Working through the fog of a pandemic: Street-level policy entrepreneurship in times of crises

• 成果类型: Article
• 署名作者: Gofen, Anat; Lotta, Gabriela; Marchesini da Costa, Marcelo
• 署名单位: Hebrew University of Jerusalem; Centro de Investigacion y Docencia Economicas A.C. (CIDE); Getulio Vargas Foundation; Insper
• 刊物名称: PUBLIC ADMINISTRATION
• ISSN/ISSBN: 0033-3298
• DOI: 10.1111/padm.12745
• 发表日期: 2021
• 页码: 484-499
• 关键词: community-health workers; decision-making; bureaucrats; GOVERNMENT; ambiguity; agenda

摘要

Imposing significant challenges for both street-level implementation and policy (re)design, crises alter the environment for street-level policy entrepreneurship (SLPE), wherein street-level bureaucrats engage in policy formulation processes to secure future policy outcomes. Nevertheless, like street-level implementation in general, SLPE is studied during ordinary times but rarely during crises. Focusing on community-health workers in Brazil during the Covid-19 crisis uncovered a defensive motivation for SLPE, which aimed to legitimize community healthcare as an integral part of pandemic treatment, reforming the government's hitherto neglectful approach to community health services. Moreover, the continuing crisis created an unusually prolonged window of opportunity for securing community healthcare provision. By utilizing collective efforts and drawing on powerful politicians' mobilization, SLPE during crisis shares similarities with, yet differs from, SLPE during ordinary times, while further closing the interstices between local, professional, and political perspectives in the formulation of policy decisions.