Healthcare Workers during the COVID-19 Pandemic from a Street-Level Bureaucracy Perspective - A Narrative Review of Literature.

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Bibliographic Details
Title: Healthcare Workers during the COVID-19 Pandemic from a Street-Level Bureaucracy Perspective - A Narrative Review of Literature.
Alternate Title: Trabajadores de la salud durante la pandemia por COVID-19 desde la perspectiva de la burocracia de calle: una revisión narrativa de la literatura.
Authors: Mojica Méndez, Daniela1 (AUTHOR) daniela.mojica@javeriana.edu.co, Michelsen Gómez, Silvana1 (AUTHOR), Cadena Camargo, Yazmin2 (AUTHOR)
Source: Universitas Médica. 2021, Vol. 62 Issue 4, p1-16. 16p.
Abstract (English): Street-level bureaucrats are professionals whose main role consists in the implementation of public policies at a community level, guiding themselves through the use of autonomy and discretion. In this narrative review of literature 44 articles that had information about street-level bureaucracy regarding healthcare workers in the COVID-19 pandemic in specific countries (China, United States, Italy, Brazil, Mexico and Colombia) were selected from various databases and analyzed to explore how the implementation of health public policies during the current COVID-19 pandemic impacted and shaped the work of healthcare workers. Various ideas were extracted and analyzed using the street-level bureaucracy model as a reference point. We concluded that street-level bureaucrats have played a crucial role in this pandemic and that providing them with government support, clear public policies and enough resources is essential for them to correctly manage public health problems. Further research needs to be done regarding the consequences brought upon street-level bureaucrats by the pandemic and the impact that street-level bureaucrats have had in countries like Colombia. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Los burócratas de calle son trabajadores de la primera línea de atención, cuyo principal rol consiste en implentar políticas públicas comunitarias, guiándose a través de los conceptos de autonomía y discreción. En esta revisión narrativa de la literatura se seleccionaron 44 artículos de diferentes bases de datos, que contenían información sobre la implementación de políticas en medio de la pandemia por COVID-19 en ciertos países en específico (China, Estados Unidos, Italia, Brasil, México y Colombia). Desde el modelo de la burocracia de calle, se analizó cómo la implementación de dichas políticas repercutió en el trabajo de los profesionales de la salud. Se concluye que los burócratas de calle han desempeñado un rol crucial en esta pandemia y que proveerlos con apoyo estatal, políticas públicas claras y recursos suficientes es esencial para que puedan manejar adecuadamente los problemas de salud pública en la actualidad. Se requiere mayor investigación sobre las consecuencias de la pandemia para los burócratas de calle y el impacto de estos en países como Colombia. [ABSTRACT FROM AUTHOR]
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