Sistemas gerenciais em estabelecimentos de saúde podem ser considerados sistemas complexos, tendo em vista interação entre diferentes tipos de agentes na tomada de decisão (médico, paciente, gestor, entre outros), observação de transições de fase em epidemiologia, emergência de padrões de comportamento auto-organizado entre profissionais de saúde e incertezas quanto ao desfecho em saúde pós-tratamento. Em geral, os sistemas de apoio à decisão médica buscam maximizar resultados positivos e minimizar riscos em saúde aos pacientes, assim como propor diretrizes terapêuticas padronizadas e controlar custos em saúde. Há evidências de diferenças nos custos e benefícios derivados de sistemas decisórios Bayesianos centralizados (única distribuição a priori) e descentralizados (uma distribuição a priori por médico) aplicados ao processo de decisão de reserva de leito de Unidades de Terapia Intensiva (UTI) para períodos pós-operatórios. A existência de interação entre médicos com diferentes papéis no sistema decisório de indicação de UTI requer técnicas sofisticadas de avaliação econômica para comparação de vantagens e desvantagens associadas sistemas decisórios Bayesianos centralizados e descentralizados; tendo em vista que a aplicação de técnicas simples, como árvores de decisão ou cadeias de Markov, podem apresentar resultados imprecisos. Os objetivos deste estudo foram analisar a relação custo-benefício de sistemas de apoio à decisão médica centralizados e descentralizados para indicação de reserva de leito de UTI pós-operatório da perspectiva do sistema de saúde. Foi utilizada modelagem baseada em agentes, a partir de simulação de agentes usando raciocínio e atualização de crenças Bayesianos implementada no software NetLogo com análise de sensibilidade em Behavior Space. O modelo de decisão descentralizada apresenta benefício três vezes superior ao modelo centralizado (R$600 contra R$200). O modelo decisório descentralizado apresenta melhor razão custo-benefício ao sistema de saúde, permitindo maior flexibilidade na decisão médica e adaptabilidade dos agentes a diferentes situações. / Management systems in health facilities may be considered complex systems, due to the interaction among different types of agents in the decision process (physician, patient, manager, among other), observation of phase transitions in epidemiology, emergence of patterns in self-organized behavior among health professionals, and uncertainty in relation to health outcomes after treatment. In general, the medical decision support systems seek to maximize positive results and minimize risks in health to patients, as well as to propose standard therapeutic guidelines and to control the treatment costs. There are evidences of differences in costs and benefits derived from centralized (unique distribution a priori) and decentralized (one distribution a priori for each physician) Bayesian decision systems applied to the process related to decision of post-operatory booking of hospital beds in Intensive Care Unit (ICU). The existence of interaction among physicians in different roles in the decision system for ICU indication requires sophisticated techniques in economic evaluation for comparison of advantages and disadvantages associated to centralized and decentralized Bayesian decision systems; since other techniques, as decision trees and Markov chains, may present imprecise results. The objective of this study was to analyze the cost-benefit ratio of centralized and decentralized medical decision support systems for indication of booking of ICU beds in post-operatory period using the perspective of the health system. One agent-based model was applied, using simulation of agents based on Bayesian reasoning and beliefs updating implemented in the software NetLogo with sensitivity analysis in Behavior Space. The decentralized decision model presents benefits three times higher than the centralized decision model (US$270.27 versus US$90.09). The decentralized decision model presents better cost-benefit ratio to the health system, allowing enhanced flexibility in the medical decision process and adaptability of the agents to different situations.

