Navegando por Palavra-chave "Institutional Logics"

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    Protagonistas e coadjuvantes da vacinação no Brasil : lógicas e empreendedores institucionais da imunização brasileira
    (Fundação João Pinheiro, 2024) Teixeira, Flávia Avila; Batitucci, Eduardo Cerqueira; http://lattes.cnpq.br/9562452176702956; Cruz, Marcus Vinícius Gonçalves da; http://lattes.cnpq.br/3678172153181366; Cruz, Marcus Vinicius Gonçalves da; Batitucci, Eduardo Cerqueira; Carneiro, Ricardo; Domingues, Carla Magda Allan Santos; Matozinhos, Fernanda Penido
    This dissertation analyzes the configuration of institutional logics that mark the immunization process in Brazil, seeking to understand the reasons for the variation in vaccination coverage. It also identifies and analyzes the actions of the main institutional players involved in the field of vaccination, also known as institutional entrepreneurs. It uses the theoretical framework of institutional logics, from the perspective of Thornton and Ocasio (2008; 2012), in the context of institutionalism. The research adopted a qualitative, descriptive approach, through a literature review, documentary survey and semi-structured interviews with key players from various organizations in the organizational field. The findings revealed the National Immunization Program (PNI) as the main reference instrument. They showed the dynamism of institutional logics over time, which predominate to a lesser or greater degree, sometimes favoring or sometimes opposing vaccination. It was possible to identify at least eight major logics at work in this context: political; managerial; technical-operational; academic, scientific and professional; informational; industrial; supervisory and control; and individual or family. Practices and values in favor of vaccination predominated until the mid-2010s, but changed from 2015/2016 onwards, when vaccination coverage indicators began to fall. The drop in indicators is multicausal and requires a broader, multidisciplinary view of the vaccination context in order to identify bottlenecks. Currently, three logics predominate: the political logic, the managerial logic and the technical-operational logic, all of which are mutually influenced by the informational logic, which has been identified as on the rise. A misalignment was found between the managerial and technical logics of primary care and immunization. The connection and interdependence between the various logics underpins the PNI's resilience over the years, despite all its problems. The conclusion is that public managers involved in defining immunization policies, based on the institutional logics revealed by the study, should concentrate their efforts on strengthening the informational and technical-operational logics. The study contributes to broadening the debate on institutional logics and to strengthening Brazil's public immunization policy, by interpreting the logics in force in the field and guiding the actions of the players involved.