The thesis is focused on assistance in the Czech insurance market. The theoretical part presents more than twenty years history of assistance services and insurance issues to which they relate. It is a travel insurance, life and accident insurance, home insurance and motor vehicles insurance. A selected assistance company are also presented. The main part is devoted to the analysis offered assistance services for those types of insurance, focusing on its extent, lockouts and the specifics of the product. The four leading insurance companies were compared. The aim is to offer a comprehensive overview of the topic, and help you navigate the issue of assistance services. The last part deals with the future development of these services, but also of the domestic insurance industry.

Striking disparities exist in higher education and employment rates between young adults with disabilities and their non-disabled peers. This qualitative study examined the lived experiences of nine young adults ages 24-35 with neuromuscular disease and how their use of personal assistance services (PAS) impacted their pursuit of higher education and employment. Participants overall had positive college experiences and reported the easiest time coordinating PAS was during college. Families of participants expected college attendance, but the lack of experience with PAS prior to college impacted higher education; the need for PAS influenced choice of college. Participants used consumer-driven and agency based models, experienced great stress coordinating PAS, experienced low quality and high turnover of staff, were restricted in their ability to be spontaneous, and at times limited their needs to avoid asking for assistance. A significant amount of informal caregiving from family and friends was used to support higher education and employment. Participants speculated that societal stereotypes and low expectations of people with disabilities contribute to low rates of employment and higher education, and reported negative interactions with vocational rehabilitation counselors. Eligibility criteria for federal and state PAS programs limited income and created work disincentives, were complex to understand and navigate, and discouraged both advancement in their careers and the willingness to pursue advanced degrees. Young adults with neuromuscular disease are willing, wanting, and capable to participate in higher education and gainful employment and could not do so without access to reliable quality PAS. Efforts to prepare families and youth to fund and coordinate PAS, eliminate work disincentives, and coordinate transition planning between multiple support agencies could help break the cycle of poverty in the disability community and encourage employment.

This thesis deals with international provided medical assistance services. The goal is to present problems connected to internationally provided assistance services and to offer possible solutions. For this work was drawn up a questionnaire, which was focused on the approach of clients to travelling, to insurance of medical expenses and to assistance companies.

Made available in DSpace on 2016-04-29T14:16:35Z (GMT). No. of bitstreams: 1 Maria Helena Celia Cardoso.pdf: 2165618 bytes, checksum: cd91948880593b5b0c4ff473d616bc9e (MD5) Previous issue date: 2014-10-03 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The object of study of this work concerns the performance of social workers in the technical supervising of social assistance services provided by private organizations of social assistance under partnerships with the government through the Administration of Social Assistance and Development. The subjects chosen for this investigation are eight social workers who work as technical supervisors in the South, East and West Central areas of São Paulo city. The choice of these subjects was carried out for representing the technical supervisors which work in those five administrative areas. The interviewed professionals concurred with their narratives in order to demonstrate the hypotheses regarding: A) the real working conditions of technical supervisors: training, work pace, human resources; B) the recognition of technical supervisor mediation in the partnership between the state and the social assistance organizations, throwing light on the solving technical capacity; C) the tools used in technical supervision. Concerning specific objectives, it was possible to characterize the work accomplished by the social worker and to think over the meaning of technical supervision for the qualitative achievement of its purposes. The overseen social assistance services, under indirect public management, were gather together and listed, considering their respective typologies, as well as the number of CRAS and CREAS located according to São Paulo administrative districts, in order to demonstrate the territorial scope of these services that hold together the social assistance grid through the work of the technical supervisor. The conceptual and legal normative benchmark is based on the laws, ordinances and regulations of the National and Municipal Social assistance policies, and the analysis is founded on a critical perspective of the knowledge of the social assistance area / Esta dissertação tem como objeto de estudo a atuação dos assistentes sociais na supervisão técnica de serviços socioassistenciais, ofertados pelas organizações privadas da área de Assistência Social sob convênio com o poder público pela Secretaria de Assistência e Desenvolvimento Social - SMADS. Os sujeitos da pesquisa são oito assistentes sociais supervisores técnicos, atuantes nas regiões Sul, Leste e Centro - Oeste da capital paulista. A escolha dos sujeitos visou, a princípio, representar os supervisores técnicos atuantes nas cinco regiões administrativas. Os profissionais entrevistados contribuíram, com suas narrativas, para responder às hipóteses referentes: A) às reais condições de trabalho do supervisor técnico: capacitação, ritmo de trabalho, recursos humanos; B) ao reconhecimento da mediação do técnico supervisor na parceria entre o Estado e as Organizações de Assistência Social, com reflexões sobre a capacidade técnica resolutiva; C) aos instrumentos utilizados na supervisão técnica. Foi possível, com base nos objetivos específicos, caracterizar o trabalho realizado pelo assistente social e refletir sobre o significado da supervisão técnica para o alcance qualitativo de seus fins. Foram levantados e elencados os serviços socioassistenciais supervisionados, sob gestão pública indireta, com suas respectivas tipologias, bem como, o número de CRAS e CREAS localizados por distritos administrativos na capital paulista, visando demonstrar a abrangência territorial destes serviços que articulam a rede socioassistencial por meio do trabalho do supervisor técnico. O referencial conceitual e legal- normativo fundamenta-se nas leis, portarias e normas das políticas Nacional e Municipal de Assistência Social, e a análise alicerça-se na perspectiva crítica do conhecimento da área de Serviço Social