Made available in DSpace on 2016-04-28T20:16:31Z (GMT). No. of bitstreams: 1 2006-Alziro Vasconcelos Carneiro.pdf: 455403 bytes, checksum: 96b519d909bc30f30ddc42546978acfb (MD5) Previous issue date: 2006-07-31 / There are several pathogens causing bovine mastitis, but only Streptococcus agalactiae is feasible to be eradicated from a herd. Two herd data ( A and B ) were used to evaluate the economic and technical viability of the eradication of this pathogen, based on this pathogen attack program. It was used a 24 month period data from production; somatic cells count (SCC), clinical mastitis and expenditures. A cost-benefit analysis was carried out through mathematical models. It was identified 16 infected cows with S. agalactiae in herd A , and in herd B , there were 42, from which 31 associated with Staphylococcus aureus. The therapy effectiveness in eliminating S. agalactiae was about 100% in both herds. However, 18 cows kept the infection of S. aureus after the therapy (42% of effectiveness). The number of cases and cows with mastitis decrease was about 18% and 21%, respectively. For herd B it was found a SCC growing tendency on infected group and on total milk, 12 months before the therapy (980x10P 3 P and 968x10P 3 P cells/ml averages, respectively) and stabilization after treatment (577x10P 3 P cells/ml and 563x10P 3 P cells/ml averages, respectively). Treatment cost was about R$ 175.95 per cow considering the following higher cost items: laboratory exams (39%); milk discard (31%); veterinary medicaments and labor for additional operations (20%); and veterinary fees (10%). Payment due to quality and to the decrease in clinical mastitis cases represented about 55% e 34% of total benefit. However, it was not found significant milk production increase for treatment program (p>0.05), in treated group, nor in herd B . It was estimated about 11.67; 6.45 and 2.61 monetary unit return for each unit invested. Prophylactic procedures were important to eradicate and maintain the herd free from S. agalactiae, they have also contributed for lower incidence of clinical mastitis, decreasing SCC and discard/precocious mortality, so its adoption is recommended. Considering Brazilian requirements relative to somatic cells and milk total bacterial as well as S. agalactiae role in increasing these parameters, it is suggested an eradication program of this pathogen, which may help farmers to maintain production under standard requirements, as well as the consumers reducing risk and Government income loss due to taxes collection. / Entre os v?rios pat?genos causadores de mastite, o ?nico que pode ser erradicado do rebanho ? Streptococcus agalactiae. Dados de dois rebanhos, 'A' e 'B', foram utilizados para avaliar a viabilidade t?cnica e econ?mica de um programa de erradica??o deste pat?geno. Foram utilizados dados de produ??o, contagem de c?lulas som?ticas (CCS), mastite cl?nica e financeiros, de 24 meses. An?lise custo/benef?cio foi realizada com aux?lio de modelos matem?ticos. Identificaram-se 16 vacas infectadas com S. agalactiae no rebanho 'A' e 42 no rebanho 'B', sendo que destas ?ltimas, 31 apresentaram infec??o associada com Staphylococcus aureus. A efic?cia da terapia de ataque foi de 100% nos dois rebanhos. Entretanto, 18 vacas no rebanho B mantiveram a infec??o por S. aureus ap?s a terapia (42% de efic?cia). No rebanho 'B', a redu??o do n?mero de casos e de vacas com mastite cl?nica foi de 18 e 21%, respectivamente. A CCS apresentou tend?ncia crescente no grupo infectado e no leite total, nos 12 meses antecedentes ? terapia, com as m?dias de 980x103 e 968x103 c?l/ml, respectivamente. Ap?s o tratamento, as m?dias estabilizaram-se em 541x103 e 563x103 c?l/ml, respectivamente. O custo do tratamento foi de R$ 175,95 por vaca/tratada, sendo 39% deste com exames laboratoriais, 31% descarte de leite, 20% medicamentos e m?o-de-obra devido a opera??es adicionais e 10% honor?rios do m?dico veterin?rio. O pagamento por qualidade e a redu??o dos custos com a mastite cl?nica representaram 55% e 34% do benef?cio. Aumento significativo n?o foi observado (p>0,05) na produ??o m?dia de leite dos grupos tratados e do rebanho 'B'. Estimaram-se retornos de 11,67, 6,45 e 2,63 unidades monet?rias para cada unidade investida no programa de erradica??o de S. agalactiae. As medidas terap?uticas e profil?ticas foram eficazes para erradicar e manter o rebanho livre de S. agalactiae, al?m de contribu?rem para reduzir a CCS do leite, a incid?ncia de mastite cl?nica, o descarte/mortalidade precoce e proporcionou ganhos em programa de pagamento por qualidade, sendo sua ado??o recomend?vel. Considerando as exig?ncias brasileiras com rela??o ao limite de c?lulas som?ticas e de bact?rias totais no leite e o papel de S. agalactiae no aumento desses par?metros, o programa de erradica??o deste pat?geno pode significar a perman?ncia do produtor na atividade formal, al?m de reduzir risco para os consumidores e perdas de receitas do Governo com recolhimento de impostos.

