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Public health service delivery at the Sir Seewoosagur Ramgoolam National HospitalBabooa, Sanjiv Kumar 30 November 2004 (has links)
This dissertation analyses public health service delivery at the Sir Seewoosagur Ramgoolam National Hospital (S.S.R.N.H.) in Mauritius. Particular emphasis is laid on the historical development of public health service delivery at S.S.R.N.H. Public health service delivery has been approached from the view points of its nature and scope. The core components of the research survey have been on some major obstacles and flaws in effective public health service delivery at S.S.R.N.H. The measuring instrument used for the research survey was a self administered questionnaire. The main findings were discussed especially absenteeism, personnel turnover, stress, burnout, morale, sexual harassment, lethargy and disobedience, nepotism, shirking responsibility, alcohol and drug abuse, active political interference, bribery and corruption, dishonesty and retaliation and neglect of duty.
Attention was also devoted on the current national health policy for improving public health service delivery at S.S.R.N.H., inter-alia, the National Policy for Public Heath Act 17 of 2000 and the White Paper on Health Sector
Development and Reform of December 2003.
The public health environment is constantly altering. Therefore, it is essential to adjust to the changing health environment. This dissertation has addressed the future challenges in the micro health environment and macro health environment of S.S.R.N.H. Ultimately, a holistic instead of a parochial approach to addressing shortcomings identified in public health service delivery at S.S.R.N.H. has been advocated in this dissertation. / Public Administration and Management / M.Admin. (Public Admin)
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Sobre a motivação da sentença no processo civil: Estado constitucional democrático de direito, discurso justificativo e legitimação do exercício da jurisdição / About the motivation of the judgment in civil proceedings: Democratic constitutional State of law, justificative discourse and legitimation of the exercise of jurisdictionFrancesco Conte 01 September 2014 (has links)
O presente trabalho, plasmado em metodologia jurídica, reflete criticamente sobre o problema da motivação da sentença civil como elemento de organização e de funcionamento do Estado Constitucional Democrático de Direito. A motivação é condição essencial de jurisdicionalidade, no sentido de que sem motivação não há exercício legítimo da função jurisdicional. O trabalho faz uma abordagem da natureza da motivação como discurso justificativo, jurídico e racional, da validade dos critérios de escolha ou de valoração empregados pelo juiz em sua decisão. O raciocínio do juiz é apresentado sob dupla feição: raciocínio decisório interno (contexto de descoberta ou deliberação) e raciocínio justificativo externo (contexto de justificação ou de validação). O conjunto das funções técnico-instrumental (endoprocessual) e político-garantística (extraprocessual) é objeto de investigação. A motivação, nos planos teórico e prático, exerce também a função de garantia do garantismo processual. A tese da inexistência jurídica da sentença tem três eixos teóricos: omissão total da motivação gráfica; falta de motivação ideológica, equiparada à hipótese de ausência de motivação gráfica; incompatibilidade lógica radical entre as premissas ou entre as premissas e a conclusão final, que também equivale à ausência total de motivação. O trabalho retrata um modelo de injustiça atemporal vivificado pelo juiz Crono, oposto à motivação como inestimável fator de legitimação argumentativa da jurisdição. A obrigatoriedade de motivação pública é o traço característico da jurisdição de nossa contemporaneidade e representa a maior conquista civilizatória do processo équo e justo. / This work, shaped in juridical methodology, critically reflects on the problem of motivation of civil judgment as an element of organization and functioning of the Democratic Constitutional State of Law. Motivation is an essential condition of jurisdiction, in the sense that without motivation there is no legitimate exercise of the jurisdictional function. The work makes an approach to the nature of motivation as a justificative discourse, juridical and rational, of the validity of choice or valuation criteria employed by the judge in its decision. The reasoning of the judge ispresented in double feature: internal decision-making reasoning (context of discovery or deliberation) and external justificative reasoning (context of justification or validation). The set of the technical-instrumental function (endoprocedural) and the political-rights assurance function (extraprocedural) is object of investigation. Motivation, in the theoretical and practical levels, also exerts the function of guarantee of the procedural right assuring mechanism. The thesis of the juridical validity of the judgment has three theoretical axes: total omission of the graphical motivation; lack of ideological motivation, equated to the hypothesis of nonexistence of the graphical motivation; radical logical incompatibility between the premises or between premises and the finalconclusion, which is also equivalent to the total lack of motivation. The work depicts a model of timeless injustice vivified by the judge Crono, opposite to the motivation as an invaluable factor of argumentative legitimacy of jurisdiction. Mandatory public motivation is the characteristic feature of the jurisdiction of our times and represents the greatest civilizing conquest of equal and fair proceeding.
