Dissertations / Theses on the topic 'Health valuation'
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Petrikovič, Jan. "Valuation of Contractual Health Transportation Company." Master's thesis, Vysoká škola ekonomická v Praze, 2011. http://www.nusl.cz/ntk/nusl-149961.
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The purpose of my diploma thesis is to estimate objectivised value of contractual health transportation company. I am defining the value to the date 1st of January 2012. The gist of objectivised value is that the company follows its recent concept of business behavior, with the same management thinking. The value of the company is achieved by DCF valuation methods. Thesis is divided into several parts. The main parts are financial analysis and its output about the health of the company. Financial analysis is followed by strategic analysis that contains information about relevant markets and income forecasts. Next part is analysis and projection of generators of value. On the information from generators of value is based financial plan, which makes the last element for final valuation. Last part is the valuation itself.
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Dolan, Paul. "Issues in the valuation of health outcomes." Thesis, University of York, 1997. http://etheses.whiterose.ac.uk/9824/.
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Butt, T. J. "Valuation of health states associated with age-related macular degeneration." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1471706/.
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Economic evaluation of health technology using cost-utility analysis (CUA) normally applies an extra-welfarist framework in which health, the unit of effectiveness, is maximised. Typically, health status is measured by health-related quality of life (HRQoL) questionnaires to define health states. Preferences for health states are valued on a utility scale and combined with the time spent in the state to calculate quality-adjusted life years (QALYs). This thesis develops methods for measuring and valuing health using the case of age-related macular degeneration (AMD), where there are limitations with current methods for calculating QALYs.
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de, Lima Marcelo Rocha. "Non-market valuation for environmental and health policy in Mexico." Thesis, London School of Economics and Political Science (University of London), 2016. http://etheses.lse.ac.uk/3424/.
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This thesis contains five studies that make use of non-market valuation techniques and of data collected in Mexico to make methodological and policy contributions to the field. In the order that they are presented in the thesis these are: * a contingent valuation study, based on data collected face-to-face of a representative sample of the population of Mexico City, to calculate a value of statistical life for Mexico and make an assessment of whether the benefit-transfer values that have been and continue to be used in the country are appropriate for policy-making; * a study that uses data collected online on whether the type of organisation sponsoring a contingent valuation survey affects the amount participants say they are willing to pay for the good being valued (in this case mortality risk reductions), all else equal; * a study that uses the same dataset to consider the relationship between trust in institutions and other forms of social capital and contingent valuation results; * an hedonic pricing analysis that makes use of several datasets (including high-resolution property data that is not in the public domain) and seeks to improve on previous attempts at applying this method in a developing country context (jointly using spatial econometrics and an instrumental variables approach); and * a short study on whether there is a relationship between air quality, social capital and subjective wellbeing in Mexico City.
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Mason, Helen. "Monetary valuation of health outcomes for use in national policy formulation." Thesis, University of Newcastle Upon Tyne, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437938.
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De, Solà Morales Serra Oriol. "Health technology assessment as a framework for translation and valuation of innovation." Doctoral thesis, Universitat Rovira i Virgili, 2013. http://hdl.handle.net/10803/276155.
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L’Avaluació de Tecnologies Sanitàries (ATS) pretén informar els decisors sobre els
potencials impactes de la introducció de nova tecnologia en l’entorn sanitari. Tanmateix,
es reconeixen diferents mancances en el procés. L’objectiu d’aquesta tesi és demostrar
que l’ATS pot ser utilitzada abans (ex-ante) i després (ex-post) de la introducció d’una
tecnologia i proposar una metodologia multidimensional que redueixi la incertesa en
l’avaluació de la innovació en salut.
Es presenten 3 articles (amb metodologia qualitativa) que demostren les limitacions de
l’avaluació abans (ex-ante) i després (ex-post) de la introducció d’una tecnologia i la
dificultat en l’atribució de l’impacte a la introducció d’una nova tecnologia. S’analitzen
alhora models multidimensionals per a l’avaluació d’intervencions complexes, i es proposa
una nova metodologia per a reduir la incertesa a l’hora d’introduir innovació.
En conclusió, l’ATS és un procés vàlid per a l’avaluació ex-ante i ex-post, que pot ser
superat per un model multidimensional que utilitza la mateixa base metodològica de
l’ATS.Health Technology Assessment (HTA) aims to inform decision makers about the potential impact of the introduction of new technology in the healthcare scenario. However, several deficiencies are recognized in the process. The objective of this thesis is to prove that HTA can be used before and after the introduction of technology and to propose a multidimensional methodology that reduces uncertainty in the assessment of innovation in healthcare. Three peer-reviewed publications show the limitations of ex-ante and ex-post evaluation and the limitations in attributing the impact to the introduction of a new technology. Several multidimensional evaluation models are analised, and a new methodology to reduce the uncertainty in introducing innovation is proposed. In conclusion, despite its limitations, the HTA process is valid for the ex-ante and ex-post evaluation, but can also be improved by a multidimensional model that uses the same methodological bases of HTA.
La Evaluación de Tecnologías Sanitarias (ETS) pretende informar a los decisores sobre los potenciales impactos de la introducción de nueva tecnología en el panorama sanitario. Sin embargo, se reconocen diferentes carencias en el proceso. El objetivo de esta tesis es demostrar que la ETS puede ser utilizada antes y después de la introducción de una tecnología y proponer una metodología multidimensional que reduzca la incertidumbre en la evaluación de la innovación en salud. Se presentan 3 artículos que demuestran las limitaciones de la evaluación ex-ante y ex-post y las limitaciones en la atribución del impacto a la introducción de una nueva tecnología. Se analizan algunos modelos multidimensionales para la evaluación de intervenciones complejas, y se propone una nueva metodología para reducir la incertidumbre a la hora de introducir innovación. Se concluye que a pesar de sus limitaciones, la ETS es un proceso válido para la evaluación ex-ante y ex-post, pero que a la vez puede ser superado por un modelo multidimensional que utiliza la misma base metodológica que la ETS.
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Mataria, Awad. "Contingent valuation and health sector reform in developing countries : the palestinian case." Aix-Marseille 2, 2004. http://www.theses.fr/2004AIX24003.
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Cette thèse a comme but d'assister à établir un mécanisme complémentaire de financement des services de santé dans le contexte de la crise socioéconomique actuelle de l'émergeant Etat Palestinien. Elle vise à élaborer un mécanisme de recouvrement des coûts, efficient et équitable, pour les services de soins de santé primaire, basé sur la valeur d'une amélioration de la qualité du point de vue des patients. L'étude met en œuvre l'évaluation contingente pour estimer la valeur, pour les patients, d'une amélioration de la qualité de soins. Un questionnaire d'évaluation contingente basé sur un scénario décomposé d'évaluation et la carte de paiement comme technique de révélation des préférences a été conçu. Le questionnaire a été administré sur un échantillon de patients se rendant dans de différents types de centre de soins situés dans le district de Ramallah pendant l'été 2001. Les valeurs révélées sont destinées à informer les décideurs sur le prix maximum que les patients seraient prêts à payer pour bénéficier d'une amélioration de la qualité. Ces valeurs sont utilisées pour modéliser la fonction de demande et estimer l'élasticité prix, et l'impact d'un changement dans la structure de prix sur les revenues des centres. Le questionnaire a été ré-administré 19 mois plus tard pour évaluer l'impact de la seconde Intifada palestinien et l'appauvrissement concomitant de la population sur les consentements et capacité à payer des patients. Les résultats démontrent la faisabilité et la " bonne " validité de la méthode lorsqu'elle est appliquée dans les pays en développement. Il s'avère que l'augmentation des tarifs aurait un impact négatif sur la demande de soins, avec une élasticité prix qui augmente avec le niveau de prix. Un prix optimum pourrait être estimé pour maximiser les revenus des centres ; cependant, ceci serait accompagné par des conséquences sociales catastrophiques. L'étude recommande la suspension de toute initiative d'augmentation des coûts sur le compte des patients, surtout, dans le contexte actuel où la pauvreté pourrait avoir un impact négatif sur la capacité des patients à exprimer leurs préférencesThis Thesis aims to help establish a complementary funding mechanism for health services in the context of the current socioeconomic crisis in the emerging Palestinian State. It focuses on the design of an efficient and equitable cost-recovery mechanism for primary health care services, based on the value of improving the quality of care from the patients' perspective. The study makes use of contingent valuation method to assess the value, for the patients, of improving the quality of care, by eliciting patients' willingness to pay values for the different quality improvements. A contingnent valuation questionnaire was designed based on a decomposed valuation scenario and the payment card elicitation technique, with user-based financial contributions at the point of consumption being the payment vehicle. The questionnaire was administered on a sample of patients seeking care in different primary health care centers in Ramallah district during summer 2001. The elicited values were used to inform decision-makers about the highest extra user fee patients would be willing to pay to benefit from specified improvements in the quality of care. The values were used to model the demand function for improved care and to estimate demand price-elasticity and the impact of changing the pricing structure on centers' revenues. The questionnaire was re-administered 19 months later to detect the impact of the explosion of the second Palestinian Intifada and the concomitent steep impoverishment of the Palestinian population on patients' willingness and ability to pay for health care. The results demonstrate the feasibility and the “good” validity of contingent valuation when applied to developing countries. Increasing user fees seems to have a negative impact on demand for health care with price-elasticity increasing with rising user fees. An optimal user fee level could be attained to maximize centers' revenues; however, this would be accompanied with catastrophic social consequences. The study recommends suspending and attempt to put more burden on the patients in the present context, where poverty could adversly affect patients' ability to properly express their prefereces
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Towers, Isabel Margaret Falcon. "The valuation of health outcomes data from clinical trials for use in economic evaluation." Thesis, University of Sheffield, 2005. http://etheses.whiterose.ac.uk/6075/.