Esta tese representa o aprofundamento do estudo das estimativas de custos, componente integrante e determinante das avaliações econômicas, enquanto parte do projeto de pesquisa Estudos de custo-efetividade da incorporação de novas vacinas à rotina do Programa Nacional de Imunizações: Rotavírus, Varicela, Pneumocócica conjugada, Meningocócica C conjugada e Hepatite A desenvolvido por solicitação do Programa Nacional de Imunização/PNI da Secretaria de Vigilância em Saúde/SVS do Ministério da Saúde, a partir de 2005. A tese teve como objetivo analisar as condições de uso, dificuldades e repercussões de diferentes métodos de estimativas de custos em estudos de custo-efetividade de vacinas de duas tecnologias específicas, vacinas contra rotavírus e varicela, assim como a relação entre as estimativas de custos e os resultados. As estimativas de custos estão condicionadas pelas características gerais da doença sob análise (aguda no caso de rotavírus e com seqüela no caso de varicela), assim como por questões metodológicas gerais (escolha teórico-conceitual, métodos e fontes de dados) e especificidades do caso brasileiro. Para esta tese, houve maior detalhamento das estimativas de custos diretos no cuidado da doença, com a inclusão de custos específicos do sistema de saúde suplementar para as duas doenças, inclusão de participação pública na dispensação de medicamentos no caso de rotavírus e inclusão de custos de medicamentos do sistema público de saúde no caso de varicela. Como resultado, houve aumento do custo total da doença estimado de 16% para rotavírus e 11% para varicela, assim como aumento de economia (custo total da doença evitado) de 18% e 16%, respectivamente, com a introdução de cada vacina. Apesar do maior detalhamento das estimativas de custos ter reduzido a razão de custo-efetividade incremental em 20% para rotavírus e 4% para varicela, o nível de custo-efetividade dos dois programas de vacinação não foi alterado. Os resultados das avaliações econômicas de vacinação contra rotavírus e varicela mostraram-se mais sensíveis às estimativas de custos do programa de vacinação, em especial o preço da vacina, apontando a relevância do custo da tecnologia sob análise para incorporação em comparação aos demais custos / This thesis represents a deeper study of the cost estimates, an integrant and determinative component of economic evaluations, as part of the project Costeffectiveness studies of the incorporation of new vaccines into the routine of the National Immunisation Program: Rotavirus, Varicella, Pneumococcal conjugate, Meningococcal C conjugate and Hepatitis A. The project has been developed on the request of the National Immunisation Program/PNI of the Secretary of Sanitary Surveillance/SVS of the Ministry of Health since 2005. The objective of the thesis was to analyse the conditions of use, difficulties and repercussions of different cost estimates methods in the cost-effectiveness studies of two specific technologies, vaccines against rotavirus and varicella, as well as the relationship between the cost estimates and the results. The cost estimates are conditioned by general characteristics of the disease under analysis (acute in the case of rotavirus and with long-term disability in the case of varicella), general methodological issues (theoretical choice, methods and sources of data) and specificities to the Brazilian case. This thesis brings a more detailed estimation of direct medical costs, with the inclusion of specific costs of the private health care system for the two diseases, inclusion of public participation for dispensing drugs in the case of rotavirus and inclusion of drugs costs in the public health care system in the case of varicella. As a result, there was an estimated disease total cost increase of 16% for rotavirus and 11% for varicella, as well as increase of savings (disease total cost avoided) of 18% and 16%, respectively, with the introduction of each vaccine. Although the more detailed cost estimates have reduced the incremental cost-effectiveness ratio by 20% for rotavirus and 4% for varicella, the cost-effectiveness level of the two vaccination programs was not altered. The results of the economic evaluations of vaccination against rotavirus and varicella were more sensitive to the vaccination program cost estimates, especially the vaccine price, pointing out the relevance of the cost of the technology under analysis for incorporation comparatively to the other costs

