RESUMO

This paper describes and compares the integration of cross-sector actors' participation into the governance of two local health councils, one located in Salvador de Bahia (Brazil) and the other in the Canary Islands (Spain). Based on the cross-national comparative research conducted as part of a doctoral thesis, a qualitative design based on secondary data analysis was proposed on the three stages of the organisational integration process of participation. We used information from individual semi-structured interviews (n = 70), situational observation, focus groups, literature review, and field notes to understand participatory processes of networking between multiple cross-sector actors and to show how such processes might be associated with innovative practices. For these innovations to be successfully implemented, stakeholders need to acquire adequate competencies in cross-sector collaboration, enabling them to learn about new organisational practices and to adapt the network of actors to the often unpredictable influences of contextual factors.

Assuntos

Grupos Focais , Espanha , Brasil , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , Governo Local , Atenção à Saúde/organização & administração , Participação dos Interessados

RESUMO

Background: The COVID-19 pandemic in Brazil had a major impact on face-to-face permanent education for health (PEH) workplace learning groups in primary care. Aims: The aim of the study was to explore how PEH groups in primary care changed during the COVID-19 pandemic. Methods: A qualitative exploratory evaluation study was conducted with six key participants, who answered semi-structured questions in on-line interviews. Results: The PEH groups rapidly and successfully implemented an online approach using social media. The role of the coordinator changed from being a facilitator to an information broker for navigating the large volume of conflicting information and misinformation. Conclusions: The findings highlight the importance of being an agile organisation, with a 'bottom-up' approach to innovation, and the key role of having an information broker in rapidly changing and complex environments. An appreciation of the importance of the socio-technical system for technology implementation in an organisation was also highlighted, with the use of technologies that are familiar to members of the organisation.