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

自由裁量权与地方卫生政策实施:桑托斯地方卫生单位的基层官员与综合辅助疗法

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Abstract

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.

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