Technical-assistance arrangements in coping with the COVID-19 pandemic from the managers’ perspective

Abstract

Objective: to describe the technical-assistance arrangements developed within the scope of work management in the COVID-19 pandemic care network, from the managers’ perspective. Method: a qualitative research study, of the incorporated single case type, conducted with 23 managers of a Health Care Network. The analysis was applied in two thematic coding cycles, with the aid of the ATLAS.ti software. Results: the arrangements were analyzed in categories related to health care; management; incorporation of technologies; implementation of a field hospital; and retrospective analysis of the experiences as a whole. There was emphasis on the implementation of care flows, virtual health bulletins, Telemonitoring, chatbots, use of applications, and implementation of field hospitals and of basic urgency services within the scope of the Basic Health Units. Hyperjudicialization in the system was identified; as well as weaknesses in information management, intersectoriality and technical-political leadership at the national level; the role of nurses in management positions and for coping with the pandemic. Conclusion: despite the health services’ unpreparedness to face the pandemic, the actors’ resilience promoted dynamism and technical-assistance arrangements in the context of management and humanized care. The study has a potential to contribute to the qualification of the public policy management and development practices.

Repercussions and Legacy of the COVID-19 Pandemic in Manaus, Brazil: The Health Managers’ Perspective

“…Although the research findings do not extensively highlight the organization and provision of care to populations living in rural areas (land, river, and riverside) or even immigrants and people living on the streets, managers cited different strategies, developed in partnership with other institutions: the creation of collective housing, providing health care, isolation of infectious people, and monitoring of signs of aggravation (Lima et al, 2022).…”