The aim of this study is to understand and explain how street-level bureaucrats manage high workloads in public healthcare organisations. Data was collected through observations, interviews and documents. The results show that high workloads are reduced through use of collegial mechanisms at the organisation level. The study shows that workloads are reduced in a two-step process, the first is a negotiation between professionals and the second in the meeting with patients. The two-step process explains the limitation problems in more detail and makes an important contribution by explaining how high workloads are reduced in public health services.

中文翻译：

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基层官僚如何管理高工作量？组织层面的合议机制——来自公共医疗机构的经验

本研究的目的是了解和解释街头官僚如何管理公共医疗机构的高工作量。通过观察、访谈和文件收集数据。结果表明，通过在组织层面使用合议机制可以减少高工作量。研究表明，减少工作量的过程分为两步，第一步是专业人员之间的谈判，第二步是与患者会面。两步过程更详细地解释了限制问题，并通过解释如何减少公共卫生服务中的高工作量做出了重要贡献。