Therapeutic Day Treatment (TDT) is a community-based mental health treatment program regulated and funded by the Department of Medical Assistance Services (DMAS) in the Commonwealth of Virginia. This case study sought to understand how DMAS regulatory changes impacted the implementation of the TDT program in the Commonwealth between fiscal years 2004 and 2011. In an effort to respond to this question, sources of qualitative and quantitative data were collected including: TDT fee-for-service data, regulations in the Community Mental Health and Rehabilitative Services manual guiding the implementation of the TDT program, and structured interviews with eight key stakeholders who interface with the TDT program. The fee-for-services analysis found that there was a 269% increase in fee-for-service expenditures between fiscal years 2007 and 2011. The analysis of the regulations found DMAS added language to provide greater clarity to the existing regulators. Some of these changes include the implementation of the PA process with KePRO as well as the VICAP process. Additionally, staff requirements changed and paraprofessionals were no longer able to provide TDT programming. Caseload limits were also set for TDT programming. Four themes emerged through the analysis of the structured interviews. These themes include: 1) fraudulent practices and misuse of TDT services, 2) regulatory oversight, 3) cost containment, and 4) evaluation. Implications focused on the areas of policy, practice, and research by suggesting further research studies focusing on TDT and policy, offering the foundation of a more comprehensive theory focusing on policy implementation, and lastly the researcher provided a logic model for the TDT program in an effort to propel evaluation research forward.

Made available in DSpace on 2016-04-29T14:16:01Z (GMT). No. of bitstreams: 1 Neiri Bruno Chiachio.pdf: 1821829 bytes, checksum: 244de90cc56481917d8010c77572f785 (MD5) Previous issue date: 2011-06-27 / The present thesis studies the state regulation for social assistance services designed to people who need the protection of Social Assistance Services to be considered as rights reserved to citizens to Social Security under the Social Welfare and Health policies as established by the Brazilian Constitution. As a duty of the State, the Social Assistance Policy takes charge of offering the answers to certain social needs, to guarantee benefits and public service, in direct administration of the Public Power or through the participation of non-profitable private organizations. The study deals with the configuration and regulation of social assistance services and the way they were established up to present days in the Brazilian society. The study also investigates how services are introduced and how relationship between public and private sectors is developed when offering these services to two metropolis of the city of Sao Paulo. The study is searching to rescue the debate related to the theme and situates its critical points and also promote the discussion aiming the composition of networking services integrated to the Public Social Policy to guarantee social security and extension of citizenship in Brazil / A presente tese estuda a regulação estatal dos serviços socioassistenciais dirigidos aos cidadãos que necessitam de proteção social de Assistência Social, a serem prestados como direito do cidadão à Seguridade Social, junto às políticas de Saúde e Previdência Social, conforme estabelece a Constituição Brasileira. Como dever de Estado, a Política de Assistência Social se encarrega de ofertar respostas a determinadas necessidades sociais, assegurando prestações nas modalidades de benefícios e serviços públicos, em gestão direta do Poder Público, ou pela ação compartilhada com organizações privadas, sem fins lucrativos. O estudo aborda as formas como os serviços de assistência social foram constituídos na sociedade brasileira e a sua configuração e regulamentações até os dias atuais. Investiga como se apresentam e que formas de relação se desenvolvem entre o setor público e privado na prestação desses serviços em duas metrópoles paulistas. Busca resgatar o debate relativo ao tema, situar seus pontos críticos e inserir a discussão na perspectiva da composição dos serviços em rede integrante da Política Social Pública, para a garantia de seguranças sociais e a extensão da cidadania no Brasil