[pt] O presente trabalho objetiva analisar o modelo de aplicação de princípios jurídicos de Robert Alexy, com um enfoque que buscará explorar as conexões existentes entre o modelo e os conceitos típicos de teoria microeconômica nos quais o pensamento de Alexy está em parte inspirado. A apresentação desses conceitos será feita de maneira a permitir que o leitor não familiarizado com o tema possa melhor assimilar e compreender as noções econômicas presentes na obra do autor.Será conferida uma atenção especial à noção de otimização que desempenha um papel fundamental na definição de princípios jurídicos adotada por Alexy. Também terá destaque e será detalhadamente explorado o fato de que o modelo formulado por Alexy segue uma linha de pensamento que está amplament centrada na consideração do raciocínio custo x benefício como fio condutor de sua proposta para a solução das colisões de princípios. A incorporação do raciocínio custo x benefício - que é típico da teoria econômica - à análise de complexas questões jurídicas deve ser, assim, alvo de algumas interessantes reflexões. Neste ponto será estabelecida uma das ligações existentes entre o núcleo deste trabalho e o direito da concorrência, que se justifica pelo fato de que esta área do direito se caracteriza por uma ampla aproximação entre o direito e a economia e por tratar o raciocínio custo x benefício com uma naturalidade que faz dela um exemplo bastante útil para a compreensão e aceitação da proposta de Alexy. Adicionalmente, o trabalho dedicará algumas linhas à apresentação de determinados aspectos relevantes da fórmula de ponderação elaborada por Alexy, ocasião em que novas conexões com o direito da concorrência serão explicitadas. Vale ressaltar, ainda, a preocupação de que seja destacada a aptidão do modelo proposto por Alexy para reduzir o espaço que usualmente é ocupado pela intuição e pelo subjetivismo na complexa análise das situações de colisão de princípios. / [en] This thesis examines Robert Alexy s model for the application of legal principles, exploring the connection between Alexy s model and the typically microeconomic theories which inspired, in part, Alexy s thinking. Economic concepts are presented in a manner that allows readers who are not familiar with economic theory to assimilate and understand the notions contained in Alexy s work. Special attention is given to the notion of optimization, which occupies a fundamental role in Alexy s definition of legal principles. The thesis also explores in detail the influence of cost/benefit thinking on Alexy s model, leading to his proposal for resolving conflicts between principles. The incorporation of cost/benefit analysis - typical of economic theory - into the analysis of complex legal questions raises a number of interesting issues, which are examined in the context of competition law. Because legal and economic theories converge in this area of the law, so that cost/benefit analysis naturally applies, competition law furnishes examples that facilitate understanding and acceptance of Alexy s model. Certain other aspects of the Weight Formula elaborated by Alexy are also studied, again linking Alexy s theories to competition law. A central concern of this thesis is to highlight how Alexy s model can reduce the space usually occupied by intuition and subjectivism in the complex analysis of situations where principles collide.

本研究探討舔飲蔗糖液之成本利益情境中，多巴胺受體拮抗劑對舔飲行為配置的影響，以釐清阻斷多巴胺使行為受損的條件與所代表之意義。實驗設計為「高位置高濃度糖液＋低位置低濃度糖液」雙管情境中的舔飲行為，實驗一確立高、低位置分別代表高、低成本後，實驗二至實驗七調整糖液濃度、裝盛容器與舔飲經驗，發現唯有「高位置籠外水管20％糖液＋低位置伸入式水瓶15％糖液」且增加單獨對低瓶的舔飲經驗，方能建立多巴胺受體拮抗劑的「此降彼升」動物模式。實驗八確認「此降彼升」的三要件為低位置是（1）低成本：伸入式容器、（2）高利益：15％糖液、（3）充足經驗：9天舔飲低瓶。實驗九至十一的藥物測試得到前述動物模式可有效區別多巴胺受體拮抗劑、降低食量藥物與干擾動作藥物有不同影響型態。實驗十二發現單管情境與雙管情境的結果有很高的一致性。結論為（1）較低劑量的多巴胺受體拮抗劑並不減少大白鼠對糖液的總需求、不干擾兩者行為間的區辨選擇與轉換能力，（2）舔飲行為不受多巴胺受體拮抗劑干擾的要件為低成本、高利益與充足經驗三者需同時成立，（3）不符三要件之舔飲行為會因多巴胺受體拮抗劑而降低表現量，因此反駁過去認為完結行為不受此類藥物干擾的想法，（4）本研究建立的雙管舔飲情境可有效區分不同藥物作用，值得做為進一步探討多巴胺與行為之間的關係及其神經機制的動物模式。 / This study investigated the effect of dopamine antagonist on licking sucrose solution behavior under cost-benefit condition, which was designed into a 'high-cost high-benefit with low-cost low-benefit' licking test situation. Experiment 1 confirmed that the difference of licking response between high and low positions indicating the cost difference. Experiment 2 to Experiment 7, manipulating the liquid container, sucrose concentration and the experience of licking low position solution, found that rats only increased low position sucrose intake while decreased high position one in 'high tube 20% with low bottle 15% sucrose solution' condition. Experiment 8 further confirmed three factors of low cost, high benefit and plenty experience were necessary for increasing intake of low position in simultaneous contrast to decreasing the intake of high position. Experiment 9 to Experiment 11 evaluated the drug effects of dopamine antagonists, anorectics and motor relaxants on the present animal model. The results showed the different patterns of reaction for these three types of drugs. Experiment 12 revealed the results of single tube condition were consistent with those of cost-benefit condition. Together, these results demonstrated that dopamine antagonist neither decrease the drive for sucrose nor disrupt the abilities to discriminate and select between two tubes under the present model. Three factors of cost, benefit and experience are important to determine dopamine antagonist effect. Therefore, the resistance of consummatory behavior to dopamine dysfunction may be limited for specific situation. And, the cost-benefit licking model can be useful for further investigation of neurobehavioral mechanism of dopamine system.

