A atuação da burocracia de médio escalão na resposta à pandemia de Covid-19: um estudo de caso sobre a estratégia de ampliação dos leitos hospitalares do SUS/MG

• Ano de defesa: 2023
• Autor(a) principal: Vale, Larissa Meneghini
• Orientador(a): Souza, Letícia Godinho de
• Banca de defesa: Souza, Letícia Godinho, Cruz, Marcus Vinícius Gonçalves, Menicucci, Telma Maria Gonçalves
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Fundação João Pinheiro
• Programa de Pós-Graduação: Programa de Mestrado em Administração Pública
• Departamento: Escola de Governo Professor Paulo Neves de Carvalho
• País: Brasil
• Palavras-chave em Português: Saúde Pública; Burocracia; Minas Gerais; COVID-19 (Doença); Sistema Único de Saúde (SUS); Equipamento Hospitalar; Brasil
• Área do conhecimento CNPq: SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: http://repositorio.fjp.mg.gov.br/handle/tede/596

The central theme of the work is the middle-level bureaucracy, focusing on its performance in network governance in a crisis management scenario. The objective was to analyze the performance of the middle-ranking bureaucrat of the State Department of Health of Minas Gerais (SES-MG) in the expansion of hospital beds of the Unified Health System (SUS-MG), in response to the COVID-19 pandemic. The theoretical references addressed in the study are the literature of the middle-level bureaucracy - considering its role, influence, and relational dimension of analysis of its performance -, as well as the literature on governance in networks- raising general concepts on the theme to introduce the subject of SUS governance-, and lastly the literature of crisis management, to understand the impacts of crisis management in the case proposed for study. The methodology is based on a case study that uses surveys, analysis of quantitative and documentary data, and conducting interviews. The results point to significant transformations in the governance structure and functioning of SES-MG, carried out by middle-ranking bureaucrats during the crisis situation. It also points to its relational role, emphasizing above all the strengthening of bonds, approximation, and intense articulation with internal and external actors for the formulation and implementation of the strategy for expanding beds. This revealed a way of acting as facilitators of connections in a complex network of managers in a crisis scenario. This action changes the traditional slowness and typical reactivity of Public Administration. Finally, attention was drawn to the unseen professionals who compose this segment of the bureaucracy.