Made available in DSpace on 2016-04-29T14:16:06Z (GMT). No. of bitstreams: 1 Tiago Gomes Cordeiro.pdf: 1156206 bytes, checksum: 4aaacd43d35da0d67cd44cb9a4c3f773 (MD5) Previous issue date: 2011-10-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The current dessertation aims to a study of historical knowledge of the main forms of social assistance services in São Paulo, in the period 1940-2004 and knowledge in the proposition/deployment of Creas/medium complexity, in the context of the PNAS/Suas, in the period 2004-2011. The overall objective was to identify and analyze the historical knowledge of the forms of social assistance services in São Paulo, from 1940-2004, was considered in the proposition/deployment of Creas/medium complexity, in the context of PNAS/Suas, in the period of 2004-2011, in view of its inclusion in the historical processual social assistance. Formulated as guiding question: What perceptions that the research subjects have the historical knowledge of the forms of social service assistance and knowledge of the proposition/deployment of Creas/medium complexity and integration of knowledge in historical processual social care in São Paulo? The main conceptual frameworks were: Poverty, Social Vulnerability and Social Risk; Social Policy, Social Law and Social Protection; PNAS, SUAS and Creas/medium complexity, based on contemporary works and authors of Social Work and Sociology. The methodology focused on qualitative research, comprising research literature, documentary research and field research, beyond the observation of the dynamics of operation of the studied Creas units. The five subjects were: Two faculty/academic researches from PUC/SP, two social workers/unit managers Creas and a social worker/technician Smads. Content analysis was adopted for the interpretation of the meanings of the data collected. The results indicate that the subjects do not consider the inclusion of the proposition/deployment of Creas/medium complexity in the extend of processivity historic welfare in São Paulo, that is 1940-2011 / A presente dissertação tem por objeto um estudo do conhecimento histórico das principais formas de atendimento socioassistencial no Município de São Paulo, no período de 1940-2004, e do conhecimento da proposição/implantação dos Creas/média complexidade, no contexto da PNAS/Suas no período 2004-2011. O objetivo geral visou compreender e analisar se o conhecimento histórico das formas de atendimento socioassistencial no Município de São Paulo, de 1940-2004, foi considerado na proposição/implantação dos Creas/média complexidade, no contexto da PNAS/Suas, no período 2004-2011, tendo em vista sua inserção na processualidade histórica da assistência social. Formulou-se, como pergunta norteadora: que percepções os sujeitos da pesquisa tem do conhecimento histórico das formas de atendimento socioassistencial e do conhecimento da proposição/implantação dos Creas/média complexidade, e da inserção desses conhecimentos na processualidade histórica da assistência social no Município de São Paulo? As principais referências conceituais foram: Pobreza, Vulnerabilidade Social e Risco Social; Política Social, Direito Social e Proteção Social; Política Nacional de Assistência Social, Sistema Único de Assistência Social e Creas/Média Complexidade, fundamentadas em obras e autores contemporâneos do Serviço Social e da Sociologia. A metodologia centrou-se em pesquisa de natureza qualitativa, compreendendo a pesquisa bibliográfica, pesquisa documental e pesquisa de campo, além da observação da dinâmica de funcionamento das unidades Creas estudadas. Os cinco sujeitos da pesquisa foram: duas docentes/pesquisadoras acadêmicas da PUC-SP, duas assistentes sociais/gerentes das unidades Creas e um assistente social/técnico da Smads. Foi adotada a análise de conteúdo para a interpretação dos significados dos dados coletados. Os resultados alcançados apontam que os sujeitos da pesquisa desconsideram a inserção da proposição/implantação dos Creas/média complexidade na abrangência da processualidade histórica da assistência social no Município de São Paulo, isto é, de 1940-2011