<p>The purpose of this thesis is to present an approach for good practice with regards to using cost benefit analysis (CBA) as a value-adding activity in the information security investment process for large enterprises. The approach is supported by empirical data.</p><p>From a MIO model perspective, this report is focused on the phase of strategic choices regarding organization, i.e. trying to find optimal investments for efficient operations. To assess, improve and monitor the operational effectiveness and management’s internal control environment is essential in today’s business execution. Executive management and boards are increasingly looking for an information security governance framework that encompasses information technology and information security: a single framework through which all information assets and activities within the organisation can be governed, to provide the optimum capability for meeting the organisation’s objectives, in terms of functionality and security.</p><p>The investment decision is one of the most visible and controversial key decisions in an enterprise. Some projects are approved, others are bounced, and the rest enter the organisational equivalent of suspended animation with the dreaded request from the decision makers to “redo the business case” or “provide more information.”</p><p>The concept of cost benefit analyses of information security helps management to make decisions on which initiatives to fund with how much, as there needs to be an approach for measuring and comparing different alternatives and how they meet business objectives of the enterprise. Non-financial metrics are identified using different approaches: governance effectiveness, risk analysis, business case analysis or game theory. The financial performance metrics are driven by the main value disciplines of an enterprise. These lead to the use of formulas enabling the measurement of asset utilisation, profit or growth: ROI (ROIC), NPV, IRR (MIRR), FCF, DCF, Payback Period, TCO, TBO, EVA, and ROSI.</p><p>The author shows research in the field of good corporate governance and the investment approval process, as well as case studies from two multinational enterprises. The case from Motorola demonstrates how IT governance principles are equally applicable to information security governance, while the case from Ericsson demonstrates how an information security investment decision can be supported by performing a cost benefit analysis using traditional marketing approaches of business case analysis (BCA) and standard financial calculations.</p><p>The suggested good practice presented in this thesis is summarised in four steps:</p><p>1. Understand main rationale for the security investment</p><p>2. Identify stakeholders and strategic goals</p><p>3. Perform Cost Benefit Analysis (non-financial and financial performance metrics)</p><p>4. Validate that the results are relevant to stakeholders and strategic goals</p><p>DISCLAIMER</p><p>This report is intended for academic training only and should not be used for any other purposes. The contents are not to be considered legal or otherwise professional advice. No liability is taken, whatsoever, by the author.</p>

<p>Denna uppsats handlar om hur den särskilda tillåtlighetsregeln i 11 kap. 6 § miljöbalken tillämpas vid tillståndsprövning av vattenverksamheter. Av paragrafen följer att en vattenverksamhet endast får bedrivas om den samlade nyttan av verksamheten överväger de kostnader samt skador och olägenheter som verksamheten medför. Syftet med paragrafen är att hindra vattenverksamheter som inte är <em>samhällsekonomiskt motiverade</em> samt utgöra ett extra skydd för miljön utöver miljöbalkens generella miljökrav.