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Payre, Camille. "Influence of context in contingent valuation : application to the monetary valuation of chronic obstructive pulmonary disease." Thesis, Paris 1, 2018. http://www.theses.fr/2018PA01E051/document.
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Le recours de plus en plus fréquent à l’évaluation monétaire des impacts sanitaires permet de les intégrer aux processus de décision, souvent fondés sur des critères essentiellement économiques, et de prendre en compte les préférences des personnes concernées. Il conduit à s’interroger sur la fiabilité des méthodes et sur leur adaptation au contexte de la décision. Ce travail se propose de déterminer la robustesse des valeurs monétaires des impacts sanitaires estimées par évaluation contingente en traitant de la question suivante : la cause de l’impact sanitaire influence son évaluation ? La théorie économique précise d’une part que l’évaluation d’un impact sanitaire ne devrait dépendre que de ses caractéristiques et non de ses causes, et d’autre part, qu’il faut fournir l’ensemble des informations nécessaires à l’évaluation. En pratique, les évaluations contingentes énoncent parfois des causes, avec des résultats variables. Une évaluation contingente a été conduite pour analyser l’influence des causes de la bronchite pulmonaire chronique obstructive sur son évaluation, en comparant quatre versions du questionnaire : la cause n'est pas citée ; la cause est principalement imputable au tabac et à la pollution de l’air ; la cause n'est que la pollution de l’air ; ou que le tabac. Les résultats montrent que la mention des causes possibles et crédibles augmente l’acceptabilité du questionnaire. Lors de la détermination du consentement à payer, les divers contextes ont moins d’influence que les caractéristiques des personnes interrogées, en particulier leur santé et l’environnement (alimentation saine, activité physique, pollution du lieu de vie). Par conséquent, fournir des informations sur les causes de l’impact sanitaire évalué permettrait d’améliorer la fiabilité de l’évaluation. Il faut noter que les incertitudes restent importantes, notamment parce que l’exercice reste inusité en France où la Sécurité Sociale couvre en grande partie les dépenses de santéMonetary valuation of health impacts is increasingly used to support decision process, often relying mainly on economic criteria, and to take into account preferences of concerned people. This use leads to questioning the reliability of the methods and their adaptation to the context of decisions support. This work aims at determining the robustness of monetary values of health impacts estimated by contingent valuation via the following question: does the cause of the assessed health impact influence its monetary value? Economic theory outlines that, on the one hand monetary value of an health impact should depend on its characteristics only and not on its causes, on the other hand all information useful to the valuation should be provided. In practice, contingent valuations sometimes state the causes, with inconsistent results. A contingent valuation was conducted to analyze the effect of cause of chronic obstructive pulmonary disease, with four versions of the questionnaire: the cause is not indicated, the causes are said to be mainly smoking and air pollution, the cause is said to be air pollution only, and smoking only. Results show that stipulating the possible causes increases the acceptability of the questionnaire. The willingness to pay depends less on the causes but more on the personal characteristics of the respondents, especially their health and environment (healthy diet, sport practice, pollution in living area). To conclude, providing information about the causes of the valued health impact would increase the reliability of the assessment. Uncertainties remain high in particular as this valuation stays unusual in France where the National Health Service covers most of health expenses
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Gibson, Jonathan. "Economic evaluation of health risks in a developing country : the case of arsenic contaminated drinking water in Cambodia." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/economic-evaluation-of-health-risks-in-a-developing-country-the-case-of-arsenic-contaminated-drinking-water-in-cambodia(d934a610-d90f-4989-99f3-4937e1076742).html.
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Arsenic contamination of drinking water is a serious public health issue in many areas of South and South East Asia. One study estimates that in Cambodia over 100,000 people are exposed, with the majority of those living in Kandal Province. In this thesis we present 3 original empirical studies focused on estimating nonmarket values for reduced arsenic risk water, based on primary data collected in May 2013. We also present a review paper which discusses the various economic techniques which have typically been used to estimate welfare values for cost-benefit analysis of mitigation strategies or appraisal of drinking water standards. The first empirical paper presents the results of a discrete choice experiment (DCE)to estimate willingness to pay (WTP) values for reduced arsenic water. We discuss the results of scale-extended latent class choice models and underlying differences in preferences and choice consistency. We find that a reduction in the permissible limit on arsenic in drinking water may best represent underlying household preferences for risk. The second empirical paper presents the results of a split sample choice experiment focusing on differences between money (WTP) and labour contributions (WTWork) as payment vehicles in terms of choice behaviour and attribute non-attendance. We find that the results from the two experiments are relatively consistent which reinforces our results from the previous chapter that focuses on WTP measures alone and adds credibility to the large numbers of DCEs conducted in rural areas of developing countries. The final empirical paper examines actual household behaviour relative to an arsenic testing and education campaign run by a local NGO. We find that the vast majority of households change their drinking water source upon being informed that it is unsafe. On average households that switch increase their expenditures. In doing so however they also reduce the amount of time spent collecting water which limits the use of expenditure changes as an approximation of welfare values.
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Ternent, Laura. "Testing methods to value health outcomes in low income countries using contingent valuation and discrete choice experiment methods." Thesis, University of Aberdeen, 2012. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=185657.
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This thesis is concerned with examining issues of theoretical validity and bias in contingent valuation (CV) and discrete choice experiment (DCE) methods in low income countries. This thesis contributes to the small body of literature on the application of CV and DCEs in low income countries and in populations which have little or no formal education. Theoretical validity is examined by testing whether willingness to pay corresponds to theoretical expectations focusing on gender and willingness to pay, sensitivity to scope, starting point bias, and strategic bias in CV. The theoretical validity of the DCE method in populations with no formal education is also explored. It is found that whilst iterative methods to elicit willingness to pay often mimic local market conditions in low income countries they are prone to starting point bias and strategic bias. An association between gender and willingness to pay was also found. Issues of gender, starting point bias and strategic behaviour can be tested for and controlled for in the estimation of willingness to pay and do not present an insurmountable problem. Willingness to pay was also found to be insensitive to the size of the benefit in CV. Using the DCE method, it was found that with the use of visual aids, DCEs can be used among respondents with no formal education. It is concluded that CV and DCEs are feasible and valid in populations with low levels of education when surveys are conducted using trained enumerators and administered using face-to-face interviews. This suggests that both techniques are capable of being used in wide variety of settings. The exception to this is a lack of evidence on sensitivity to scope. Further research is therefore required into sensitivity to scope. Further research is also required to examine the association between gender and willingness to pay.
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Reardon, Gregory. "Contingent valuation and utility models for economic evaluation of pharmaceuticals : a study of antihistamines /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487325740719789.
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Okeke, Ogwulu Chidubem. "Developing and piloting approaches for the valuation of outcomes associated with sexually transmitted infections." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8648/.
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Background Eliciting health-state utility values (HSUVs) for use in cost-utility analysis (CUA) for some diseases is limited by the variation in the duration of the health-states such as it includes both temporary and chronic health-states. There is no 'gold standard' approach for valuing temporary health states (THS). Conventional time trade-off (TTO) is deemed inappropriate because it presents an unrealistic scenario to respondents and the chained TTO has been proposed to solve this problem. This thesis uses a case study, Chlamydia trachomatis (a sexually transmitted infection) to explore this challenge. The main burden of chlamydia is typically believed to be borne by women, with a paucity of studies describing the psychosocial outcomes for men, hence making it difficult to value outcomes associated with men. Objectives This thesis aimed to: develop approaches for valuing the health-states associated with chlamydia and derive utility values for the chronic and temporary health-states associated with chlamydia. An additional objective was to define the psychosocial impact of chlamydia in men via an exploration of the asymmetric nature of the disease burden. Methods The thesis elicited utilities for seven health-states (five THS and two chronic health-state) depicting the symptoms of chlamydia. The health-states were developed using evidence from the literature and interviews with clinical experts. Chained time trade-off (TTO) was applied to THSs and conventional TTO to CHSs. Ectopic pregnancy was used as a lower anchor for chained TTO. The VAS technique was also employed. The study sampled from three different population groups and the survey was administered face-to-face. A qualitative synthesis was conducted using meta-ethnography, to identify the psychosocial impact of chlamydia in men. Discussion The thesis identified appropriate approaches for valuing chlamydia health-states and showed that chained TTO is feasible. Methodological challenges arising from this study include the development of health-state description, the selection of appropriate anchor states and the duration of the anchor state. The HSUV s could potentially be used in cost-utility analyses examining the cost-effectiveness of screening. The meta-ethnography highlighted the need to broaden the focus of future evaluations.
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Hernandez, Rodolfo. "Broadening the valuation space in health technology assessment : the case of monitoring individuals with ocular hypertension." Thesis, University of Aberdeen, 2016. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=230150.
