Charles University in Prague, Faculty of Pharmacy in Hradec Králové Social and Clinical Pharmacy Author: Duong Thuy Linh Supervisor: PharmDr. Jiří Klimeš, PhD., MBA Title of Thesis: The budget impact and cost-effectiveness thresholds in the context of other criteria in reimbursement decision making of medicinal products KEY WORDS: cost-effectiveness analysis, Willingness to pay threshold, medicines, MCDA - multi- criteria decision analysis OBJECTIVES: The aim of this study was to provide a structured overview of selected criteria that are / may be key to adopt new innovative technology in the reimbursement system, based on a retrospective analysis of selected decisions of the State Institute for Drug Control. It was investigated the relationship between the individual criteria (and scoring results) coming from the multi-criteria analysis and the value of ICER and BIA, for these medicinal products entering the reimbursed system. METHODS: Retrospective analysis of selected legally closed, published and publicly available administrative proceedings of the State Institute for Drug Control in the period January 2020 - May 2021. A total of 20 administrative proceedings were selected for the final analysis, of which 12 medicinal products that were selected, entered the permanent reimbursement and the...

The aim of this Thesis is to consider a methodological framework suitable to support a primary and primitive investigation and evaluation of the technical applicability and energy feasibility of a specific Energy Island model in Greece. For such purpose, the general concept and the potential applications of Energy Island are presented, and the present situation of the Greek energy sector and RES technologies in Greece are outlined. In order to attempt to evaluate the technical performance of a specific Energy Island model in Greece, a theoretical and hypothetical Multi-Criteria Decision Analysis (MCDA) process is developed and conducted. The methodological framework developed and applied for the present case study pertains to a theoretical decision-making process for the selection of the optimum Energy Island scenario in Greece amongst four (4) alternatives. As derived from the extracted results of the applied MCDA model, the hypothetical scenario with the highest annual energy production and the least environmental and technological issues ranks optimal for all the implicated stakeholders and is considered the most preferred alternative. This Thesis concludes that the perspective of the various applications of the concept of the Energy Island model has the potential to contribute to more efficient utilization of the available RES technologies in Greece, in order to accelerate the decarbonization of the Greek energy system as well as to assure the security of the system, by replacing the existing conventional fossil fuel generation plants with clean offshore renewable energy.

Despite currently having only one operational offshore wind farm, Italy holds a significant potential for the future development of this technology. The Global Wind Council placed Italy second in its ranking of the world’s 30 most attractive markets regarding the potential of future offshore development, attracting the attention of numerous developers. The characteristics of the Mediterranean Sea, with its high water depth, make it possible to develop mainly floating technology. Furthermore, the absence of severe weather events, present in the Atlantic and the North Sea instead, enhanced security and contributed to the reduction of investment risks. Currently, there are many new wind farms awaiting approval, as evidenced by Terna, the Italian Transmission System Operator (TSO), which announced that by the end of October 2022 the connection requests for offshore wind projects had reached 95 GW. This thesis aims to develop an approach able to compare several projects from multiple perspectives. Specifically, the thesis applies the Multi-Criteria Decision Analysis to evaluate and compare four floating offshore wind farms which are now in the permitting phase. The projects are located off the coast of Sardinia, one of the most promising locations in the Mediterranean Sea for offshore wind installation. The evaluation of the future wind farms is conducted using eleven criteria, each assigned a different weight based on the preferences of six stakeholder groups. The tool used to rank the criteria is the PROMETHEE tool. The results demonstrate that each stakeholder group ranks the projects differently based on their respective preferences. Finally, an overall ranking of the wind farms is derived, identifying the most and least favorable projects.

<p dir="ltr">Conservation conflicts, commonly defined as “situations that occur when two or more parties with strongly held opinions clash over conservation objectives, and when one party is perceived to assert its interests at the expense of another” (Redpath et al., 2013) are expected within the realm of public land management. Conservation conflicts have been an increasing issue worldwide as the consumption of natural resources can directly oppose conservation efforts. Quantitative and qualitative approaches have been adopted in similar studies to mitigate or resolve conservation conflicts. This thesis focuses on a 2017 conflict over logging in Yellowwood State Forest in Indiana. The Social Multi-Criteria Evaluation (SMCE) framework was applied in this thesis to examine economic, ecological, and recreational criteria from multiple stakeholders' perspectives and understand how a retrospective assessment can contribute to improved conflict resolution. The study follows four steps: conducting an institutional analysis, defining criteria and potential alternative scenarios, generating an impact matrix through surveys and interviews, and aggregating results for cross-scenario comparison. The design of these steps attempts to engage stakeholders in the decision-making process and increase transparency. The ranking results reveal a clear preference for the “Shelterwood Cuts” alternative, indicating that different actions may have been a better solution. Although the methodology alone cannot make decisions, it can aid the decision-maker in creating a solution to a conservation conflict by providing guidance and bringing attention to the aspects of a conflict that require change.</p>

No description available.