Made available in DSpace on 2014-12-17T14:46:33Z (GMT). No. of bitstreams: 1 MariadeFatimaMS.pdf: 269670 bytes, checksum: 01e566a6cbbb5d27eef0eb0f71132c2b (MD5) Previous issue date: 2008-04-18 / This study is an analysis of opportunities and challenges of health assistance migration from hospitals to home care from the approach of the Domiciliary Internment Program (PID) in Natal / RN. The research aims to identify the ways that the multidisciplinary team act and know the stories of these professionals about the situation experienced in the transition between the instituting and instituted on home care modalities. PID has as a prior focus the elderly person in stable medical conditions, not to replace the hospital care, but to offer a therapeutic support turned to the exercise of their autonomy and coexistence with the situation of diseases. The home in their internal coexistence rules preserves own customs. As the hospital care migrates to the home care, it happens in the confrontation and rationality negotiation and becomes something new, that is going to be directed by an instituting dimension. In the view of New History, that suggests an interdisciplinary approach and interprets the problems on its time and from the technique of thematic oral history, it can be seen that working in interdisciplinary team is able to incorporate new values in the way of healthcare assistance, it longs for maintaining the maximum functional capacity of patients, it presents results as the prevention of diseases, costs reduction in connection with the Hospital Service, empowers and expands the possibilities for the patient recovery by aligning with the daily life and the opportunity of the patient being assisted by a multiprofessional team, interacting on the concrete reality. Therefore, PID is in line with the contemporary demands and as an instrument to be considered in the review of a wider concept of the health-disease process / O presente estudo trata de uma an?lise sobre as possibilidades e desafios da migra??o do cuidado em sa?de do hospital para o domic?lio a partir da abordagem sobre o Programa de Interna??o Domiciliar-PID em Natal/RN. Busca identificar as formas de atua??o da equipe multiprofissional e conhecer as hist?rias dos profissionais da equipe sobre a trajet?ria vivenciada na transi??o entre o institu?do e o instituinte nas formas de cuidado domiciliar. O PID tem como foco priorit?rio a pessoa idosa em condi??es cl?nicas est?veis, n?o para substituir a aten??o hospitalar, mas oferecer um suporte terap?utico voltado para o exerc?cio de sua autonomia e conviv?ncia com a situa??o da doen?a presente. O domic?lio em suas normas internas de conviv?ncia preserva costumes pr?prios. Na medida em que o cuidado hospitalar migra para o domic?lio, ele se d? no confronto e na negocia??o das racionalidades e passa a ser algo novo, ou seja, passa a orientar-se por uma dimens?o instituinte. Sob a ?tica da Hist?ria Nova que prop?e uma abordagem interdisciplinar e interpreta os problemas ? luz do seu tempo e a t?cnica da hist?ria oral tem?tica pode-se constatar que o trabalho em equipe interdisciplinar ? capaz de incorporar novos valores ao modo de cuidar em sa?de, prima pela manuten??o da capacidade funcional m?xima do doente, apresenta resultados como a preven??o de agravos, redu??o de custos em rela??o ao Servi?o Hospitalar, amplia e potencializa as possibilidades de recupera??o do doente, pela aproxima??o com a vida cotidiana e pela oportunidade do doente ser cuidado por uma equipe mulprofisssional interagindo sobre a realidade concreta. Portanto, o PID est? em sintonia com as demandas contempor?neas e se apresenta como um instrumento a ser considerado na revis?o de um conceito mais abrangente do processo sa?de-doen?a