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The economic evaluation (EE) component of health technology assessments (HTA) often defines value in terms of health related quality of life, with many HTA agencies requiring the use of EQ-5D based Quality Adjusted Life Years (QALYs). These approaches do not capture value derived from patient experience factors and the process of care. This thesis widens the valuation space beyond this limited perspective, taking account of such factors, using monetary values generated from a discrete choice experiment (DCE), incorporating these into a discrete event simulation (DES) and conducting a cost-benefit analysis (CBA). The case study is monitoring individuals with ocular hypertension. Five strategies were compared using a DES: 'Treat All' at ocular hypertension diagnosis with minimal followup; Biennial monitoring (either in primary or secondary care) with treatment according to predicted glaucoma risk; and monitoring and treatment according to the UK National glaucoma guidance (either conservative or intensive). DCE based Willingness to pay (WTP) estimates for relevant health outcomes (e.g. risk of developing or progressing glaucoma and treatment side effects), patient experience factors (e.g. communication and understanding with the health care professional) and process of care (e.g. monitoring setting) were obtained. Conditional logit, mixed logit preference space and mixed logit WTP-space (rarely used within health economics) econometric specifications were used. These WTP valuations were aggregated in the DES, as fixed mean values or allowing variation between simulated individuals. While the standard cost-utility analysis (CUA) using EQ-5D implied 'Treat All' was most likely cost-effective, CBA with broadened valuation space identified, consistently across different econometric specifications, 'Biennial hospital' as the best choice. This thesis proposes an approach to broaden the valuation space that can be promptly used for EE-HTA. Researchers should be attentive of the valuation space considered in their EE and choose wisely the EE approach to be used (e.g. CUA and/or CBA).
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Fox-Rushby, Julia A. "The measurement and valuation of health related quality of life : the case of differing pacing modalities." Thesis, Brunel University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.332832.
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Cuyno, Leah Marquez. "An Economic Evaluation of the Health and Environmental Benefits of the Integrated Pest Management Program (IPM CRSP) in the Philippines." Diss., Virginia Tech, 1999. http://hdl.handle.net/10919/27941.
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Concern about externalities associated with pesticide use in developing countries has motivated the development of integrated pest management (IPM) programs in these areas. In the Philippines, the IPM Collaborative Research Support Program (IPM CRSP) was established to specifically address the widespread misuse of pesticides in the rice-vegetable systems of Nueva Ecija, one of the major rice and onion producing regions in the country. IPM CRSP initiatives include research on the optimal use of pesticides, complementary weed control strategies, and alternative cultural and biological controls. If successful, the program should generate benefits that can be measured in economic terms. These benefits include improvements in water quality, food safety, pesticide applicator safety, and long run sustainability of pest management systems.
This study was designed to measure the health and environmental benefits of the IPM CRSP in the Philippines. A survey questionnaire was administered to 176 onion farmers in five villages in Nueva Ecija to identify farm and farmer characteristics, pesticide usage, pest management practices, perceptions about pesticide hazards, awareness of IPM strategies, and willingness to adopt specific technologies being developed under the IPM CRSP. In addition, a contingent valuation survey was used to elicit farmers' willingness-to-pay to avoid risks posed by pesticides to different environmental categories.
A comprehensive economic measure of the benefits of IPM CRSP was derived by 1) assessing the hazards associated with pesticide usage, 2) providing an ex ante measure of program impacts on pesticide usage, 3) predicting IPM adoption rates, and 4) estimating society's willingness-to-pay to avoid the health and environmental risks from pesticides under Philippine conditions. A measure of the amount of risks avoided as a result of IPM CRSP adoption was combined with farmers' willingness to pay bids for risk avoidance to derive a monetary value of the program benefits. The estimated economic benefits of the IPM CRSP to farmer residents in 5 villages in Nueva Ecija amount to 230,912.00 pesos for one onion season.Ph. D.
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Guo, Xiaoqi. "The economic value of air-pollution-related health risks in China." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1155652414.
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Spiegel, Jerry M. "A comparison of economic valuation methods for environmental health risk reduction, assessing residential radon mitigation in Manitoba." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0026/NQ51668.pdf.
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Robins, Jason S. "Mergers & acquisitions in the medical device industry : an exploration of factors influencing valuation." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/55276.
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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2008.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 84-85).
Valuing medical device companies and technologies is a complex process. Several different approaches and models are often used in combination to determine a transaction valuation. This research uses the Enterprise Value to Forward Sales model as a tool for valuing mergers and acquisitions in the device industry. This model was selected for its transportability across industry segments, ease of calculation, broad acceptance, and lack of detailed forecasting assumptions. This research seeks to: 1) explore the importance of 20 commonly cited factors in determining a medical device company EV/Sales multiple, 2) develop a model for forecasting the EV/Sales multiple of medical device transactions, and 3) assess the explanatory power of these factors in determining the enterprise value (measured in dollars) of pre-revenue transactions. For purposes of this analysis valuation was approached from a sector neutral or portfolio diversification perspective. Multivariate regression analysis was performed on a database of 352 M&A transactions announced between January 1, 1996 and December 31, 2007 to assess the importance of various factors and develop a model for forecasting EV/Sales multiples. Consistent with our expectations, supernormal growth, industry growth, market size, sector beta, position in market, venture funding, and IPO status were all significant factors in determining the multiple. Based on these factors, we developed a model that was 95% accurate in forecasting the EV/Sales multiple of medical device transactions that occurred between January and May of 2008.
(cont.) Based on the success of this model, we then explored the utility of these factors in determining the gross enterprise value of pre-revenue M&A transactions. As expected, this approach was not successful. Varying discount rates, timing assumptions, difficult to determine value synergies, and emotion are confounding factors which make it difficult to reliably forecast absolute dollar transaction valuations.
by Jason S. Robins.
S.M.
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Cockerill, C. A. "Is there a child health premium for the safety of children on farms? : evidence from valuation and experimental studies." Thesis, Queen's University Belfast, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.431642.
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Hector, Richard Douglas. "The evaluation and health state valuation of the quality of well-being scale in Trinidad and Tobago, West Indies." Diss., Restricted to subscribing institutions, 2007. http://proquest.umi.com/pqdweb?did=1375538321&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
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Machingura, Fortunate. "Allowable death and the valuation of human life : a study of people living with HIV and AIDS in Zimbabwe." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/allowable-death-and-the-valuation-of-human-life-a-study-of-people-living-with-hiv-and-aids-in-zimbabwe(d942f00c-2c12-4dd6-8a6a-6c06526b2269).html.
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With more than 75% of its population experiencing poverty, Zimbabwe was in 2012 considered one of the world's poorest countries. The country sits at the centre of the global HIV/AIDS epidemic and remains one of the hardest hit countries accounting for 5% of all new infections in sub-Saharan Africa. Zimbabwe's 15% HIV prevalence rate was 19 times the global average by 2012, and the total years of life lost due to premature mortality increased by over 150% between 1990 and 2010 because of HIV/AIDS. This study draws on notions of 'governmentality' to ask how the 'framing' of the value of PLWHA has influenced their treatment by the Zimbabwean government and society. Four questions are posed: first the study asks, in what ways do health policy decision-makers in Zimbabwe frame the value of people living with HIV/AIDS (PLWHA)? Secondly, the study questions the ways in which people not infected by HIV (Non-PLWHA) frame the value of PLWHA. Thirdly, the study turns to PLWHA and asks how they frame their own value. Finally, the study investigates the implications of valuing PLWHA, for their lives, or conversely, their deaths. The study draws upon primary research undertaken through interviews, focus group discussions, observations and document review. While there are some contradictions within and between groups of study participants in the ways they frame the value of PLWHA; the study finds consensus within and between these groups in the manner in which they tend to value PLWHA. Analysing these findings, there are five ways people in Zimbabwe frame the value of PLWHA. Firstly, from a 'citizen' perspective, PLWHA are both legal and political citizens who can identify as equal members of society like other citizens. They have social rights; participate, belong and can access HIV treatment that can reduce risks of death. Secondly, from a 'client' standpoint; PLWHA are customers, gaining access to health services through individual monetary payments or social payments such as Government budget allocations. This introduces a degree of 'rationing', forcing the clients (PLWHA) to behave in ways that increase their chances of receiving services. Those with lower purchasing power struggle to access expensive life-saving anti-retrovirals, thus individual wealth confers value on the lives of the wealthy. Thirdly, framing from a Statistical Representation perspective - through statistics, PLWHA can be used as a means of bargaining for government to gain access to international funding, to increase the chances of survival for PLWHA by bringing services such as antiretroviral therapy (ART). Fourthly, the 'Expendable populations' perspective views subgroups of PLWHA who fail to adhere to norms of behaviour prescribed by the government, including those unable to purchase services, such as the poor and homosexuals, sex workers and prisoners, as populations that may be allowed to die. Finally, the study shows that PLWHA lament the discursive space of technocrats with a counter-narrative of their value in which they emerge not as expendable victims but as victors reframed as an indefatigable population - 'Resiliencers'. PLWHA create a narrative of disobedient materiality, challenging totalising notions of governmentality. This study concludes by considering the relevance in the Zimbabwean context of the concept of 'Allowable Death' as a premature, avoidable death despite consciously crafted narratives that the death happened because nothing could have been done under the prevailing conditions to prevent it.
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Onjukwe, Obinna Emmanuel. "Validity and reliability of the contingent valuation method : a study of willingness to pay for insecticide-treated nets in Nigeria." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://researchonline.lshtm.ac.uk/682250/.
