Abstract

The need to respond to the COVID-19 pandemic has created challenges for services delivered by frontline workers (FLW). This paper analyzes how the Brazilian government regulated the reorganization of Primary Health Care (PHC) and how FLW responded to these initiatives, comparing the roles played by nurses and community health workers. Given the multilevel health system, it was expected that the high level of ambiguity would stimulate innovations. However, data show that the ambiguity created different situations for each profession. While nurses were able to adapt their work and act with more autonomy, CHW lost their role in the policy.

Note: In the interests of space, street-level theory and the pandemic context underpinning the articles for this special issue are discussed in detail in the Introduction to the issue.

抽象的

应对COVID-19大流行的需求给一线员工（FLW）提供的服务带来了挑战。本文通过比较护士和社区卫生工作者所扮演的角色，分析了巴西政府如何规范初级卫生保健（PHC）的重组以及FLW对这些举措的反应。鉴于卫生系统是多级的，人们期望高度的歧义会刺激创新。但是，数据表明，模糊性为每个职业造成了不同的情况。尽管护士能够调整自己的工作并以更大的自主权采取行动，但CHW在该政策中失去了作用。

注意：为了空间的利益，在本期《引言》中详细讨论了该特殊文章的街头理论和流行背景。