> size="2" face="Verdana">This paper analyzes municipal management through managerial and manager practices in family health program offices in municipal health ministries and basic health clinics. Theoretically management and social relationship technologies are considered tools for the work carried out in the health care field, and they are also valuable instruments for change the micro-policy of the real work done in the health care domain. The methodological approach is qualitative and the research techniques used were the systematized direct observation as well as semi-structured interviews. The research subjects were the municipal health ministry managers, family health program coordinators and directors from four cities in the state of Maranhão. The results have shown that management is based on a traditional managerial style, characterized by a hard bureaucratic core. However, there is a trend for change because in practice, there are already signs which indicate the establishment of accountability and more caring relationships with respect to users and their families.
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机译：> size =“ 2” face =“ Verdana”>本文通过市政卫生部和基本卫生诊所的家庭卫生计划办公室中的管理人员和管理人员实践来分析市政管理。从理论上讲，管理和社会关系技术被认为是在卫生保健领域开展工作的工具，它们也是改变卫生保健领域实际工作的微观政策的宝贵工具。该方法学方法是定性的，所使用的研究技术是系统化的直接观察以及半结构化访谈。研究对象是马拉尼昂州四个城市的市政卫生部经理，家庭卫生计划协调员和负责人。结果表明，管理基于传统的管理风格，其特征是坚硬的官僚核心。但是，存在变化的趋势，因为在实践中，已经有迹象表明建立了问责制，并且与用户及其家人之间的关怀关系更加密切。
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