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Objectives: To contribute to knowledge on the reliability and validity of the contingent valuation method (CVM) and explore the role of context-specific CVM question formats in Southeast Nigeria. Other objectives were to determine the factors that will explain actual willingness to pay (WTP) for insecticide-treated nets (ITNs). Methods: There was an extensive review of theoretical, methodological and empirical literature. A novel WTP question format that mimics price-taking behaviour in south- east Nigeria (called the structured haggling technique (SH)) was developed and compared with the bidding game (BG) and binary with follow-up technique (BWFU). The comparisons were for inter-rater and test-retest reliability, content, construct and criterion validity and the study conducted in three villages in Nigeria. Stated WTP was determined using a questionnaire administered to 810 household heads, while actual WTP was evaluated by offering the ITNs for sale to all respondents after one month of the first survey. Findings: There were considerable gaps in the literature regarding the reliability and validity of the CVM. In the empirical study, BG, BWFU and SH elicited reliable and valid estimates of WTP. The SH was the most content valid, while the BG and SH were the most construct-valid for ITNs and re-treatment respectively. The BG and SH were similarly criterion-valid while the BWFU was the least criterion-valid. All question formats were similar for tests of reliability. There were genuine reasons for divergences between the stated and actual WTP and for test and retest. Low-income status and physical accessibility were the major impediments to ITNs acquisition. Conclusion: The CVM could be used to elicit valid and reliable WTP estimates in the study area, but it was not clearly proven that better content-valid question formats would lead to more valid and reliable estimates of WTP. It is necessary to further determine how the validity and reliability of the SH and other WTP question formats could be improved. Finally, future studies should establish the content validity of question formats in settings where they will be used, and use bigger sample sizes, along with allowing less time between the survey and administering the criterion, for comparing stated and actual WTP.
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Koldinská, Alena. "Kvantifikace škod na životě a zdraví." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-198293.
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This thesis gives a view on legislation conserning valuation of human health and life damages in the Czech republic. The aim is to provide a summary and a comparison of laws and other legislative documents and evaluate conditions of reimbursement determination. The paper also gives a basic outline of theoretical ways of valuating human health and life and their connection with reimbursement in accordance with czech legislation.
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Samajpati, Shreejata. "Infectious Disease Risks in Developing Countries: A Non-Market Valuation Exercise." Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5479.
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This dissertation focuses on the non-market valuation of health-risks of malaria, an infectious disease that imposes a substantive public health burden across the globe, hitting particularly hard the tropical developing nations of Africa and Asia. The United Nations Millennium Development Goals include malaria control as a priority and large investments are underway to promote effective prevention and treatment. Despite such concerted supply-side efforts, malaria-related mortality and morbidity still abound due to a complex interface of factors like climate-change, poverty, inadequate control behavior, infection and prevention externalities, parasite resistance etc. This research project digs into the demand-side of the health problem, considers the "externality" dimension to prevention, and primarily asks the question: how do individuals in developing countries view competing disease-control (prevention) measures, viz. a publicly-administered community-level malaria control measure as against private preventive choices. A theoretical model is developed to help explore the public-private interplay of health risks of malaria. The malaria-endemic regions of Kolkata (India) and its rural fringes comprise the site for an empirical investigation. A field survey (Malaria Risk and Prevention Survey, October-December, 2011) incorporating a mix of stated and revealed preference techniques of health valuation is implemented. Risk-perceptions of respondents are elicited using a measurable visual-aid and individuals' perceived valuations of health-risk reductions, randomly offered with the public and private health treatments, are empirically ascertained. Using a Likelihood Ratio Test on the structural risk parameters, it is seen that individuals' valuations of health risk reductions are the same across the private and public treatments. The comparative valuation exercise, thus, corroborates the externality dimension to malaria control, calling for greater public action to combat malaria. The viability of such a scaled-up public malaria program, in the context of Kolkata, is discussed by comparing the public treatment willingness to pay estimates with the annual estimated costs that the Kolkata Municipal Corporation, the civic body in the city of Kolkata, maintains on account of vector control. Results from the comparative valuation exercises also support the idea that private prevention is generally responsive to prevention costs, indicating the importance of price incentives to induce greater prevention. The issues of health valuation and price sensitivity are further explored across various split-samples differentiated on the basis of socio-economic attributes, disease exposure, actual prevention efforts and perceived malaria risks of survey respondents. Such auxiliary exercises help analyze the valuation question in greater depth, and generate policy insights into the potential factors that shape private prevention behavior.Ph.D.
Doctorate
Economics
Business Administration
Economics
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Wine, David. "Valuation of the use of biomarkers predictive of drug efficacy to enrich responders in oncology drug clinical development." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/35679.
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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology; and, (S.M.)--Massachusetts Institute of Technology, Sloan School of Management, 2006.Includes bibliographical references (leaves 57-59).
I study several aspects of the value in performing oncology clinical trials using screening biomarkers to preferentially select and enroll responders. From trial reports and investigational reports on potential biomarkers, I construct a series of six cases comparing the trial as conducted to a hypothetical trial using different screening and eligibility criteria. These cases illustrate, within limits of the model, what difference the use of a plausible biomarker test may have on trial size, cost, number of patients screened, and number of patients exposed to experimental treatment without benefit.
by David Wine.
S.M.
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Yamada, Joey. "Examining the Cross-Cultural Differences in Affect Valuation: Whites, East Asians, and Third Culture Kids." Scholarship @ Claremont, 2018. http://scholarship.claremont.edu/cmc_theses/1750.
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This paper explores the cross-cultural differences in affect valuation, emotion regulation, and the relationship between affect valuation, emotion regulation and subjective well-being across White Americans, Asians, and Third Culture Kids (TCKs). Emotional experiences shape every facet of our lives, yet understanding the extent to which emotional experiences are universal is still poorly understood. This is particularly the case among individuals with diverse cultural experiences. In the current study, we look at TCK individuals, a group composed of White-identifying individuals who spent a significant time of their childhood in East Asian countries. Through a questionnaire that was distributed via email and word of mouth, participants (N = 239) were asked to complete five surveys that included a subjective well-being scale, the affect valuation index, an emotion regulation questionnaire, an interpersonal emotion regulation questionnaire, and a set of scenarios that tested the individual’s tendency to feel a duty to themselves or to others. This study found that the Asian group significantly valued low arousal emotions more so than European Americans or the TCK individuals. TCKs were most likely to feel a strong sense of duty to help others.
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Teratanavat, Ratapol. "Essays on consumer purchase decisions and health and nutrition information on functional foods." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1102736176.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xv, 188 p.; also includes graphics (some col.) Includes bibliographical references (p. 154-169).
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Čibera, Roman. "Privátní a veřejná zdravotnická zařízení a jejich ocenění v podmínkách ČR." Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-15697.
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This text considers a possibilities of using business valuation methods in an evaluation of the private and public health care institutions in the Czech Republic. It tries to explain the specifics associated with the functioning of health care institutions and their influence on the choice of the valuation standards, valuation methodology and the selection of the final method of valuation. The first part describes health care institutions and their operation in the health care market. Other parts deal with the possibilities of the evaluation separately for private and public health care institutions. Differences are summarized in the conclusion.
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Ovanfors, Anna. "Essays on nonlinear time series analysis and health economics." Doctoral thesis, Handelshögskolan i Stockholm, Ekonomisk Statistik (ES), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hhs:diva-504.
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Oscarson, Nils. "Health economic evaluation methods for decision-making in preventive dentistry." Doctoral thesis, Umeå : Public Health and Clinical Medicine, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-687.
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Makhloufi, Khaled. "Towards universal health coverage in Tunisia : theoretical analysis and empirical tests." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0025/document.
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La présente thèse explore, à travers quatre papiers, la possibilité d’étendre le régime d’assurance maladie sociale (SHI) vers la couverture santé universelle (CSU) et ce en présence d’obstacles structurels économiques.Les effets moyens de deux traitements, les deux assurances MHI et MAS, sur l’utilisation des soins de santé (consultations externes et hospitalisations) sont estimés. L’actuel régime d’assurance sociale en Tunisie (SHI), malgré l’amélioration de l’utilisation des soins de santé procurée aux groupes couverts, reste incapable d’atteindre une couverture effective de tous les membres de la population vis-à-vis des services de soins dont ils ont besoin. L’atteinte de cet objectif requière une stratégie qui cible les ‘‘arbres’’ et non la ‘‘forêt’’.Le chapitre deux contourne les principaux obstacles à l’extension de la couverture par l’assurance maladie et propose une approche originale permettant de cibler les travailleurs informels et les individus en chômage. Une étude transversale d’évaluation contingente (CV) a été menée en Tunisie se proposant d’estimer les volontés d’adhésion et les consentements à payer (WTP) pour deux régimes obligatoires présentés hypothétiquement à l’adhésion. Les résultats confirment l’hypothèse selon laquelle la proposition d’une affiliation volontaire à un régime d’assurance obligatoire serait acceptée par la majorité des non couverts et que les WTP révélés pour cette affiliation seraient substantiels. Enfin, dans le chapitre trois, on insiste sur l'’importance de prendre en compte les attitudes protestataires en évaluant la progression vers la CSUThis thesis explores, in a four paper format, the possibility of extending social health insurance (SHI) schemes towards Universal Health Coverage (UHC) in presence of structural economic obstacles.The average treatment effects of two insurance schemes, MHI and MAS, on the utilization of outpatient and inpatient healthcare are estimated. The current Tunisian SHI schemes, despite improving utilization of healthcare services, are nevertheless incapable of achieving effective coverage of the whole population for needed services. Attaining the latter goal requires a strategy that targets the “trees” not the “forest”.Chapter two gets around major challenges to extending health insurance coverage and proposes an original approach by targeting informal workers and unemployed. A cross-sectional Contingent valuation (CV) study was carried out in Tunisia dealing with willingness-to-join and pay for two mandatory health and pension insurance schemes.Results support the hypotheses that the proposition of a voluntary affiliation to mandatory insurance schemes can be accepted by the majority of non-covered and that the WTP stated are substantial.Finally in chapter three we focus on methodological aspects that influence the value of the WTP. Our empirical results show that the voluntary affiliation to the formal health insurance scheme could be a step towards achieving UHC in Tunisia. Overall, we highlight the importance of taking into account protest positions for the evaluation of progress towards UHC
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Ramsberg, Joakim. "Are all lives of equal value? : studies on the economics of risk regulation." Doctoral thesis, Handelshögskolan i Stockholm, Centrum för Riskforskning (CFR), 1999. http://urn.kb.se/resolve?urn=urn:nbn:se:hhs:diva-1766.