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The "Equalizer" Administration: Managerial Strategies in the Public SectorCavalcanti, Bianor Scelza 08 April 2005 (has links)
The purpose of this dissertation is to understand the managerial "action" of public administrators in the management of their organizations within the Brazilian context.
The research seeks to understand the relationships between managers and formal management mechanisms by exploring the complementary nature of the effective managerial action in the face of structural deficiencies and flaws, considering the possibility of overcoming the structuralism-subjectivism dichotomy present in the construction of the Theory of Organizations.
Initially, the study provides a review of the literature on organizational design. It highlights the "goodness of fit" proposition on strategic choice issues concerning the main organizational variables design and organizational goal attainment. It also calls special attention to the emerging interest of designing theorists on interpretivist approaches to the matter, such that of Karl Weick.
A review of the the administrative reforms in Brazil is made from the perspective of the main stream organizational design conceptual framework. It highlights the complex dynamics of a constant search for differentiation and flexibilization subject to patterns of advances and reversals, due to the centrality, strength and pervasiveness of the bureaucratic model. It is concluded that in no single given moment, a public manager and his team, may count on a formal organizational design which attends the"congruency" criteria, devised by organizational design conceptual frameworks, to explain organizational results in different environmental sets. Although this conclusion may explain failure at the public sector, it can not provide understanding on the many instances of significative success attained by government operations in spite of inadequate formal administrative structures. This point calls for a better understanding from the interpretivist approach, on how public administrators, strongly associated with good organizational results, engage into transformative action, in order to superate administrative structures flaws and dysfunctional cultural patterns of conduct, structurally present and constantly reproduced, in vigorous developing countries, such as Brazil.
The dissertation transcribes the testimony of four outstanding public administrators, doing a deep incursion in the managerial real world of public administration, as subjectively defined by them and transformed by their engagement into action.Through the thematic version of the Oral History methodology, full segments of the complete interviews are categorized into the thirty two managerial strategies captured which are presented on a recategorized manner under eight main strategies: (1) Interchanging Frames of Reference; (2) Exploring the Formal Limits; (3) Playing the Bureaucracy Game; (4) Inducing the Inclusion of Others (5)Promoting Internal Cohesion; (6) Creating Shields against Transgressions; (7) Overcoming Internal Restrictions; (8) Letting the Structures Blossom. Each one of these eight blocks of strategies presented, deserves further reflexive interpretation by the author, on the light of the interpretivist approach to organizational design.
A final effort is made, now on theory building, for improving understanding on the matter. In order to find a significant meaning underlining all the strategies extracted from the "practical consciousness" of the interviewers as revealed in their report, the author resort to a metaphor. This metaphor helps to: (1) better describe and understand a not adequately treated phenomenon, namely, good results under inadequate structural social and organizational conditions; (2) reveal the logic and the meaning underlining all the strategies adopted to generate results under these unfaithful conditions; (3) name, accordingly to the nature of the managerial transformative social action involved, an open ended class of managerial interventions of a pragmatic sort driven by an ethics of results much common to good managers, that is, the concept of "managerial equalization"; and (4) give back to public administrators, represented by the interviewees, to be incorporated in their "discursive consciousness", something the most effective and experienced public managers already have as tacit knowledge built in their "practical consciousness", and so, help the education and development of new talents. / Ph. D.
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