<p dir="ltr">Highway safety continues to pose a serious challenge to the social sustainability of transportation systems, and initiatives are being pursued at all levels of government to reduce the high fatality count of 42,000. At the same time, it is sought to ensure higher travel efficiency in order to increase economic productivity. The emergence of automated transportation provides great promise to mitigate these ills of the transportation sector that have persisted for so many decades. With regards to safety, such promise is rooted in the capability of autonomous vehicles to self-drive some or all of the time, thus reducing the impact of inherently errant human driving to which 95% of all crashes have been attributed. With regards to mobility, such promise is guided by the capability of the autonomous vehicle to carry out path planning, navigation, and vehicle controls in ways that are far more efficient than the human brain, thereby facilitating mobility and reducing congestion-related issues such as delay, emissions, driver frustration, and so on.</p><p dir="ltr">Unfortunately, the two key outcomes (safety and mobility) are reciprocal in the sense that navigation solutions that enhance safety generally tend to reduce mobility, and vice versa. As such, there is a need to assign values explicit to these performance criteria in order to develop balanced solutions for AV decisions. Most existing machine-learning-based path planning algorithms derive these weights using a learning approach. Unfortunately, the stability of these weights across time, individuals, and trip types, is not guaranteed. It is necessary to develop weights and processes that are trip situation-specific. Secondly, user trust in automation remains a key issue, given the relatively recent emergence of this technology and a few highly-publicized crashes, which has led to reservations among potential users.</p><p dir="ltr">To address these research questions, this thesis identifies various situational contexts of the problem, identifies the alternatives (the viable trajectories by fitting curves between the vehicle maneuver’s initial and final positions), develops the decision criteria (safety, mobility, comfort), carries out weighting of the criteria to reflect their relative significance, and scales the criteria to develop dimensionless equivalents of their raw values. Finally, a process for amalgamating the overall impacts of each driving decision alternative is developed based on the weighted and scaled criteria, to identify the best decision (optimal trajectory path). This multi-criteria decision making (MCDM) problem involves the collection of data through questionnaire surveys.</p><p dir="ltr">The weights obtained early in the MCDM process could be integrated into any one of two types of planning algorithms. First, they could be incorporated into interpolating curve-based planning algorithms, to identify the optimal trajectory based on human preferences. Additionally, they can be integrated into optimization-based planning algorithms to allocate weights to the various functions used.</p><p dir="ltr">Overall, this research aims to align the behavior of autonomous vehicles closely with human-driven vehicles, serving two primary purposes: first, facilitating their seamless coexistence on mixed-traffic roads and second, enhancing public acceptance of autonomous vehicles.</p>