</p><p>Syftet med studien är undersöka hur denna paragraf tillämpas i praktiken – både i rättspraxis och i ansökningsförfarandet. Studien bygger i första hand på rättsvetenskaplig metod men ger även en mer allmän introduktion till samhällsekonomiska analysmetoder. Studien visar att det är mycket svårt att finna vägledning i praxis för <em>hur</em> en bedömning av samhällsnyttan bör gå till. Praxis visar dock att även faktorer som verksamhetens överensstämmelse med olika miljökvalitetsmål, art- och områdesskydd och estetiska värden kan få betydelse vid samhällsnyttobedömningen. Från sökandenas sida riktas generellt ett för stort fokus mot den privata eller företagsekonomiska nyttan av verksamheten. Sammantaget medför detta en risk för att miljövärden inte värderas på ett korrekt sätt när de vägs mot en mer konkret uttryckt monetär nytta. Ett bredare perspektiv på bedömningen bör därför antas. Vidare diskuteras även hur tillämpningen av bestämmelsen skulle kunna förbättras mot bakgrund av olika värderingsmetoder.</p> / <p>The subject matter of this Bachelor’s thesis is the special permit condition applying to water operations in accordance with chapter 11 section 6 of the Swedish Environmental Code. The article states that water operations may only be undertaken if the benefits, from the point of view of public and private interests, are greater than the costs and damages associated with them. The purpose of the regulation is to prevent water operations that are not socially efficient and to provide an additional protection for the environment, in excess of the general rules of consideration in the Code.</p><p>The purpose of this study is to look into how this particular article is applied in practice. This is done by analysing the legal usage as practiced by the court as well as by the applicants. The general rule is that the applicant has to show that the operation, for which the permit is being sought, is in compliance with the obligations associated with the activity. The study shows that it is very difficult to find guidance from case law on <em>how</em> an assessment of the social efficiency is to be carried out. Court practice indicates that circumstances such as whether the operation is in compliance with certain environmental objectives can be used to weight different aspects in the social efficiency assessment. However, the assessments carried out by the applicants are in general focused on the economic benefits for the applicant. This practice might entail a risk for environmental values not being properly valued when weighted against more tangible monetary benefits. A broader perspective is therefore called for. Potential improvements on the practice of the article are discussed against different valuation methods.</p>

<p>Samhället är mer eller mindre konstant utsatt för risker. De flesta av dem är så små, och har kanske till och med så pass obetydande effekter för individen om de realiseras, att vi negligerar dem i våra dagliga beslut. Vid vissa tillfällen står vid dock inför beslut som är betydligt svårare, t.ex. i vilken mån vi ska handla kostsamma försäkringar för stora olyckor som högst osannolikt inträffar men skulle få katastrofala konsekvenser. Liknande situationer uppstår för centrala beslutsfattare där man fattar beslut att genomföra riskreducerande åtgärder i samband med potentiella katastrofer. Sådana åtgärder finansieras genom skattemedel och kanske kan man då kräva att myndigheter åtminstone försöker redovisa de förväntade kostnaderna och fördelarna som följs av besluten. För detta ändamål kan man använda kostnads-nyttoanalys, vilket vanligtvis rekommenderas för riskhantering inom t.ex. vägtrafik, eller i viss mån den mindre avancerade kostnads-effektanalysen. Riskanalysens utformning är bl.a. beroende av om man hanterar risk (man kan tilldela utfallen sannolikheter) eller osäkerhet (man känner till utfallen men kan inte tilldela dem sannolikheter) och begränsas vanligtvis av en mängd ovissheter, såsom värden för olika ingående parametrar (t.ex. värdet på ett statistiskt liv).</p><p>Detta arbete tar upp teori angående värdering ex ante av kostnader i samband med potentiella katastrofer och hur dessa värden kan användas under risk eller osäkerhet i en kvantitativ riskanalys. Med hjälp av det försöker jag beskriva i stora drag hur man skulle kunna värdera den ekonomiska nyttan av riskreducerande åtgärder i samband med den s.k. fågelinfluensan. Mina slutsatser är att en probabilistisk ansats och en kvantitativ riskanalys försvåras av bl.a. ett knapphändigt material för sannolikhetstolkningar, förekomsten av kollektiv risk och svårigheter i att värdera t.ex. statistiska liv. Socialstyrelsen är nationell samordnare av arbetet med förebyggande åtgärder i samband med potentiella pandemier men varken använder eller rekommenderar andra myndigheter att använda nyttobaserade beslutskriterier som en del av beslutsunderlaget i samband med den s.k. fågelinfluensan (i detta fall). Kanske borde det tillhöra deras uppgifter att se över möjligheterna att använda samhällsekonomiska utredningar vid sådana situationer. Istället använder de vad som liknar en försiktighetsprincip, vilket också kan försvaras under förutsättningen att riskerna är påtagliga. För stora och långsiktiga beslut borde man istället införa en snävare anti-katastrof-princip innefattande en prioriteringsordning för när man, baserat på om det är möjligt och utredningsekonomiskt motiverat, ska genomföra kostnads-nyttoanalyser och när man istället ska genomföra kostnads-effektanalyser. De kan sedan vara en del av ett större beslutsunderlag.