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Sällström, Christina. "Spouses' experiences of living with a partner with Alzheimer's disease." Doctoral thesis, Umeå universitet, Medicinska fakulteten, 1994. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-71669.
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The overall aim of the study was to gain some understanding of the lived experience of the care-giving spouses regarding their experiences of the manifestations of the disease, perception of their own health, the possibility of influencing the interpretation of the past, the present and future, outlook on life, surrounding contacts and intimate relationships with their sick partners. The spouses (n=13) of Alzheimer victims were followed with the help of personal interviews, diaries and telephone interviews during a two-years period. The texts was analysed according to a phenomenological-hermeneutic method. The main findings in the study showed that the spouses own health remained quite stable over time. Their perception of the development of their own health seemed to be influenced by how they saw their power to influence their situation, which seemed to be determined by how they interpreted the cause of their health problems.The social network was another important factor for understanding the spouses' experiences. The findings imply that spouses' images of themselves in relation to others were important for their perception of the overall social network. The spouses mostly regarded their relationships positively and their social networks were described as quite stable over time. The spouse's marital relationships, in most cases, seemed to undergo changes with the progress of the disease. Some spouses could maintain feelings of love but mostly the relationships were transformed into ones of tenderness, pity and estrangement. The spouses' valuation of their demented partner was mostly in the form of one of two divergent perspectives. On the one hand, spouses who seemed to perceive their partner as a person separate from the disease, could function as complementary ego aids. On the other hand some spouses were unable to make a distinction between the spouse as a person and the disease.The spouses' experiences regarding their previous relationship with parents, value system, philosophy of life, competence and autonomy seemed to be critical in their experiences of their caring situation. It appears that there is a sub-group of vulnerable carers, as suggested by the concurrence of psychological, physical, and social morbidity, along with deterioration in their marital relationship.The findings are discussed in relation to searching for meaning, the importance of significant others, perceiving and valuing the other, and caring relationships within a life-span perspective.digitalisering@umu
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Lumertz, José Antônio. "Avaliação de operadora de plano de saúde : cooperativa médica de assistência à saúde." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/30847.
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A globalização, a maior ou menor estabilidade financeira e política e o atual nível de desenvolvimento econômico que o Brasil vem apresentando, condição que lhe concedeu a classificação de investment grade, obtido em 30 de abril de 2008, pela Agência Standard & Poor’s, conjugado com o nível de renda que a população vem atingindo, está transformando o país num mercado atrativo ao capital externo. A regulamentação do setor de saúde privada iniciada com a lei 9656/98 e com a criação da Agência Nacional de Saúde Suplementar – ANS, em 2000, fez com que este segmento mercadológico passasse a atrair a curiosidade e, agora, o direcionamento da atenção de mega investidores. Neste mercado há uma importante participação das cooperativas médicas e odontológicas - com significativa parte no share – aproximadamente 40%, no seu conjunto. A regulamentação vem causando certa concentração do setor pela aquisição de carteiras ou até mesmo de toda a empresa, sendo que estas negociações atingem a casa dos bilhões de reais. Essas situações encontram nas sociedades cooperativas médicas e odontológicas peculiaridades que divergem destas facilidades de negociação.Globalization, financial and political stability and current degree of economical development that Brazil are living (because of these condition Standard & Poor’s gave to Brazil the classification of investment grade on April 30th, 2008) combined with Brazilians income degree are converting Brazil in an attractive market for outside capital. Private health sector regulamentation which started with the Brazilian law number 9656 from 1998, and the creation of Agência Nacional de Saúde Suplementar – ANS (in 2000) let this sector to attract curiosity and nowadays the attention of big stakeholders. Medical and odontological cooperatives have important participation in this market with signification part in share – like 40% on its set. The regulamentation bring on a concentration in the sector by portfolio purchase or until same all firm acquisition – that involves trillion of Brazilian reais. These situations find on medical and odontological cooperatives quirks that diverge from negotiations facilities.
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Tolffo, Fernando Antonio. "O pagamento por serviços ecossistêmicos como instrumento de gestão ambiental para o espaço urbano." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/6/6139/tde-09122015-112922/.
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Por suas dinâmicas sociais e territoriais complexas, as metrópoles estão sujeitas aos graves impactos causados por eventos climáticos extremos, reais ou esperados. Organismos internacionais multilaterais e extensa literatura acadêmica avalizam a importância do papel dos ecossistemas para a redução dos riscos e na mitigação das consequências dos desastres ambientais, tanto em áreas rurais como urbanas. Propõe-se a valoração das áreas verdes livres e dos parques urbanos como recurso que integre estratégias para o desenvolvimento da qualidade ambiental das cidades através dos serviços ecossistêmicos derivados da cobertura arbórea local, divisando-se a manutenção da saúde pública em um meio ambientalmente equilibrado. Foi aplicada ferramenta tecnológica representada pelo software i-Tree como método empregado para a identificação, quantificação e estimativas de valoração econômica dos serviços ecossistêmicos prestados pelas árvores contidas no Parque Ibirapuera, em São Paulo, que serviu como referência. É discutida a significância da inserção dos princípios e objetivos do instrumento do Pagamento por Serviços Ecossistêmicos no planejamento, ordenamento e gestão urbanos, integrando-o a políticas de melhoria da saúde ambiental nas cidades.For their complex social and territorial dynamics, the cities are subject to the severe impacts of extreme weather events, actual or expected. Multilateral international organizations and extensive academic literature endorse the important role of ecosystems to reduce risks and mitigate the consequences of environmental disasters, both rural and urban areas. It is proposed to valuation the green areas and urban parks as a resource that integrates strategies for the development of environmental quality in cities through the ecosystem services derived from local tree cover, for the purpose of maintenance of public health. Was applied technological tool represented by i-Tree software as a method used to identify, quantify and estimate the economic value of ecosystem services provided by trees contained in Ibirapuera Park, in São Paulo, which served as a reference. Discussed the relevance of the integration of the principles and objectives of the instrument Payment for Ecosystem Services in urban planning and management, integrating it in policies to improve environmental health in cities.
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Pumprová, Zuzana. "Valuation Methods of Interest Rate Options." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-73665.
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The subject of this thesis are selected interest rate models and valuation of interest rate derivatives, especially interest rate options. Time-homogeneous one-factor short rate models, Vasicek and Cox-Ingersoll-Ross, and time-inhomogeneous short rate model, Hull{White, are treated. Heath-Jarrow-Morton framework is introduced as an alternative to short rate models, evolving the entire term structure of interest rates. The short rate models are shown to be special cases of models within the framework. The models are derived using the risk-neutral pricing methodology.
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Donfouet, Hermann Pythagore Pierre. "Essais sur l’évaluation des préférences des ménages en matière d’assurance communautaire." Thesis, Rennes 1, 2013. http://www.theses.fr/2013REN1G027/document.
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Le financement des soins de santé de qualité constitue un défi majeur pour les pays en développement. Malgré les efforts consentis pour améliorer l’offre des services de santé, une frange importante de la population n’a toujours pas accès aux soins de santé. La faible croissance économique, le manque des ressources, la corruption et les contraintes imposées au secteur public peuvent expliquer pourquoi la conception d’un système de financement des soins de santé est complexe. Au cours des deux dernières décennies, il y a eu une baisse de l'utilisation des services de santé après l'introduction du recouvrement des coûts dans les établissements de santé publics. Les personnes les plus touchées par cette politique sont les ménages à faibles revenus notamment dans les zones rurales qui sont le plus souvent vulnérables aux maladies. L'assurance communautaire a été proposée comme une alternative pour améliorer une meilleure accessibilité des ménages à faibles revenus aux soins de santé. L'assurance communautaire apparaît ainsi comme un outil de protection sociale pour un grand nombre de personnes qui, autrement, n'auraient pas une couverture face au risque maladie. Toutefois, un tel système d’assurance maladie ne peut avoir des effets à long terme que s’il existe une forte préférence des ménages pour une telle politique, et un capital social dans les zones rurales. Evaluer les préférences des ménages pour l'assurance communautaire est importante pour la formulation des recommandations de politique économique. Une connaissance adéquate des déterminants de la demande pour l'assurance communautaire est aussi essentielle pour l'élaboration de stratégies visant à accroître l’allocation des ressources, et à améliorer la qualité des services. La présente étude a pour objet d’évaluer les préférences des ménages pour l’assurance communautaire en milieu rural camerounais. L’usage de la méthode d’évaluation contingente suggère que les ménages à faibles revenus sont disposés à payer pour l’assurance communautaire. En outre, le capital social a un effet positif et significatif sur la demande. L’usage des doubles questions binaires pour évaluer des préférences des ménages est incompatible avec les incitations et sujets à un shift effect hétérogène expliqué par les caractéristiques intrinsèques des ménages. Les ménages très certains de leurs réponses ne sont pas sujets aux anomalies comportementales. Enfin, les préférences des ménages sont inter-indépendantes du fait des interactions spatiales expliquées par les normes socialesThe financing of quality healthcare is a major challenge for developing countries. Despite efforts to improve the provision of healthcare services, a significant proportion of the population does not always have access to healthcare services. Low economic growth, lack of economic resources, corruption and constraints on the public sector could explain why the design of a system of financing healthcare is complex. Over the past two decades, there has been a decline in the use of healthcare services after the introduction of cost recovery in public health facilities. Those most affected by this policy are low-income households particularly in rural areas that are most often vulnerable to diseases. The community-based health insurance has been proposed as an alternative to improve better access to low-income households to healthcare services. The community-based health insurance is thus a tool of social protection for many households who otherwise would not have formal insurance. However, such a health insurance scheme can have long-term effects if households have a strong preference for it, and there is social capital in rural areas. Assessing the preferences of households for the community-based health insurance is important for the formulation of policy recommendations. Adequate knowledge on the determinants of demand for the community-based health insurance is essential for developing strategies to increase resource allocation, and improve the quality of services. This study aims at assessing the preferences of households for community-based health insurance in rural areas of Cameroon. The use of contingent valuation method suggests that low-income households are willing to pay for the community-based health insurance. Furthermore, social capital has a positive and significant effect on the demand, and the use of double-bounded dichotomous choice to assess the preferences of households is incentive incompatible. We also found that there is heterogeneous shift effect in preferences anomalies and could be mostly explained by the salient characteristics of households. A striking result is that more certain households are not subjected to preference anomalies. Lastly, there is spatial dependence in the preferences of households explained by social norms
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Zhang, Zhuoya. "Individual response to different market valuations and benefit changes." Diss., University of Iowa, 2019. https://ir.uiowa.edu/etd/7053.