Die Supply Chain von Algen in Indonesien, insbesondere Karrageen und Agarprodukte, ist mit Störungen innerhalb der Unternehmen und in externen Netzwerken konfrontiert wie z. B. Quantität, Qualität, Preis und Infrastruktur. Sobald eine Störung in einem Teil der Supply Chain auftritt, kann diese die gesamte Wertschöpfungskette beeinflussen. Um eine nachhaltige Algenindustrie sicher zu stellen, bedarf es einer langzeitigen Planung. Hierbei kann das Supply Chain Risk Management (SCRM) helfen. SCRM umfasst vier kritische Stufen: Identifikation der Algen-Supply Chains, Identifikation und Kategorisierung der Risiken, Einschätzen der Risiken und Vermeidung der Risiken. Um die Algen-Supply Chains zu identifizieren, wurden Feldforschung, Tiefeninterviews und Literaturrecherchen durchgeführt. Die Feldstudie wurde in den Provinzen Süd-Sulawesi, West-Java, Ost-Java, Banten und West-Nusa Tenggara durchgeführt. Anschließend wurden die Algen-Supply Chains mit der Software Umberto NXT Universal 7.0 modelliert, um ein besseres Verständnis von den Material- und Energieflüssen zwischen den Hauptakteuren zu erhalten. Um die Risiken zu identifizieren und zu kategorisieren wurden Literaturrecherchen durchgeführt und die Delphi Methode angewandt, um potentielle Quellen der Risiken, ihre Gründe und ihre Effekte zu analysieren. Zur Einschätzung der Risiken wurde ein semi-quantitativer Ansatz gewählt, welcher auf Face-to-face Interviews zurückgreift. Dementsprechend wurde eine Risikokarte erstellt, welche die Wahrscheinlichkeiten und Effekte von ungünstigen Ereignissen widerspiegelt. Basierend auf den vorherigen Ergebnissen wurde die Intensität der Risiken in die folgenden fünf Kategorien unterteilt: vernachlässigbare, geringe, kritische, sehr kritische und katastrophale Risiken. Drei alternative Strategien zur Vermeidung der Risiken werden vorgeschlagen: der Bau einer kleinen Algen-Fabrik, große Algen-Herstellung und industrielle Algen-Cluster, welche direkt am Algenanbau angegliedert sein müssen. Um die Strategien zu bewerten wurde die Preference Ranking Organization Method for Enrichment Evaluation (PROMETHEE) angewandt, welche der multikriteriellen Entscheidungsanalyse zuzurechnen ist. Die Vermeidungsstrategien berücksichtigen  Nachhaltigkeitskriterien (Ökologie, Wirtschaft, Soziales) und Risikokriterien. Die Ergebnisse zeigen, dass Algen-Supply Chains mit vertikaler Kooperation, aus Algen-Lieferanten (Farmer, lokale Händler, Großhändler und Exporteure) und Algen-Herstellern (Carrageen- und Agarunternehmen) bestehen. Die meisten Algen-Farmer sind unabhängige Farmer, die die Möglichkeit haben die Algen entweder an lokale Händler oder andere je nach Präferenz verkaufen können. Lokale Händler spielen eine entscheidende Rolle hinsichtlich der finanziellen Unterstützung der Farmer, der technischen Informationen und des Marktzugangs. Indonesische Carrageen- und Agarhersteller weisen ein kontinuierliches Marktwachstum auf, insbesondere als Familienunternehmen. Die Risiken der Algen-Supply Chain werden in zwei Hauptkategorien unterteilt: interne und externe Risiken. Interne Risiken werden weiterhin in zwei Gruppen untergliedert: interne Unternehmensrisiken, welche aus Prozess- und Steuerungsrisiken bestehen, sowie externe Unternehmensrisiken, die Supply- und Nachfragerisiken umfassen. Externe Supply Chain Risiken, die aus externen Netzwerkketten resultieren, sind Risiken hinsichtlich regulatorischer Fragen, der Finanzierung, Infrastruktur als auch soziale und umweltbezogene Risiken. Als kritischstes Risiko für die Carrageen-Supply Chain wurde die mangelnde Qualität von E.cottonii rohgetrockneten Algen identifiziert. Weitere kritische Risiken der Agar-Supply Chain sind Quantitätsunsicherheiten, die Knappheit von Gracilaria roh getrockneten Algen sowie negative Umweltauswirkungen des Abwassers. Aus  der Fallstudie zu halb-raffinierten Karrageen resultierte das Clustern von Algen-Verarbeitungsbetrieben als ist die beste Risikovermeidungsstrategie sowohl für große als auch kleine Unternehmen. Nichtsdestotrotz kann sich das Clustern negativ auf die lokale Umwelt auswirken.

