Abstract
This article aims to reflect on a strategy of the use of the knowledge of local health services managers in Rosário (Argentina), through the articulation of research and training processes of local health services managers with the processes of political and institutional changes in the organization of the health services system. The creation of the conditions for the integration demanded considerable efforts of adaptation: changes of the involved actors were conducted to facilitate the legitimacy and the communication between the academy and the health services, new contends were developed and methodologies were adapted to the prevailing problems, besides the development of active strategies for publicizing researches as of a wide range of workers. The levels of the needed flexibility and the magnitude of the invested efforts by the producers and also by the users of the knowledge should be interpreted under the context of the political complexity that permeates the health systems in Latin America, where the services management influences not only the knowledge, in terms of resources distribution (power and money), but also the significant outcomes offered to the population.
References
2. Almeida C, Báscolo E. Use of research results in policy decision-making, formulation, and implementation: a review of the literature. Cad Saúde Pública. 2006;22(suppl): S7-S19.
3. Bazzani R, Levcovitz E, Urrutia S, Zarowsky C. Construyendo puentes entre investigación y políticas para la extensión de la protección social en salud en América Latina y el Caribe: una estrategia de cooperación conjunta. Cad Saúde Pública [periódico na internet]. 2006 [acesso em 30 out 011]; 22:109-112. Disponível em: http://www.scielo.br/pdf/csp/v22s0/10.pdf
4. Báscolo E. Gobernanza y economía política de las políticas de APS en América Latina Ciência & Saúde Coletiva [periódico na internet]. 2011 [acesso em 30 out 2011]; 16(6):2763-2772. Disponível em: <http://www.redalyc.org/src/inicio/ArtPdfRed.jsp?iCve=63019110015>.
5. Báscolo E, Yavich N, Ponce N. Vínculos entre investigación y política: la perspectiva de los investigadores acerca de la relación entre dos “comunidades” a lo largo del proceso de investigación. In: Hernadez Bello A, Rico Sotelo R de, editoras. Protección social en salud en América Latina y el Caribe [monografía na internet]. Bogotá: Centro Internacional de Investigaciones para el Desarrollo;2011. [acesso em 30 out 2101]. Disponível em:http://www.idrc.ca/openebooks/509-0/
6. Báscolo, E. Gobernanza de las organizaciones de salud basados en Atención Primaria de Salud. Rev Salud Pública. 2010;12(1): 8-27.
7. Bascolo E, Yavich N. Governance of PHC development in Rosario, Argentina. Rev Salud Pública [periódico na internet]. 2010 [acesso em 30 out 2011];12(suppl 1):89-104. Disponível em: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0124-00642010000700007&lng=en&nrm=iso.
8. Báscolo E, Yavich N, Sánchez de León A. El proceso de interacción investigadores y tomadores de decisiones: un estudio de caso. Cad. Saúde Pública [periódico na internet]. 2006 [acesso em 30 out 2011];22( suppl):S47-S56. Disponível em: http://www.scielo.br/scielo.phpcript=sci_arttext&pid=S0102-311X2006001300014&lng=en&nrm=iso&tlng=es
9. Central West Health Planning Information Network-CWHPIN. A framework for evaluating the utilization of health information products [monografia na internet]. 2000. Local da publicação; ano [acesso em 30 out 2010]. Disponível em: http://cwhweb.mcmaster.ca. Acesso em: 30 de outubro de 2011 10. Contandriopoulos D, Dubois CA. The reciprocal dynamics of organizing and sensemaking in the implementation of Major Public Sector Reforms. Canadian Public Administration. 2009;52(2): 225–48.
11. Davies, HTO, Nutley SM, Walter, I. Assessing the impact of social science research: Conceptual, methodological and practical issues. In: Background paper of the Symposium on Assessing Nonacademic Impact of Research; 2005 May 12-13; Londres; Research Unit for Research Utilisation; 2005.
12. Kirkhart KE. Reconceptualizing evaluation use: an integrated theory of influence. In: Caracelli V; Preskill H, editores. The Expanding Scope of Evaluation Use. San Francisco: Jossey-Bass; New Directions for Evaluation 2000 (88): 5-23.
13. Landry R, Amara N. Utilization of social science research knowledge in Canada. Research Policy. 2001;30(2): 333.
14. Landry R, Amara N, Lamari M. Climbing the ladder of research utilization. Science Communication. 2001;22:396-422.
15. Ouchi W. Markets, Bureaucracies, and Clans. ASQ 1980; 25(1):129-41
16. Patton M.Q. A Vision of evaluation that strengthens democracy. Evaluation. 2002;8(1):125-139.
17. Pittman P, Almeida C. Cross-sector learning among researchers and policy-makers: the search for new strategies to enable use of research results. Cad. Saúde Pública [periódico na internet]. 2006 [acesso em 30 out 2011]; 22(suppl):97-108. Disponível em: http://www.scielo.br/scielo.php?script=sci_pdf&pid=S0102-311X2006001300019&lng=pt&nrm=iso&tlng=en.
18. Pyra K. Knowledge translation: a review of the literature [monografia na internet]. Halifax: Nova Scotia Health Research Foundation. 2003 [acesso em 30 out 2011. Disponível em: http://www.nshrf.ca/AbsPage.aspx?id=1059&siteid=1&lang=1
19. Rodríguez C, Langley A, Béland F, Denis JL. Governance, power, and mandated : collaboration in an interorganizational network. Administration & Society. 2007;39 (2):150-193.
20. Scott W, Richard PM, Seth P. Environments and fields: studing the evolution of a field of medical care organizations. In: Powell WW, Jones DL. Bending the bars of the iron cage: institutional dynams and processes. Chicago: University of Chicago; 2000
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Copyright (c) 2012 Ernesto Báscolo, Natalia Yavich