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Nas últimas décadas, a humanidade presenciou um grande avanço tecnológico, disponibilizando um aumento expressivo de informações aos gestores empresariais. Por isso, as organizações são impelidas a revisar suas práticas gerenciais que possibilitem sua participação no mercado a cada dia mais competitivo. Esse quadro não é diferente nas organizações hospitalares. O aproveitamento eficiente de seus recursos assume uma importância maior pelo interesse social que os hospitais desempenham em nossa sociedade. Nesse sentido, os custos dos serviços hospitalares merecem destaque, pois eles estão entre os elementos de maior importância para a análise gerencial dessas instituições. Nesse contexto, o Custeio Alvo aparece como uma importante ferramenta de auxílio aos administradores hospitalares no gerenciamento dos custos. Essa ferramenta é aplicável a qualquer organização, mas apresenta resultados mais satisfatórios, quando aplicada em ambientes em que há pressão de preços e de custos. Entretanto, poucos estudos dedicam-se a sua aplicação no setor de serviços. Nesse sentido, este trabalho dedica-se a investigação dos métodos de custeio utilizados no gerenciamento de custos em hospitais na ótica da filosofia do Custeio Alvo. O objetivo é identificar o método de custeio que proporciona mais benefícios ao gerenciamento de seus custos. No entanto, o estudo resume-se a dois métodos: o Custeio Variável e o Custeio Baseado em Atividades. A pesquisa utiliza a metodologia do estudo de caso apoiado em uma unidade hospitalar de pequeno porte, mas de alta complexidade. Utiliza também, em entrevistas semi-estruturadas com os principais administradores para identificar as características do modelo de gestão do hospital, verificar a aderência dessas características a filosofia do Custeio Alvo e identificar as variáveis dos métodos de custeio adotadas pelo hospital. Ao final, a pesquisa conclui que o modelo de gestão do hospital atende aos princípios do Custeio Alvo e que o método que mais benefícios proporciona ao gerenciamento de seus custos, considerando os princípios do Custeio Alvo, é o método do Custeio Variável. / Lately, the humankind has experienced a huge technological advance, which resulted in an expressive rising of information for managers. Consequently, it is not possible for the organizations to revise their management practices responsible for their participation in the competitive market. Such a fact does not change in hospitals. The efficient profit of their resources receives major importance by the social interest those hospitals perform in our society. This way, it is vital to highlight the cost of hospital services, as they are among the most crucial elements for their management analysis. So, the Target Costing comes as an important tool to help hospital managers administrate costs. Such a tool can be applied to any organization. Nevertheless, if applied when there is price and costs pressure, its results can be more satisfying. Therefore, there are not many researches concerning its application in the service sector. Because of that, this piece of work aims at investigating the cost methods that can be used to manage costs in hospitals, based on the Target Costing. In addition, to identify the cost method that generates more benefits to cost management. However, only two methods will be focused: the Variable Costing and the Cost Based on Activities. For this, it was used the methodology of the study of case, regarding a small but complex hospital structure. It is also used in semi-structured interviews with the main managers to identify the characteristics of the hospital management model, to verify if those characteristics adhere to the Target Costing and to identify the variables of the cost methods adopted by the hospital. In the end, it was concluded that the hospital management model attends the Target Costing principles. Furthermore, the Variable Costing is the method that generates more benefits of its costs, when considering the Target Costing.

