AbstractThe paper explores the contribution that discourse

Phoenix is in Arizona steroid side effects, not Nevada. Moyes owned the team but apparently signed it over in return for $$$ from the league. Whatever control he had remaining was lost when he filed for bankruptcy protection. AbstractThe paper explores the contribution that discourse analysis can make to understanding the unevenness of policy implementation. This aim is addressed through three questions regarding the relationship of discourse to actors and places: Do discourses map systematically onto identifiable constituencies of actors? Do discourses map systematically onto places in a way that has some coherency with the variation found in the performance of health care provision? Does patterning of discourse by place merely reflect local composition by constituencies of actors or is something more contextually specific at work? The study explores discourses relating to a programme of health reforms in the state of Cear, Northeast of Brazil, a state strongly committed politically to the reform agenda. Three case studies of decentralised political units, the municipio, are selected based on different settlement type (urban, metropolitan and rural) and differently performing health systems.

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