Dans cette thèse, nous proposons un cadre générique pour la modélisation et la gestion du contexte dans le cadre des systèmes intelligents ambiants et robotiques. Les connaissances contextuelles considérées sont de plusieurs types et issues de perceptions multimodales : connaissances spatiales et/ou temporelles, changement d’états et de propriétés d’entités, énoncés en langage naturel. Pour ce faire, nous avons proposé une extension du langage NKRL (Narrative Knowledge Representation and Reasoning) pour parvenir à une représentation unifiée des connaissances contextuelles qu’elles soient spatiales, temporelles ou spatio-temporelles et effectuer les raisonnements associés. Nous avons exploité l’expressivité des ontologies n-aires sur lesquelles repose le langage NKRL pour pallier aux problèmes rencontrés dans les approches de représentation des connaissances spatiales et dynamiques à base d’ontologies binaires, communément utilisées en intelligence ambiante et en robotique. Il en résulte une modélisation plus riche, plus fine et plus cohérente du contexte permettant une meilleure adaptation des services d’assistance à l’utilisateur dans le cadre des systèmes intelligents ambiants et robotiques. La première contribution concerne la modélisation des connaissances spatiales et/ou temporelles et des changements de contexte, et les inférences spatiales, temporelles ou spatio-temporelles. La deuxième contribution concerne, quant à elle, le développement d’une méthodologie permettant d’effectuer un traitement syntaxique et une annotation sémantique pour extraire, à partir d’un énoncé en langage naturel, des connaissances contextuelles spatiales ou temporelles en NKRL. Ces contributions ont été validées et évaluées en termes de performances (temps de traitement, taux d’erreurs, et taux de satisfaction des usagers) dans le cadre de scénarios mettant en œuvre différentes formes de services : assistance au bien-être, assistance de type aide sociale, assistance à la préparation d’un repas / In this thesis, we propose a generic framework for modeling and managing the context in ambient and robotic intelligent systems. The contextual knowledge considered is of several types and derived from multimodal perceptions : spatial and / or temporal knowledge, change of states and properties of entities, statements in natural language. To do this, we proposed an extension of the Narrative Knowledge Representation and Reasoning (NKRL) language to reach a unified representation of contextual knowledge whether spatial, temporal or spatio-temporal and perform the associated reasoning. We have exploited the expressiveness of the n-ary ontologies on which the NKRL language is based to bearing on the problems encountered in the spatial and dynamic knowledge representation approaches based on binary ontologies, commonly used in ambient intelligence and robotics. The result is a richer, finer and more coherent modeling of the context allowing a better adaptation of user assistance services in the context of ambient and robotic intelligent systems. The first contribution concerns the modeling of spatial and / or temporal knowledge and contextual changes, and spatial, temporal or spatial-temporal inferences. The second contribution concerns the development of a methodology allowing to carry out a syntactic treatment and a semantic annotation to extract, from a statement in natural language, spatial or temporal contextual knowledge in NKRL. These contributions have been validated and evaluated in terms of performance (processing time, error rate, and user satisfaction rate) in scenarios involving different forms of services: wellbeing assistance, social assistance, assistance with the preparation of a meal

O presente trabalho constitui-se num estudo com usuários da assistência social atendidos no município de São José dos Campos. Analisa-se suas percepções em relação aos serviços socioassistenciais ofertados pela política de assistência social do Sistema Único de Assistência Social SUAS, preconizada na Política Nacional de Assistência Social PNAS de 2004. O objetivo é investigar se os usuários dos serviços e programas socioassistenciais oferecidos pela política de assistência social no município em questão, perceberam, tanto a implantação do novo modelo de assistência social, como também as mudanças geradas por ele. Adotou-se a metodologia qualitativa pois buscou-se compreender o significado e a importância da assistência social nas vidas dos entrevistados. Os achados dessa pesquisa indicam que ainda há muito que construir para que a população que acessa os serviços socioassistenciais se permita sentir como cidadãos de direito. Considera-se que o SUAS é uma realidade em construção. Acredita-se ser um dos grandes desafios dessa política, estabelecer mecanismos que possam garantir, efetivamente, a participação dos usuários nos espaços legítimos de discussão da política de assistência social no Brasil e a partir daí ver concretizada a Assistência Social como direito universal. / This paper presents a study with users of social assistance met in São José dos Campos. We analyze their perceptions of the social assistance services offered by the social welfare policy of the Unified Social Assistance System - SUAS, recommended in the National Policy for Social Assistance - PNAS 2004. The aim is to investigate whether users of services and social assistance programs offered by social assistance policy in the municipality in question, perceive both the implementation of new social care model, as well as changes generated by it. Qualitative methodology was adopted because we sought to understand the meaning and the importance of social assistance in the lives of respondents. The findings of this research indicate that there is much to build for the population that accesses the social assistance services allow yourself to feel like citizens of law. It is considered that the SUAS is a reality in construction. Believed to be one of the great challenges of this policy, establish mechanisms to ensure effectively the participation of users in legitimate forums for discussion of social assistance policy in Brazil and see concretize the Social Assistance as universal law.