Nas últimas décadas, a humanidade presenciou um grande avanço tecnológico, disponibilizando um aumento expressivo de informações aos gestores empresariais. Por isso, as organizações são impelidas a revisar suas práticas gerenciais que possibilitem sua participação no mercado a cada dia mais competitivo. Esse quadro não é diferente nas organizações hospitalares. O aproveitamento eficiente de seus recursos assume uma importância maior pelo interesse social que os hospitais desempenham em nossa sociedade. Nesse sentido, os custos dos serviços hospitalares merecem destaque, pois eles estão entre os elementos de maior importância para a análise gerencial dessas instituições. Nesse contexto, o Custeio Alvo aparece como uma importante ferramenta de auxílio aos administradores hospitalares no gerenciamento dos custos. Essa ferramenta é aplicável a qualquer organização, mas apresenta resultados mais satisfatórios, quando aplicada em ambientes em que há pressão de preços e de custos. Entretanto, poucos estudos dedicam-se a sua aplicação no setor de serviços. Nesse sentido, este trabalho dedica-se a investigação dos métodos de custeio utilizados no gerenciamento de custos em hospitais na ótica da filosofia do Custeio Alvo. O objetivo é identificar o método de custeio que proporciona mais benefícios ao gerenciamento de seus custos. No entanto, o estudo resume-se a dois métodos: o Custeio Variável e o Custeio Baseado em Atividades. A pesquisa utiliza a metodologia do estudo de caso apoiado em uma unidade hospitalar de pequeno porte, mas de alta complexidade. Utiliza também, em entrevistas semi-estruturadas com os principais administradores para identificar as características do modelo de gestão do hospital, verificar a aderência dessas características a filosofia do Custeio Alvo e identificar as variáveis dos métodos de custeio adotadas pelo hospital. Ao final, a pesquisa conclui que o modelo de gestão do hospital atende aos princípios do Custeio Alvo e que o método que mais benefícios proporciona ao gerenciamento de seus custos, considerando os princípios do Custeio Alvo, é o método do Custeio Variável. / Lately, the humankind has experienced a huge technological advance, which resulted in an expressive rising of information for managers. Consequently, it is not possible for the organizations to revise their management practices responsible for their participation in the competitive market. Such a fact does not change in hospitals. The efficient profit of their resources receives major importance by the social interest those hospitals perform in our society. This way, it is vital to highlight the cost of hospital services, as they are among the most crucial elements for their management analysis. So, the Target Costing comes as an important tool to help hospital managers administrate costs. Such a tool can be applied to any organization. Nevertheless, if applied when there is price and costs pressure, its results can be more satisfying. Therefore, there are not many researches concerning its application in the service sector. Because of that, this piece of work aims at investigating the cost methods that can be used to manage costs in hospitals, based on the Target Costing. In addition, to identify the cost method that generates more benefits to cost management. However, only two methods will be focused: the Variable Costing and the Cost Based on Activities. For this, it was used the methodology of the study of case, regarding a small but complex hospital structure. It is also used in semi-structured interviews with the main managers to identify the characteristics of the hospital management model, to verify if those characteristics adhere to the Target Costing and to identify the variables of the cost methods adopted by the hospital. In the end, it was concluded that the hospital management model attends the Target Costing principles. Furthermore, the Variable Costing is the method that generates more benefits of its costs, when considering the Target Costing.

Indiana University-Purdue University Indianapolis (IUPUI) / Rise in air pollution resulting in negative health externalities for humans has created an urgent need for cities and communities to monitor it regularly. At present we have insufficient ground passive and active monitoring networks in place which presents a huge challenge. Satellite imagery has been used extensively for such analysis, but its resolution and methodology present other challenges in estimating pollution burden. The objective of this study was to propose three low-cost methods to fill in the gaps that exist currently. First, EPA grade sensors were used in 11 cities across the U.S. to examine NO2. This is a simplistic way to assess the burden of air pollution in a region. However, this technique cannot be applied to fine scale analysis, which resulted in the next two components of this research study. Second, a citizen science network was established on the east side of Indianapolis, IN who hosted 32 Ogawa passive sensors to examine NO2 and O3 at a finer scale. These low-cost passive sensors, not requiring power, and very little maintenance, have historically tracked very closely with Federal Reference Monitors. Third, a low-cost PurpleAir PA-II-SD active sensors measuring PM2.5 were housed with the citizen scientists identified above. This data was uploaded via Wi-Fi and available via a crowd sourced site established by PurpleAir. These data sets were analyzed to examine the burden of air pollution. The second and third research studies enabled granular analyses utilizing citizen science, tree canopy data, and traffic data, thus accommodating some of the present limitations. Advancement in low-cost sensor technology, along with ease of use and maintenance, presents an opportunity for not just communities, but cities to take charge of some of these analyses to help them examine health equity impacts on their citizens because of air pollution.

The intent of this thesis is to compare contingent valuation methods (CVM) and travel cost methods (TCM) to estimate consumer surplus for boaters and anglers in northern Utah. TCM results are about three times that of CVM. Several limitations are noted, specifically that CVM solicits given willingness to pay (WTP for specific reservoir sites. TCM analyzes aggregated trips to reservoirs with a wide array of site characteristics.

