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- Title
The coordination role of Rio Grande do Norte state government in response to covid-19: Innovation in times of crisis?
- Authors
Gomes, Sandra; Nogueira da Silva, André Luís; Ianni Segatto, Catarina; Santos, Anderson
- Abstract
From a case study of the State of Rio Grande do Norte, in Brazil, this article discusses the role of states in coordinating healthcare with its local governments in the context ofthe newcoronavirus pandemic. The absence of federal government initiatives in responding to the pandemic in Brazil have been acknowledged by several specialists as an unprecedented event in the Brazilian federation, breaking with a recurrent pattern of national coordination and regulation by different governments since the 1988 Constitution. In this sense, states and municipalities had to adopt their own initiatives to respond to the pandemic. Qualitative research based on the collection of documents (local media, epidemiological reports, and state regulations) and in-depth interviewswith state and municipal managers reveals significant changes in the state-municipal relationship throughout the pandemic period in Rio Grande do Norte, a state historically characterized by the lack of state coordination. The pandemic, thus, functioned as an exogenous shock, which induced changes in the pattern of state coordination in healthcare. It is unclear, however, whether these changes are one-off or permanent since theweight of increasing returns – a specification of a path dependency process – seemtowork as amechanism producing inertial dynamics of difficult disruption with the past.
- Subjects
RIO Grande do Norte (Brazil); BRAZIL; COVID-19 pandemic; STATE governments; TECHNOLOGICAL innovations; COVID-19; LOCAL mass media; ECONOMIES of scale; STATE regulation
- Publication
Saúde e Sociedade, 2022, Vol 31, Issue 4, p1
- ISSN
0104-1290
- Publication type
Article
- DOI
10.1590/S0104-12902022210523en