Дисертації з теми "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.
Повний текст джерелаDolan, Paul. "Issues in the valuation of health outcomes." Thesis, University of York, 1997. http://etheses.whiterose.ac.uk/9824/.
Повний текст джерелаButt, 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/.
Повний текст джерелаde, 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/.
Повний текст джерелаMason, 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.
Повний текст джерелаDe, 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.
Повний текст джерелаHealth 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.
Mataria, Awad. "Contingent valuation and health sector reform in developing countries : the palestinian case." Aix-Marseille 2, 2004. http://www.theses.fr/2004AIX24003.
Повний текст джерелаThis 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
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/.
Повний текст джерелаPayre, 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.
Повний текст джерелаMonetary 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
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.
Повний текст джерелаTernent, 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.
Повний текст джерелаReardon, 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.
Повний текст джерелаOkeke, 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/.
Повний текст джерелаHernandez, 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.
Повний текст джерелаFox-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.
Повний текст джерелаCuyno, 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.
Повний текст джерелаPh. D.
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.
Повний текст джерелаSpiegel, 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.
Повний текст джерелаRobins, 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.
Повний текст джерелаCataloged 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.
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.
Повний текст джерелаHector, 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.
Повний текст джерелаMachingura, 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.
Повний текст джерелаOnjukwe, 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/.
Повний текст джерелаKoldinská, Alena. "Kvantifikace škod na životě a zdraví." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-198293.
Повний текст джерелаSamajpati, 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.
Повний текст джерелаPh.D.
Doctorate
Economics
Business Administration
Economics
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.
Повний текст джерелаIncludes 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.
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.
Повний текст джерелаTeratanavat, 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.
Повний текст джерелаTitle 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).
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.
Повний текст джерелаOvanfors, 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.
Повний текст джерелаOscarson, 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.
Повний текст джерелаMakhloufi, Khaled. "Towards universal health coverage in Tunisia : theoretical analysis and empirical tests." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0025/document.
Повний текст джерелаThis 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
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.
Повний текст джерелаSällström, 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.
Повний текст джерелаdigitalisering@umu
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.
Повний текст джерелаGlobalization, 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.
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/.
Повний текст джерелаFor 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.
Pumprová, Zuzana. "Valuation Methods of Interest Rate Options." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-73665.
Повний текст джерелаDonfouet, 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.
Повний текст джерелаThe 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
Zhang, Zhuoya. "Individual response to different market valuations and benefit changes." Diss., University of Iowa, 2019. https://ir.uiowa.edu/etd/7053.
Повний текст джерелаOLIVEIRA, 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.
Повний текст джерелаThe 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.
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.
Повний текст джерелаDolgopolova, 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.
Повний текст джерелаWanderley, 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.
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.
Повний текст джерелаThe 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
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.
Повний текст джерелаI 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.
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.
Повний текст джерелаApproved for entry into archive by Morgana Andrade (morgana.andrade@ufes.br) on 2016-01-07T13:27:17Z (GMT) No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) CONFIGURAÇÕES IDENTITÁRIAS DE UMA AUTARQUIA PÚBLICA NO CONTEXTO DA DEFESA SANITÁRIA E INSPEÇÃO AGROPECUÁRIA NA ÓTICA DOS GESTORES.pdf: 1758376 bytes, checksum: 8f37e789f831e4f7fd3a3c884fcfd1c4 (MD5)
Made available in DSpace on 2016-01-07T13:27:17Z (GMT). No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) CONFIGURAÇÕES IDENTITÁRIAS DE UMA AUTARQUIA PÚBLICA NO CONTEXTO DA DEFESA SANITÁRIA E INSPEÇÃO AGROPECUÁRIA NA ÓTICA DOS GESTORES.pdf: 1758376 bytes, checksum: 8f37e789f831e4f7fd3a3c884fcfd1c4 (MD5) Previous issue date: 2015
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.
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.
Повний текст джерелаMetzner, Karim. "Valuation of a healthcare company on the example of universal health services." Master's thesis, 2017. http://hdl.handle.net/10362/28414.
Повний текст джерелаSantos, Luis Manuel Freire Rebelo dos. "Financial valuation of IPOLFG's expansion project." Master's thesis, 2019. http://hdl.handle.net/10362/70399.
Повний текст джерелаGerard, 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.
Повний текст джерелаBackground 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.