[The management work process: powerful tool for change in health care practice?]

Area of Science:

• Healthcare Management
• Health Services Organization
• Public Health Policy

Background:

• The integration of healthcare service management with production organization is crucial for efficient Basic Health Units.
• The implementation of the SILOS technical care model provides a specific context for analyzing these dynamics.
• Understanding the interplay between micro and macro political issues in management is essential for effective healthcare delivery.

Purpose of the Study:

• To analyze the articulation between healthcare service management and production organization within Basic Health Units.
• To examine the implementation of the SILOS technical care model and its impact on management processes.
• To explore the "micropolitical" and "macropolitical" dimensions of management work in healthcare.

Main Methods:

• Analysis of management work processes using "micropolitical" and "macropolitical" frameworks.
• Contextual study during the implementation phase of the SILOS technical care model.
• Utilizing analytical instruments to understand power dynamics in healthcare management.

Main Results:

• Management work processes in Basic Health Units exhibit identifiable areas of power.
• The "micropolitical" aspects of management are intrinsically linked to "macropolitical" issues.
• The SILOS model implementation highlights the significance of power dynamics in service delivery.

Conclusions:

• Identifying and understanding power dynamics within management is key to transforming healthcare services.
• Effective healthcare management requires attention to both the micro-level operational and macro-level policy influences.
• The study provides insights into how power can be leveraged for positive change in Basic Health Units.