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This dissertation focuses on how changes in SNAP (Supplemental Nutrition Assistance Program, formerly called food stamp) policies affect the consumption choices for recipient households and how macroeconomic environment affects individuals’ behaviors. In the first chapter, I examine the consumer response to SNAP benefit change. In the second chapter, I examine the investor attention under different stock market valuations. In the third chapter, I examine the impact of rising housing prices on individuals’ marriage entry.
In the first chapter, we examine how SNAP benefits were spent. The American Recovery and Reinvestment Act of 2009 (commonly known as the Stimulus Act) temporarily increased the benefit level for SNAP recipients and released qualification requirements. We use a consumer panel with detailed transaction records to analyze the impact of SNAP benefits changes on participant household’s consumption choices. We find that the marginal propensity to spend (MPS) on food out of SNAP benefits increase is 0.45. The MPS out of SNAP benefit decrease is -0.85. SNAP participant households are more sensitive toward the benefits decrease than increase. We also study how SNAP benefits spent are in response to benefit changes. We find that with more SNAP benefits recipient households consume much more tobacco and with less benefit they consume much less alcohol. Results are robust to various placebo tests.
In the second chapter, I examine the impact of stock market valuation on investor attention. Investor attention affects stock return variance and risk premia. Using Google Trend data, I come up with a new proxy for measuring investor attention. This chapter investigates investor attention effect on the merger announcement and how market valuations and days of the week affect investor attention. With the Google search index, this study finds that investor attention has positive correlations on market reactions following the merger announcement.
In the third chapter, I estimate the impact of increasing on first marriage age in China. The first marriage age plays a very important role in the population economy, especially for a demographic dividend. The marriage market is affected by income, education, wealth inequality, consumption, etc. In China, the first marriage age has fallen since the late 1990s. This chapter focuses on how the price of the apartments change people decisions on marriage and ascribes that part of the delay to first marriage age is due to increase in housing price over the same period. In China, social norms require men to own an apartment before they get married. Based on the empirical evidence of population dynamics, the chapter suggests that a 1% increase in housing price will result in 0.016 years delay in the age of first marriage in China. When the housing price increases too much, it will have an even larger effect on marriage decisions because the high housing price becomes unaffordable for young couples. The result is robust with a wide range of model specifications.
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OLIVEIRA, Wágna Maria de Araújo. "Avaliação da Melhoria da Qualidade na Estratégia Saúde da Família: Visão do Enfermeiro da Administração Regional de Saúde Oeste II Goiás." Universidade Federal de Goiás, 2010. http://repositorio.bc.ufg.br/tede/handle/tde/695.
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Previous issue date: 2010-04-30The Health Family Strategy (HFS) it is pointed as an institutional policy of health services and assistance model of reguindance, focused in the family. This study has as general objective analyze the context of the Health Family Strategy in thedistricts that compose the Regional Administration of Health of west II of Goiás State (RAH west II), based in aspects of Technical Recommendations of a Project of Ministry of Health about, Quality of the Family Health Improvement Strategy (AMQ). It is a descriptive research, exploratory of quantitative nature, accomplished with all working nurses from the health family team of the 13 districts that compose RAH west II of Goiás. The data collected was accomplished from May to June of 2009, assisted by self applicable questionnaire with affirmatives in form of Likert type scale. The data were codified, inserted in the database produced in the Epi Info Software (CDC) Atlanta, 3.5.1 version, simple descriptive analysis was accomplished and the results presented in tables. Participated in the research 32 nurses that represents 100% of the professionals that act in HFS, mostly young women, with less than five years of graduation and of team working. By the results it was demonstrated that the context of the family health units presents difficulties related to physical structure that doesn't favor the team work, but that its organization still stimulates professionals participation, especially in the health education activities, although, investment is needed in professionals qualification, to enlarge the work with customers. It was evidenced that the implantation of HFS in the researched districts increased customers access to health services and improvements in life quality and in population health. AMQ was considered an important self valuation instrument that shows service quality indicators in HFS, and should be adopted by the managers of all districts with HF teams for allowing a systems vision of Health Family Units (HFU) reality. Those results can subsidize the teachers and professionals that work in public health as to insert services evaluation in HFS. We also from this experience intend to consolidate proposal for service teaching integration with intention of motivating the assess culture, in that context with the purpose of strategies planning that can strengthen the population health service.
A Estratégia Saúde da Família (ESF) é apontada como uma política institucional de reorientação dos serviços de saúde e modelo assistencial, centrada na família. Este estudo tem como objetivo geral analisar o contexto da Estratégia Saúde da Família nos municípios que compõem a Administração Regional de Saúde Oeste II do Estado de Goiás (ARS Oeste II), com base em aspectos das Recomendações Técnicas do Projeto para Melhoria da Qualidade da Estratégia Saúde da Família (AMQ) do Ministério da Saúde. Trata-se de uma pesquisa descritiva, exploratória de natureza quantitativa, realizada com todos os enfermeiros atuantes na equipe de Saúde da Família dos 13 municípios que compõem a ARS Oeste II de Goiás. A coleta de dados foi realizada no período de maio a junho de 2009, auxiliada por meio de um questionário auto-aplicável com afirmativas em forma de escala tipo Likert. Os dados foram codificados, inseridos no banco de dados produzido no Software Epi Info (CDC) Atlanta, versão 3.5.1, realizada análise descritiva simples e os resultados apresentados em forma de tabelas. Participaram da pesquisa 32 enfermeiros que representam 100 % dos profissionais que atuam na ESF, a maioria mulheres jovens, com menos de cinco anos de formadas e de atuação na equipe. Pelos resultados ficou demonstrado que o contexto das unidades de saúde da família apresenta dificuldades relacionadas à estrutura física que não favorece o trabalho em equipe, no entanto, a sua organização estimula a participação de todos os profissionais, especialmente nas atividades de educação em saúde, embora haja necessidade de investimento na qualificação dos mesmos para ampliar a atuação junto à clientela. Foi evidenciado que a implantação da ESF nos municípios pesquisados aumentou o acesso dos usuários aos serviços de saúde e proporcionou melhorias na qualidade de vida e na saúde da população. O AMQ foi considerado um importante instrumento de auto-avaliação que mostra os indicadores de qualidade de serviço na ESF, e deve ser adotado pelos gestores de todos os municípios com equipes de SF por permitir uma visão sistêmica da realidade nas Unidades de Saúde da Família (USF). Esses resultados poderão subsidiar os docentes e profissionais que atuam na área de saúde pública quanto à inserção da avaliação em serviços na ESF. Pretendemos também, a partir dessa experiência, consolidar proposta para integração ensino e serviço com o intuito de incentivar a cultura avaliativa nesse contexto com a finalidade de planejamento de estratégias que possam fortalecer o atendimento à saúde da população.
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Dolgopolova, Irina [Verfasser], Thomas [Akademischer Betreuer] Glauben, Ramona [Akademischer Betreuer] Teuber, and Xiaohua [Akademischer Betreuer] Yu. "Essays on consumers’ perceptions and valuations of health-enhancing attributes in food products / Irina Dolgopolova. Betreuer: Thomas Glauben ; Ramona Teuber ; Xiaohua Yu." Halle, Saale : Universitäts- und Landesbibliothek Sachsen-Anhalt, 2016. http://d-nb.info/109078659X/34.
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Dolgopolova, Irina [Verfasser], Thomas Akademischer Betreuer] Glauben, Ramona [Akademischer Betreuer] [Teuber, and Xiaohua [Akademischer Betreuer] Yu. "Essays on consumers’ perceptions and valuations of health-enhancing attributes in food products / Irina Dolgopolova. Betreuer: Thomas Glauben ; Ramona Teuber ; Xiaohua Yu." Halle, Saale : Universitäts- und Landesbibliothek Sachsen-Anhalt, 2016. http://d-nb.info/109078659X/34.
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Wanderley, Claudio Burian. "Ensaios em finanças públicas municipais." reponame:Repositório Institucional do FGV, 2009. http://hdl.handle.net/10438/6675.
