Imposing significant challenges for both street-level implementation and policy (re)design, crises alter the environment for street-level policy entrepreneurship (SLPE), wherein street-level bureaucrats engage in policy formulation processes to secure future policy outcomes. Nevertheless, like street-level implementation in general, SLPE is studied during ordinary times but rarely during crises. Focusing on community-health workers in Brazil during the Covid-19 crisis uncovered a defensive motivation for SLPE, which aimed to legitimize community healthcare as an integral part of pandemic treatment, reforming the government's hitherto neglectful approach to community health services. Moreover, the continuing crisis created an unusually prolonged window of opportunity for securing community healthcare provision. By utilizing collective efforts and drawing on powerful politicians' mobilization, SLPE during crisis shares similarities with, yet differs from, SLPE during ordinary times, while further closing the interstices between local, professional, and political perspectives in the formulation of policy decisions.

中文翻译：

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在大流行的迷雾中工作：危机时期的街头政策创业

危机给街道层面的实施和政策（重新）设计带来了重大挑战，改变了街道层面的政策创业（SLPE）的环境，其中街道层面的官僚参与政策制定过程以确保未来的政策成果。尽管如此，就像一般的街道级实施一样，SLPE 在平时被研究，但在危机期间很少被研究。在 Covid-19 危机期间关注巴西的社区卫生工作者，揭示了 SLPE 的防御动机，旨在将社区卫生保健作为大流行治疗的一个组成部分合法化，改革政府迄今为止对社区卫生服务忽视的做法。此外，持续的危机为确保提供社区医疗保健服务创造了一个异常漫长的机会之窗。