The Roleplay of Angels Against the Covid-19 Pandemic: A Comparison Between Policy and De Facto Roles Assigned to Healthcare Street-Level Bureaucrats in Mexico

El Dr. Oliver David Meza Canales y  la Dra. Elizabeth Pérez Chiqués, Profesores Investigadores Titulares de la División de Administración Pública junto con el Dr. Sergio A. Campos y Samanta Varela Estudiante del Doctorado en Políticas Públicas del CIDE, escribieron el artículo The Roleplay of Angels Against the Covid-19 Pandemic: A Comparison Between Policy and De Facto Roles Assigned to Healthcare Street-Level Bureaucrats in Mexico.

Abstract

Healthcare workers are street-level bureaucrats (H-SLBs) who are expected to perform according to specific roles. The Covid-19 pandemic has strained healthcare systems to unprecedented levels. The acute scarcity of medical resources has left H-SLBs exposed to a higher risk of personal harm and has them making an increased number of decisions in the apportionment of scarce life-saving treatment. We study the case of H-SLBs in Mexico to understand the impact of the crisis on their roles. We code, analyze and compare the roles derived from two policy guidelines, and from the de facto roles that H-SLBs shared in the story-telling interviews. Findings suggest two main roles, client-processing and resource-rationing, guide the set of sub-roles H-SLBs perform to cope with the challenges brought by the Covid-19 pandemic.

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