Contexte général La Côte d'Ivoire est un pays de l’Afrique de l’Ouest qui a décidé, depuis 2001, d'étendre la couverture des prestations de santé à toute sa population. En effet, cette réforme du système de santé avait pour but de fournir, à chaque ivoirien, une couverture médicale et pharmaceutique. Toutefois, la mise en œuvre de cette réforme était difficile car, contrairement aux pays développés, les pays en développement ont un secteur « informel » échappant à la législation du travail et occupant une place importante. En conséquence, il a été recommandé qu’il y ait deux caisses d'assurance santé, une pour le secteur formel (fonctionnaires) et l'autre pour le secteur informel. Ces caisses auraient légitimité en ce qui a trait aux décisions de remboursement de médicaments. D’ores-et-déjà, il existe une mutuelle de santé appelée la Mutuelle Générale des Fonctionnaires et Agents de l'État de Côte d'Ivoire (MUGEFCI), chargée de couvrir les frais médicaux et pharmaceutiques des fonctionnaires et agents de l’Etat. Celle-ci connaît, depuis quelques années, des contraintes budgétaires. De plus, le processus actuel de remboursement des médicaments, dans cette organisation, ne prend pas en considération les valeurs implicites liées aux critères d'inscription au formulaire. Pour toutes ces raisons, la MUGEFCI souhaite se doter d’une nouvelle liste de médicaments remboursables, qui comprendrait des médicaments sécuritaires avec un impact majeur sur la santé (service médical rendu), à un coût raisonnable. Dans le cadre de cette recherche, nous avons développé une méthode de sélection des médicaments pour des fins de remboursement, dans un contexte de pays à faibles revenus. Cette approche a ensuite été appliquée dans le cadre de l’élaboration d’une nouvelle liste de médicaments remboursables pour la MUGEFCI. Méthode La méthode de sélection des médicaments remboursables, développée dans le cadre de cette recherche, est basée sur l'Analyse de Décision Multicritère (ADM). Elle s’articule autour de quatre étapes: (1) l'identification et la pondération des critères pertinents d'inscription des médicaments au formulaire (combinant revue de la littérature et recherche qualitative, suivies par la réalisation d’une expérience de choix discrets); (2) la détermination d'un ensemble de traitements qui sont éligibles à un remboursement prioritaire; (3) l’attribution de scores aux traitements selon leurs performances sur les niveaux de variation de chaque critère, et (4) le classement des traitements par ordre de priorité de remboursement (classement des traitements selon un score global, obtenu après avoir additionné les scores pondérés des traitements). Après avoir défini la liste des médicaments remboursables en priorité, une analyse d’impact budgétaire a été réalisée. Celle-ci a été effectuée afin de déterminer le coût par patient lié à l'utilisation des médicaments figurant sur la liste, selon la perspective de la MUGEFCI. L’horizon temporel était de 1 an et l'analyse portait sur tous les traitements admissibles à un remboursement prioritaire par la MUGEFCI. En ce qui concerne la population cible, elle était composée de personnes assurées par la MUGEFCI et ayant un diagnostic positif de maladie prioritaire en 2008. Les coûts considérés incluaient ceux des consultations médicales, des tests de laboratoire et des médicaments. Le coût par patient, résultant de l'utilisation des médicaments figurant sur la liste, a ensuite été comparé à la part des dépenses par habitant (per capita) allouée à la santé en Côte d’Ivoire. Cette comparaison a été effectuée pour déterminer un seuil en deçà duquel la nouvelle liste des médicaments remboursables en priorité était abordable pour la MUGEFCI. Résultats Selon les résultats de l’expérience de choix discrets, réalisée auprès de professionnels de la santé en Côte d'Ivoire, le rapport coût-efficacité et la sévérité de la maladie sont les critères les plus importants pour le remboursement prioritaire des médicaments. Cela se traduit par une préférence générale pour les antipaludiques, les traitements pour l'asthme et les antibiotiques indiqués pour les infections urinaires. En outre, les résultats de l’analyse d’impact budgétaire suggèrent que le coût par patient lié à l'utilisation des médicaments figurant sur la liste varierait entre 40 et 160 dollars américains. Etant donné que la part des dépenses par habitant allouées à la santé en Côte d’Ivoire est de 66 dollars américains, l’on pourrait conclure que la nouvelle liste de médicaments remboursables serait abordable lorsque l'impact économique réel de l’utilisation des médicaments par patient est en deçà de ces 66 dollars américains. Au delà de ce seuil, la MUGEFCI devra sélectionner les médicaments remboursables en fonction de leur rang ainsi que le coût par patient associé à l’utilisation des médicaments. Plus précisément, cette sélection commencera à partir des traitements dans le haut de la liste de médicaments prioritaires et prendra fin lorsque les 66 dollars américains seront épuisés. Conclusion Cette étude fait la démonstration de ce qu’il est possible d'utiliser l’analyse de décision multicritère pour développer un formulaire pour les pays à faibles revenus, la Côte d’Ivoire en l’occurrence. L'application de cette méthode est un pas en avant vers la transparence dans l'élaboration des politiques de santé dans les pays en développement. / Background Côte d'Ivoire is a West African country that decided, since 2001, to expand its health coverage benefit packages to the entire population. Indeed, this health care system reform was aimed at providing each Ivorian with medical