</p> / <p>Our society is constantly exposed to risks. Most of them are so small, and maybe even have so little effect if they occur, that we disregard them in our daily decisions. Quite often, however, we face decisions that are harder for us to make, as whether or not to buy expensive insurance to cover for accidents that have only a small probability to occur but also catastrophic consequences. Similar situations appear for central decision makers when they decide whether or not to reduce a certain catastrophic risk for the society as a whole. Those actions are financed through taxes and therefore it might be fair to say that the authorities should at least try to account for the possible benefits and costs associated with a risk reducing programme. For this you may use Cost-Benefit Analysis (CBA), which is usually recommended for use in, for example, risk management for traffic risks, or the less advanced Cost-Effectiveness Analysis (CEA). The shape and form of the risk analysis is to a great deal dependent of whether you are dealing with risk (it’s possible to assign the predicted states probabilities) or uncertainty (it’s not possible to assign the predicted states probabilities) and is also usually limited by a number of other uncertainties, say in value parameters (e.g. the value of a statistical life, VSL).</p><p>This paper deals with theories regarding how to value (ex ante) the costs of potential catastrophes and how these values could be used in dealing with risk or uncertainty in a quantitative risk analysis. From there I try to describe how, possibly, you could value the benefits from programmes reducing risks of an avian influenza. My conclusions are that a probabilistic approach in a quantitative analysis is complicated by, among other things, the short amount of data necessary to compute objective probabilities, the existence of collective risks and for example difficulties in measuring VSL. The Swedish National Board of Health and Welfare (Socialstyrelsen) is the national coordinator for all work regarding risk reducing actions for potential pandemics, but the board neither uses nor recommends other authorities to use utility-based criteria as a part of their decision material when dealing with, in this case, the bird flue. Quite possibly it should be a part of their work to look into the possibilities of using economic evaluations in these situations. Instead they use what resembles a Precautionary Principle, which also can be used on justified grounds as long as the risks are highly present. What should be done for large and long term decision making, though, is to define a narrower Anti-Catastrophe Principle containing orders of priorities for when, based on if its possible and financially motivated, to use CBA and when to use CEA. Those analyses could then be used along with any other decision material.</p>

Denna uppsats handlar om hur den särskilda tillåtlighetsregeln i 11 kap. 6 § miljöbalken tillämpas vid tillståndsprövning av vattenverksamheter. Av paragrafen följer att en vattenverksamhet endast får bedrivas om den samlade nyttan av verksamheten överväger de kostnader samt skador och olägenheter som verksamheten medför. Syftet med paragrafen är att hindra vattenverksamheter som inte är samhällsekonomiskt motiverade samt utgöra ett extra skydd för miljön utöver miljöbalkens generella miljökrav. Syftet med studien är undersöka hur denna paragraf tillämpas i praktiken – både i rättspraxis och i ansökningsförfarandet. Studien bygger i första hand på rättsvetenskaplig metod men ger även en mer allmän introduktion till samhällsekonomiska analysmetoder. Studien visar att det är mycket svårt att finna vägledning i praxis för hur en bedömning av samhällsnyttan bör gå till. Praxis visar dock att även faktorer som verksamhetens överensstämmelse med olika miljökvalitetsmål, art- och områdesskydd och estetiska värden kan få betydelse vid samhällsnyttobedömningen. Från sökandenas sida riktas generellt ett för stort fokus mot den privata eller företagsekonomiska nyttan av verksamheten. Sammantaget medför detta en risk för att miljövärden inte värderas på ett korrekt sätt när de vägs mot en mer konkret uttryckt monetär nytta. Ett bredare perspektiv på bedömningen bör därför antas. Vidare diskuteras även hur tillämpningen av bestämmelsen skulle kunna förbättras mot bakgrund av olika värderingsmetoder. / The subject matter of this Bachelor’s thesis is the special permit