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Made available in DSpace on 2009-11-18T19:01:21Z (GMT). No. of bitstreams: 1 ACF164.pdf: 430647 bytes, checksum: 50ce0289098209cf31ef0a474324a655 (MD5) Previous issue date: 2007 / This case study investigates, empirically, cost methods and criteria of price discrimination made from hospital organizations when they set up their prices of hospital services to private patients and push down their prices to patients affiliated to health insurance and/or health maintenance organizations (HMO). The theory sought to show the Brazilian health systems either public or private, the aspects about corporate culture, the relationship among three players of the private health system ¿ health insurance companies (or HMO), hospitals and the patients, the importance of the cost systems, and the criteria of price discrimination. With these theories, it was developed a qualitative exploratory research, through open interviews, with hospital¿s managers and co-workers from invoicing department from two hospitals located at the Rio de Janeiro City. Based on results we didn¿t identify appropriate cost systems to help the managers to make a correct decision about price discrimination, but was identified corporate culture factors that could influence the price discrimination. Among the results, we can see unprepared hospital managers. Finally, we discussed some contributions and weakness of this case study, and there are presented suggestions for future researches. / O presente estudo de caso investiga, de forma empírica, os métodos de custeio e os critérios de discriminação de preços realizados pelas organizações hospitalares quando da definição de preços para os atendimentos a pacientes particulares e àqueles oriundos de planos de saúde e/ou seguro saúde. Para isso, o referencial teórico utilizado procurou abranger os sistemas de saúde público e privado, os aspectos relativos à cultura organizacional, a relação existente entre os três atores do processo ¿ planos de saúde, prestadores de serviços médicohospitalares e consumidores, a importância dos sistemas de apuração e análise de custos, os critérios de discriminação de preços. Com essa base teórica foi desenvolvida uma pesquisa qualitativa exploratória em duas unidades hospitalares sediadas no município do Rio de Janeiro, através de entrevistas em profundidade, junto a seus gestores hospitalares e a funcionários dos setores de faturamento daquelas entidades. O desenvolvimento da pesquisa não identificou sistemas de gerenciamento de custos adequados para auxiliar os gestores na definição dos preços, mas foram identificados fatores culturais que pudessem influenciar a discriminação desses preços. Dentre os resultados obtidos, destaque para o aparente despreparo na área administrativa e de controladoria dos gestores hospitalares. Ao final, são discutidas as contribuições da pesquisa, suas limitações e as sugestões para o desenvolvimento de futuros estudos.

The aim of the master’s thesis is to analyze potential of methodical approach during construction company evaluation in the period of economical fluctuation. Building industry is the activity that is very sensitive towards market and economy swings. Their impacts significantly influence the attitude towards evaluation and prize in the building industry. Construction companies are affected by economy swings. Therefore, in my master’s thesis, I analyze different approaches towards their evaluation and also methods of the prize determination.

Des nombreux aspects des fonds de pension, nous nous intéressons ici à leur modélisation et à l'organisation des systèmes de retraites dans le monde. Dans une première partie, nous présentons les différentes organisations de systèmes de retraites et la modélisation des fonds de pension en général suivie de la modélisation dynamique discrète avec la modélisation statique comme cas particulier de la discrète. Ainsi, nous constatons que les différents systèmes de retraites sont caractérisés par une grande diversité, mais restent néanmoins regroupés sous trois grands groupes qui se croisent souvent. Ce sont : les retraites par répartition, les retraites par capitalisation et les retraites par subvention. Nous introduisons la modélisation des systèmes de retraites par capitalisation en commençant par donner une vision générale incorporant une typologie des risques de fonds de pension. Nous présentons ensuite les méthodes pratiques et courantes de la modélisation en temps discret. La deuxième partie de la thèse accueille les développements de la modélisation en temps continu. Dans une économie dynamique et un marché non nécessairement complet, avec une expression stochastique des évolutions de l'inflation et des prix, nous usons du zéro-coupon nominal et du zéro-coupon indexé sur les prix de la consommation. Grâce aux outils et principes des assurances, des valeurs actuarielles des flux continus de cotisations et pensions sont fournies. Tout en faisant le lien avec les résultats issus de la littérature, nous appuyons, aussi bien en première partie qu'en deuxième, les portefeuilles optimaux de fonds de pension avec leurs probabilités de ruine, par des illustrations à travers des exemples concrets et des simulations numériques.