMERÍAObjetivo: Analizar los desafíos de la gestión del cuidado en la atención básica desde la perspectiva del equipo de enfermería. Metodologia: Estudio descriptivo-exploratorio de abordaje cualitativo. Los datos fueron recolectados por medio de entrevistas con 20 profesionales de enfermería de la Estrategia Salud de la Familia de municipios del interior de Rio Grande do Sul y analizados mediante técnica de análisis de contenido.Resultados: Se presentan tres categorías: Morosidad de la gestión pública; Sobrecarga de trabajo; y, Fragmentación y discontinuidad de la asistencia.Conclusión: Los desafíos presentados pueden ser propulsores de cambios, a través de acciones de gestión planificada desarrolladas colectivamente, conforme a la realidad de cada escenario.Descriptores: Organización y Administración; Gestión en Salud; Atención Primaria de Salud; Enfermería de Atención Primaria; Estrategia de Salud Familiar.


2019 ◽  
Vol 28 ◽  
Author(s):  
Denise Elvira Pires de Pires ◽  
Lara Vandresen ◽  
Francele Machado ◽  
Rosani Ramos Machado ◽  
Felipa Rafaela Amadigi

ABSTRACT Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.


Author(s):  
Laura Caccioppoli

This chapter will examine how nonprofits are both bridging the gaps left behind from health policy, and are at the intersection of institutions, interests, and the policy process. Using cultural competency as a theoretical lens, the chapter will make use of the current literature, demographic trends, and other qualitative and quantitative data to situate three case studies. As the Affordable Care Act, and other health policies tout themselves as solutions to gaps in health care services for minorities, this chapter offers an overview and evaluation of these policies as well as an explanation of the role nonprofits have in filling necessary service delivery and advocacy.


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