condition applying to water operations in accordance with chapter 11 section 6 of the Swedish Environmental Code. The article states that water operations may only be undertaken if the benefits, from the point of view of public and private interests, are greater than the costs and damages associated with them. The purpose of the regulation is to prevent water operations that are not socially efficient and to provide an additional protection for the environment, in excess of the general rules of consideration in the Code. The purpose of this study is to look into how this particular article is applied in practice. This is done by analysing the legal usage as practiced by the court as well as by the applicants. The general rule is that the applicant has to show that the operation, for which the permit is being sought, is in compliance with the obligations associated with the activity. The study shows that it is very difficult to find guidance from case law on how an assessment of the social efficiency is to be carried out. Court practice indicates that circumstances such as whether the operation is in compliance with certain environmental objectives can be used to weight different aspects in the social efficiency assessment. However, the assessments carried out by the applicants are in general focused on the economic benefits for the applicant. This practice might entail a risk for environmental values not being properly valued when weighted against more tangible monetary benefits. A broader perspective is therefore called for. Potential improvements on the practice of the article are discussed against different valuation methods.

The purpose of this thesis is to present an approach for good practice with regards to using cost benefit analysis (CBA) as a value-adding activity in the information security investment process for large enterprises. The approach is supported by empirical data. From a MIO model perspective, this report is focused on the phase of strategic choices regarding organization, i.e. trying to find optimal investments for efficient operations. To assess, improve and monitor the operational effectiveness and management’s internal control environment is essential in today’s business execution. Executive management and boards are increasingly looking for an information security governance framework that encompasses information technology and information security: a single framework through which all information assets and activities within the organisation can be governed, to provide the optimum capability for meeting the organisation’s objectives, in terms of functionality and security. The investment decision is one of the most visible and controversial key decisions in an enterprise. Some projects are approved, others are bounced, and the rest enter the organisational equivalent of suspended animation with the dreaded request from the decision makers to “redo the business case” or “provide more information.” The concept of cost benefit analyses of information security helps management to make decisions on which initiatives to fund with how much, as there needs to be an approach for measuring and comparing different alternatives and how they meet business objectives of the enterprise. Non-financial metrics are identified using different approaches: governance effectiveness, risk analysis, business case analysis or game theory. The financial performance metrics are driven by the main value disciplines of an enterprise. These lead to the use of formulas enabling the measurement of asset utilisation, profit or growth: ROI (ROIC), NPV, IRR (MIRR), FCF, DCF, Payback Period, TCO, TBO, EVA, and ROSI. The author shows research in the field of good corporate governance and the investment approval process, as well as case studies from two multinational enterprises. The case from Motorola demonstrates how IT governance principles are equally applicable to information security governance, while the case from Ericsson demonstrates how an information security investment decision can be supported by performing a cost benefit analysis using traditional marketing approaches of business case analysis (BCA) and standard financial calculations. The suggested good practice presented in this thesis is summarised in four steps: 1. Understand main rationale for the security investment 2. Identify stakeholders and strategic goals 3. Perform Cost Benefit Analysis (non-financial and financial performance metrics) 4. Validate that the results are relevant to stakeholders and strategic goals DISCLAIMER This report is intended for academic training only and should not be used for any other purposes. The contents are not to be considered legal or otherwise professional advice. No liability is taken, whatsoever, by the author.