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This thesis aims to discuss municipal public finance issues. An improvement of the Brazilian fiscal federalism, with greater resources decentralization and the implementation of high-powered rules for the federative transfers may be an important tool in the improvement of our social conditions. To do so, this thesis was divided into four distinct parts. The first chapter discusses the oil revenues impacts on unicipalities’ public finance. The legal changes that occurred in Brazil in the nineties in the oil and gas sector led to increasing royalties transfers to Brazilians states and municipalities. The annedoctical evidence that this transfers are not been used properly - in a way that would increment the local welfare - have originated a important discussion about these distribution rules. This paper tries to identify this revenues impacts over others municipalities’ fiscal variables. It seems that this did not impact the others sources of municipalities revenue. Unhappily, some of the resources (which distribution is either more or less concentrated) led the municipalities to increase their current expenditures and diminishes their investments efforts. At the same time, they are not spending this extra money in a way that would increment the local welfare. On the other hand, the resources which distribution is between these two limits has the opposite effect. The second chapter discusses the impact of oil revenues on the proficiency of fourth grade students of primary public schools. The oil revenues - bundled or not - were not statistically significant in explaining the observed student performance in Portuguese and mathematics. This result, however, must be analyzed with caution, since it is not trivial to identify how (and when) these effects would be generated. However, different sources of municipal revenue would impact differently the students’ proficiency scores, explaining why we need to better understand these differences to design more efficient constitutional transfer mechanisms to the municipalities. In the third chapter, we study the impacts of municipal emancipation occurred in the 90s on the well-being of local populations. More than a thousand of new municipalities were created at the nineties in Brazil, due the new Federal Constitution of 1988. There is anecdotic evidence that this was a pretty harmful process for the Brazilian welfare, but there were no systematic attempt to valuate it properly. This paper tries to do so using data from Minas Gerais municipalities which number has grown from 723 to 853 ones in that decade. The results suggest that this process strongly improved the welfare of the local population. This implies that local political markets are efficient and it should be allowed for any district to emancipate from its former municipalities, if their population wishes to do so. Finally, in the fourth chapter we analyze the impact of law (implemented in Minas Gerais) who sought to increase the incentives pro-efficiency of municipal governments. In order to improve the welfare of its citizens, the state government of Minas Gerais (Brazil) has imposed, at 1995, the state law 12.040, known as Robin Hood law. It stated that 25% of the revenue transferred to the municipalities should be allocated through observable results achieved in education, health, environment among others. In other words, this law established a high power contract between the state government and the municipalities, which is not very usual. This study shows that this law had a significant impact on the municipalities’ education and health. But it’s necessary to redesign these transfers’ rules, in order to improve its power and its results. These results shows that the use of high powered rules in federative transfers could be a strong mechanism in order to improve the population welfare.
Esta tese busca discutir problemas relacionados às finanças públicas municipais no país. Um aprimoramento de nosso federalismo fiscal, com maior descentralização de recursos e implementação de regras de transferências federativas com maiores incentivos pró-eficiência – aumentando os incentivos pró-obtenção de melhores resultados sociais por parte das unidades subfederadas – pode se revelar instrumento importante na melhoria de nossas condições sociais. Para isto, dividiu-se esta tese em quatro partes distintas. No primeiro capítulo, discutem-se os impactos das receitas petrolíferas sobre as finanças públicas municipais. As mudanças legais ocorridas no país na década de noventa do último século - relativas ao setor petrolífero - levaram a crescente (e concentrada) transferência de recursos do setor para os estados e municípios brasileiros. A forte sensação que estes estariam sendo desperdiçados de alguma forma vem suscitando discussões sobre a necessidade de se reformular sua distribuição. As recentes descobertas de megacampos petrolíferos no pré-sal do litoral brasileiro somente intensificaram este processo. Buscou-se identificar os efeitos destas transferências sobre as variáveis fiscais municipais no país. Detectou-se que não ocorreu substituição tributária, ou seja, estes recursos não diminuíram o esforço arrecadatório dos municípios. Em compensação, tanto os recursos cuja distribuição é bem mais concentrada (referentes aos royalties excedentes) quanto aqueles mais bem-distribuídos (referentes aos royalties originais) levaram as prefeituras a aumentar seus gastos correntes (piorando sua composição do ponto de vista social) e diminuir seus investimentos. O contrário parece ocorrer com os recursos cuja distribuição se dá de forma intermediária (os royalties referentes às participações especiais). No segundo capítulo, discute-se o impacto das receitas petrolíferas sobre a proficiência dos alunos até a quarta série primária das escolas públicas municipais. As receitas petrolíferas – agregadas ou não – não se mostraram estatisticamente significativas na explicação do desempenho observado pelos alunos da quarta série primária das escolas municipais em português ou matemática. Este resultado, entretanto, deve ser olhado com cautela, uma vez que não é trivial identificar como (e o tempo necessário) estes efeitos seriam gerados. Entretanto, diferentes fontes de receitas municipais impactariam de forma diferenciada as proficiências observadas nos testes de português e matemática, explicitando a necessidade de se entender melhor estas diferenças para se desenhar mecanismo mais eficiente de repasse de recursos constitucionais aos municípios. No terceiro capítulo, estudam-se os impactos das emancipações municipais ocorridas na década de 90 sobre o bem-estar das populações locais. Devido à Constituição Federal de 1988, o número de municípios no Brasil multiplicou-se fortemente na década de 90 do último século. Mais de mil municípios foram criados em todo o país, fazendo seu número ultrapassar a casa dos 5.500. Este processo tem sido interpretado de forma bastante negativa. Baseado em evidências anedóticas, se pressupõe que os atores políticos locais o utilizaram para se apropriar de maior parcela dos recursos transferidos de outros níveis governamentais. Entretanto, nenhum esforço mais sistemático foi realizado buscando calcular, de maneira efetiva, os resultados sociais líquidos deste processo. É isto que se busca fazer aqui, utilizando dados sobre os municípios mineiros - cujo número passa de 723 em 1991 para 853 em 2000. Foram detectados impactos positivos relacionados a diversas variáveis educacionais e de saúde. Ao mesmo tempo, o contrário ocorreu com os indicadores de pobreza e indigência. Este resultado mostra que o movimento observado de emancipação municipal talvez tenha sido bastante benéfico, sinalizando para a existência de mercados políticos eficientes nestas localidades, o que indicaria a necessidade de se manter uma maior autonomia local relativa a processos de emancipação de distritos. Por fim, no quarto capítulo, analisam-se os impactos de lei (implementada em Minas Gerais) que buscou aumentar os incentivos pró-eficiência das prefeituras municipais a partir das transferências federativas. Buscando melhorar as condições de vida dos municípios mineiros, o governo estadual mineiro instituiu, em 1995, a lei 12.040, conhecida como Lei Robin Hood. Esta permitia que 25% dos recursos de ICMS a serem distribuídos aos municípios mineiros se dessem sobre resultados observáveis em diversas áreas tais como saúde, educação, conservação ecológica, entre outras. Ou seja, esta instituía, em relação a estas transferências, um contrato de alto poder com os municípios relacionados às políticas públicas implementadas. O estudo destas transferências (relativas à educação e saúde) mostrou resultados dúbios. Resultados positivos relativos à educação e à saúde parecem ocorrer em todo o estado, mas os incentivos dados poderiam ser bem maiores - faz-se necessário um refinamento das regras da partilha destas transferências. Dada a relativa escassez deste tipo de contrato em transferências federativas, seja no Brasil, seja no restante do mundo, este resultado aponta a necessidade de utilização de instrumentos de maior poder nas relações federativas, buscando incrementar as condições de vida locais.
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Segond, Guillaume. "Etudes des couplages thermohydrauliques en régime variable d'un système thermique avec stockage : application à la production d'eau chaude sanitaire à partir de la valorisation d'une source de chaleur basse température." Thesis, Aix-Marseille, 2015. http://www.theses.fr/2015AIXM4722.
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Le travail présenté ici a pour objectifs d’étudier et d’optimiser les performances énergétiques d’un chauffe-eau thermodynamique couplé à un stockage par chaleur sensible. La ressource utilisée consiste en la récupération de chaleur sur l’air extrait d’un logement de type collectif. L’enjeu est de caractériser les conditions dans lesquelles le système est capable d’assurer les besoins avec des performances requises lorsque les conditions aux limites sont très fluctuantes. Sur le plan fonctionnel, le système doit être le plus simple possible du point de vue de sa configuration hydraulique et de sa stratégie de régulation.Pour cette étude, nous avons développé un modèle physico-corrélatif sur TRNSYS pour simuler et analyser les différents scenarios et les couplages thermohydrauliques entre les composants du système. En parallèle de cette démarche de modélisation, nous avons conçu et mis en œuvre un dispositif expérimental à l’échelle 1 à des fins de validation du modèle sur une large plage de conditions opératoires.L’analyse des résultats, notamment sur la nature des écoulements au sein du ballon de stockage, a mis en évidence l’influence majeure d’un certain nombre de paramètres sur les performances du système. En particulier, la robustesse des performances face à des fluctuations importantes des conditions aux limites peut être assurée grâce à une stratégie de régulation adaptée.Cette étude a finalement conduit à proposer un modèle réduit pour le dimensionnement du système qui prend en compte les paramètres le plus pertinents pour la stratégie de régulationThe work presented here aims to study and optimize the energy efficiency of a heat pump water heater coupled with a sensible heat storage. The resource used consists of heat recovery from exhaust air of a collective type of housing. The challenge is to characterize the conditions in which the system is capable of ensuring the needs with performance required when the boundary conditions are very volatile. Functionally, the system should be as simple as possible from the viewpoint of its hydraulic configuration and its control strategy.For this study, we developed a TRNSYS numerical model to simulate and analyze different scenarios and thermal hydraulic couplings between the system components. In parallel with this modeling approach, we designed and implemented an experimental set up with realistic scale to validate the model over a wide range of operating conditions.The analysis of the results, including the nature of flows within the storage tank, highlighted the major influence on a number of parameters on the system performance. In particular, the robust performance in the face of significant fluctuations of the boundary conditions can be ensured through appropriate control strategy.This study eventually led to propose a model for the design of the system that takes into account the most relevant parameters for the control strategy
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Ruthberg, Richard, and Sebastian Wogenius. "Stochastic Modeling of Electricity Prices and the Impact on Balancing Power Investments." Thesis, KTH, Industriell ekonomi och organisation (Inst.), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-192111.
