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Theoretical reflections on governance in health regions

机译:关于卫生区域治理的理论思考

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This article analyzes governance in health regions, through the contributions of two studies: one on a governance model and the other on duties in the management of public policies networks. The former conducted a meta-analysis of 137 case studies in the literature on collaborative governance aimed at preparing an explanatory and analytical model. Authors identified critical variables that will influence the results: a previous history of conflict or cooperation, incentives for participation, power imbalances, leadership and institutional design. They also identified key factors: face-to-face dialogue, trust building and development of commitment and shared vision. The latter study examined networks of public policies in the analytic tradition and the perspective of governance, incorporating concepts from the field of political science, economics and interorganizational relations, in order to support the management of public policies networks. The study identified network management as equivalent to a strategic game involving functions: network activation, framework of relations, intermediation, facilitation and consensus building and mediation and arbitration. The combination of the two reflections provides a conceptual reference for better understanding of governance in health regions.
机译:本文通过两项研究的成果来分析卫生区域的治理:一项是关于治理模型,另一项是关于公共政策网络管理中的职责。前者对协作管理文献中的137个案例研究进行了荟萃分析,旨在准备一个解释性和分析性模型。作者确定了将影响结果的关键变量:冲突或合作的历史记录,参与动机,权力失衡,领导能力和机构设计。他们还确定了关键因素:面对面的对话,建立信任以及发展承诺和共同愿景。后者的研究从分析传统和治理角度考察了公共政策网络,并纳入了政治科学,经济学和组织间关系领域的概念,以支持公共政策网络的管理。该研究确定网络管理等同于涉及以下功能的战略游戏:网络激活,关系框架,中介,促进和建立共识以及中介和仲裁。两种观点的结合为更好地理解卫生区域的治理提供了概念上的参考。

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