条件现金转移计划中的跨部门性:参与者,趋同和冲突
José Anael Neves1, Luciene Burlandy2, Maria Angélica Tavares de Medeiros3
1Interdisciplinary Graduate Program in Health Sciences, Health and Society Institute, Federal University of São Paulo Campus Baixada Santista. Santos, Brazil.
Global public health
|January 22, 2024
概括
巴西Bolsa Família计划 (BFP) 的跨部门合作显示出有限的整合,偶尔的行动和冲突来自机构的孤立. 需要加强协调,才能有效地满足弱势家庭的需求.
科学领域:
- 公共卫生 公共卫生
- 社会政策 社会政策 社会政策
- 社会学 社会学 社会学
背景情况:
- 博尔萨家庭计划 (BFP) 旨在支持巴西的弱势家庭.
- 有效的实施依赖于卫生,教育和社会援助部门的协调努力.
- 了解跨部门动态对于计划的成功和解决社会经济不平等至关重要.
研究的目的:
- 分析卫生,教育和社会援助部门在BFP的运作中之间的跨部门安排.
- 在 BFP 背景下,识别跨部门合作中的趋同和冲突.
- 探索这些安排对该计划在巴西东南部边缘城市地区的有效性的影响.
主要方法:
- 使用基于行为者网络理论 (ANT) 的内容分析的定性方法.
- 采访了17名来自卫生,教育和社会援助市政秘书处的管理人员.
- 采访还包括基本教育,初级医疗保健和社会援助专业人员.
主要成果:
- 确定了一次性,偶发性和不连续的跨部门行动,部门之间的集成有限.
- 发现了关于跨部门合作和承认同一个弱势群体的共同观念的趋同.
- 观察到来自机构条件,部门化工作流程以及职业职责缺乏明确性的冲突.
结论:
- 跨部门合作的特点是BFP的碎片化和整合方面的挑战.
- 对目标群体的共同理解为融合提供了基础,但制度和专业障碍阻碍了有效的合作.
- 解决这些冲突和改善部门整合至关重要,以最大限度地提高BFP对减少弱势家庭不平等的影响.
相关概念视频
01:50Cross-Sectional Research
11.3K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
11.3K
01:30Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
01:25Strategies for Assessing and Addressing Confounding
101
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
101
02:06Social Exchange Theory
34.5K
We have discussed why we form relationships, what attracts us to others, and different types of love. But what determines whether we are satisfied with and stay in a relationship? One theory that provides an explanation is social exchange theory. According to social exchange theory, we act as naïve economists in keeping a tally of the ratio of costs and benefits of forming and maintaining a relationship with others (Rusbult & Van Lange, 2003).
34.5K
01:28Compensation Mechanisms
314
The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
314
01:21Causality in Epidemiology
421
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
421