I, personally, was in charge for 3 out of the 4 on the

AbstractOrganizational theory has long emphasized the importance of contingent steroids drugs, environmental influences on organizational performance. Similarly, research has demonstrated the importance of local political culture and informal management on the performance of the local health system, establishing vicious and virtuous circles of influence that contribute to increasing inequalities in performance among decentralized local health systems. A longitudinal ethnography studied the relationship between these elements in the same rural municipality in Northeast Brazil after a four year interval.

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