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Introducing more intermittent renewable energy sources in the energy system makes the role of balancing power more important. Furthermore, an increased infeed from intermittent renewable energy sources also has the effect of creating lower and more volatile electricity prices. Hence, investing in balancing power is prone to high risks with respect to expected profits, which is why a good representation of electricity prices is vital in order to motivate future investments. We propose a stochastic multi-factor model to be used for simulating the long-run dynamics of electricity prices as input to investment valuation of power generation assets. In particular, the proposed model is used to assess the impact of electricity price dynamics on investment decisions with respect to balancing power generation, where a combined heat and power plant is studied in detail. Since the main goal of the framework is to create a long-term representation of electricity prices so that the distributional characteristics of electricity prices are maintained, commonly cited as seasonality, mean reversion and spikes, the model is evaluated in terms of yearly duration which describes the distribution of electricity prices over time. The core aspects of the framework are derived from the mean-reverting Pilipovic model of commodity prices, but where we extend the assumptions in a multi-factor framework by adding a functional link to the supply- and demand for power as well as outdoor temperature. On average, using the proposed model as a way to represent future prices yields a maximum 9 percent overand underprediction of duration respectively, a result far better than those obtained by simpler models such as a seasonal profile or mean estimates which do not incorporate the full characteristics of electricity prices. Using the different aspects of the model, we show that variations of electricity prices have a large impact on the investment decision with respect to balancing power. The realized value of the flexibility to produce electricity in a combined heat and power plant is calculated, which yields a valuation close to historical realized values. Compared with simpler models, this is a significant improvement. Finally, we show that by including characteristics such as non-constant volatility and spiky behavior in investment decisions, the expected value of balancing power generators, such as combined heat and power plants, increases.I takt med att fler intermittenta förnyelsebara energikällor tillför el i dagens energisystem, blir också balanskraftens roll i dessa system allt viktigare. Vidare så har en ökning av andelen intermittenta förnyelsebara energikällor även effekten att de bidrar till lägre men också mer volatila elpriser. Därmed är även investeringar i balanskraft kopplade till stora risker med avseende på förväntade vinster, vilket gör att en god representation av elpriser är central vid investeringsbeslut. Vi föreslår en stokastisk flerfaktormodell för att simulera den långsiktiga dynamiken i elpriser som bas för värdering av generatortillgångar. Mer specifikt används modellen till att utvärdera effekten av elprisers dynamik på investeringsbeslut med avseende på balanskraft, där ett kraftvärmeverk studeras i detalj. Eftersom huvudmålet med ramverket är att skapa en långsiktig representation av elpriser så att deras fördelningsmässiga karakteristika bevaras, vilket i litteraturen citeras som regression mot medelvärde, säsongsvariationer, hög volatilitet och spikar, så utvärderas modellen i termer av årlig prisvaraktighet som beskriver fördelningen av elpriser över tid. Kärnan i ramverket utgår från Pilipovic-modellen av råvarupriser, men där vi utvecklar antaganden i ett flerfaktorramverk genom att lägga till en länkfunktion till tillgång- och efterfrågan på el samt utomhustemperatur. Vid användande av modellen som ett sätt att representera framtida priser, fås en maximal över- och underprediktion av prisvaraktighet om 9 procent, ett resultat som är bättre än det som ges av enklare modellering såsom säsongsprofiler eller enkla medelvärdesestimat som inte tar hänsyn till elprisernas fulla karakteristika. Till sist visar vi med modellens olika komponenter att variationer i elpriser, och därmed antaganden som används i långsiktig modellering, har stor betydelse med avseende på investeringsbeslut i balanskraft. Det realiserade värdet av flexibiliteten att producera el för ett kraftvärmeverk beräknas, vilket ger en värdering nära faktiska realiserade värden baserade på historiska priser och som enklare modeller inte kan konkurrera med. Slutligen visar detta också att inkluderandet av icke-konstant volatilitet och spikkarakteristika i investeringsbeslut ger ett högre förväntat värde av tillgångar som kan producera balanskraft, såsom kraftvärmeverk.
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Gomes, José Osmar. "Configurações identitárias de uma autarquia pública no contexto da defesa e inspeção agropecuária na ótica dos gestores." reponame:Repositório Institucional da UFES, 2015. http://repositorio.ufes.br/handle/10/1685.
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Esta dissertação tem por objetivo compreender como as transformações no contexto da defesa sanitária e inspeção agropecuária entre 1996 e 2014 se relacionam com as configurações identitárias do Idaf manifestadas por gestores nesse contexto. Trata-se de uma pesquisa qualitativa que descreve os processos identitários da organização por um olhar interpretativista, pelo entendimento das relações simbólicas que permeiam essa organização, observados em discursos dos sujeitos. Para coleta dos dados foram utilizadas pesquisa documental e entrevistas semiestruturadas individuais. As entrevistas foram realizadas com cinco sujeitos da organização nos meses de setembro e outubro de 2014. O método de análise foi a Análise de Conteúdo (KRIPPENDORFF, 1990) que busca investigar dados textuais através de técnicas que permitam compreendê-los com seus significados, referências, valorações e intenções. Pretendeu-se contribuir, com esse estudo, para a compreensão da identidade organizacional, em uma organização pública, no contexto da defesa sanitária e inspeção agropecuária. Os resultados permitiram identificar o Idaf como único e distinto de outras organizações e como essa identificação está relacionada às transformações do contexto agropecuário.
This research aims to understand how changes in the context of health protection and agriculture inspection between 1996 and 2014 relate to the Idaf identity configurations expressed by managers in this context. It is a qualitative research that seek to describe the identity processes of the organization by an interpretive look at understanding the symbolic relations that permeate this organization, observed in speeches of the subjects. For data collection were used desk research and semi-structured individual interviews. Interviews were conducted with five subjects of the organization in the months of September and October 2014. The analysis method was content analysis (KRIPPENDORFF, 1990) that investigates textual data through techniques to understand them with their meanings, references , valuations and intentions. It was intended to contribute to this study, for understanding the organizational identity in a public organization in the context of health protection and agricultural inspection. The results showed the Idaf as unique and distinct from other organizations and how this identification is related to change in agricultural context.
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Lin, Miao Juan, and 林妙瓀. "Economic Valuation on Applying Biotechnology to the Ganoderma Health Food." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/61446149422013344279.
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Metzner, Karim. "Valuation of a healthcare company on the example of universal health services." Master's thesis, 2017. http://hdl.handle.net/10362/28414.
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The purpose of this report is to guide the reader’s decision whether to invest or not to invest in
Universal Health Services, Inc. (UHS) stocks. To provide comprehensive insides, we first analysed
the business model, the hospital industry in the USA, macroeconomic trends and the political
environment that could influence the valuation of UHS. Based on the gathered information, we
performed three different types of valuation models. A peer multiple-based valuation, a residual
operating income valuation and a discounted cash flow valuation. All three models lead us to the
belief that the intrinsic value of UHS’ share is essentially higher than the market valuation of 106,81
US$ on the 02.01.2017. For UHS, we set a target price of 123,31US$.
Therefore, we conclude that the share of Universal Health Services, Inc. is undervalued and give
the recommendation: BUY.
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Santos, Luis Manuel Freire Rebelo dos. "Financial valuation of IPOLFG's expansion project." Master's thesis, 2019. http://hdl.handle.net/10362/70399.
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Gerard, K., M. Tinelli, S. Latter, A. Smith, and Alison Blenkinsopp. "Patients’ valuation of the prescribing nurse in primary care: a discrete choice experiment." 2014. http://hdl.handle.net/10454/10663.
Full textAbstract:
YesBackground Recently, primary care in the United Kingdom has undergone substantial changes in skill mix. Non-medical prescribing was introduced to improve patient access to medicines, make better use of different health practitioners’ skills and increase patient choice. There is little evidence about value-based patient preferences for ‘prescribing nurse’ in a general practice setting. Objective To quantify value-based patient preferences for the profession of prescriber and other factors that influence choice of consultation for managing a minor illness. Design Discrete choice experiment patient survey. Setting and participants Five general practices in England with non-medical prescribing services, questionnaires completed by 451 patients. Main outcome measure Stated choice of consultation. Main results There was a strong general preference for consulting ‘own doctor’ for minor illness. However, a consultation with a nurse prescriber with positive patient-focused attributes can be more acceptable to patients than a consultation provided by a doctor. Attributes ‘professional’s attention to patients’ views’ and extent of ‘help offered’ were pivotal. Past experience influenced preference. Discussion and conclusion Respondents demonstrated valid preferences. Preferences for consulting a doctor remained strong, but many were happy to consult with a nurse if other aspects of the consultation were improved. Findings show who to consult is not the only valued factor in choice of consultation for minor illness. The ‘prescribing nurse’ role has potential to offer consultation styles that patients value. Within the study’s limitations, these findings can inform delivery of primary care to enhance patient experience and substitute appropriate nurse prescribing consultations for medical prescribing consultations.
Department of Health, Project 016/0108. NIHR, CDF/01/2008/009.