and pharmaceutical coverage. However, the implementation of this reform was challenging since, unlike developed countries, developing countries have an « informal » sector escaping the labour law and occupying an important place. As a result, it was recommended to create two health insurance funds, one for the formal sector (government officials) and the other for the informal sector. These funds would have legitimacy in regard to drug reimbursement decision-making. There is, already, a health insurance fund called the Mutuelle Générale des Fonctionnaires et Agents de l’État de Côte d’Ivoire (MUGEFCI), responsible for covering medical and pharmaceutical expenses of government officials and agents. The latter is experiencing budgetary constraints. Moreover, the current process of drug reimbursement, in this organization, does not take into account the implicit values associated to formulary listing criteria. For all these reasons, the MUGEFCI aims at developing a new list of reimbursable drugs, which would include safe drugs with a major impact on health (high medical service), at reasonable costs. In this research, we have developed a formulary listing framework for low-income countries. This framework was then applied to the development of a new formulary for the MUGEFCI. Methods The formulary listing framework, based on Multicriteria Decision Analysis (MCDA), was composed of four steps: (1) the identification and weighting of relevant formulary listing criteria (combining both literature review and qualitative research approaches, followed by the conduct of a discrete choice experiment); (2) the determination of priority diagnostic/treatments to be assessed (determination of a set of treatments that are eligible for priority reimbursement); (3) the treatments scoring (assignment of numerical values to the treatments’ performance on the variation levels of each criterion), and (4) the treatments ranking by priority order of reimbursement (ranking of treatments according to an overall value, obtained after summing up the weighted treatment scores). After having defined the priority list of reimbursable drugs, we conducted a budget impact analysis (BIA). The latter was carried out to determine the costs per patient resulting from the use of drugs included on the new formulary, according to the perspective of the MUGEFCI. The temporal framework was 1 year and the analysis included all the treatments eligible for a priority reimbursement by the MUGEFCI. As for the target population, it was composed of people (MUGEFCI enrolees) with a positive diagnostic of priority diseases in 2008. The costs considered in this BIA included those of medical consultations, laboratory tests and medications. The cost per patient, resulting from the use of drugs on the formulary, was then compared to the per capita health care spending in Côte d'Ivoire. This comparison was made to assess the extent to which the new priority list of reimbursable drugs was affordable for the MUGEFCI. Results According to the results of the discrete choice experiment, carried out among health professionals in Côte d’Ivoire, cost-effectiveness and severity of diseases are the most significant criteria for priority reimbursement of drugs. This translates into a general preference for antimalarial, treatments for asthma and antibiotics for urinary infection. Moreover, the results of the BIA suggest that the cost per patient, resulting from the use of drugs on the formulary, would vary between 40 and 160 US dollars. Since the per capita health care spending in Côte d'Ivoire is 66 US dollars, one could conclude that the new priority list of reimbursable drugs will be affordable when the real economic impact per patient of drugs is under 66 US dollars. Beyond this threshold, the MUGEFCI will have to select the reimbursable drugs according to their rank in the priority list and their respective economic impact per patient (cost per patient). Particularly, this selection will start from the treatment on the top of the list and will end when the 66 US dollars are exhausted. Conclusion This study demonstrates that it is possible to use multi-criteria decision analysis to develop a formulary for low-income countries, Côte d'Ivoire for instance. The application of this method is a step towards transparency in the formulation of health policies in developing countries.

Det som ofta faller bort i den offentliga debatten är att segregationens innebörd anspelar på åtskillnader av olika grupper, inte enbart de ”utsatta” utan även de socioekonomiskt starkare grupperna. Denna studie kommer att undersöka hur segregationen ser ut inom Sundsvalls tätortsområden och vilka faktorerna är som har störst påverkan till de skillnader som finns. Studien baseras på att urskilja den relativa segregationen, d.v.s. fördelningen av segregationspåverkande faktorer, i positiv och negativ riktning. Syftet i studien är sedan att jämföra två olika geografiska indelningssystem. Det ena är det kommunala nyckelkodssystemet (NYKO) och det andra är Statistiska centralbyråns regionala indelningssystem, demografiska statistikområden (DeSO). I metoden har två olika index använts för att mäta fördelningen av segregationsfaktorer genom en multikriterieanalys (MKA). Den första mätningen har skett genom en nyutvecklad segregationsindex och den andra mätningen genom index of dissimilarity. Studien har visat att det finns svårigheter kring att använda ett indelningssystem som kan verka funktionellt i alla avseenden. Beroende på vad studien syftar till att mäta så spelar olika zon- och skalindelningar en stor roll i hur resultatet framställs. Resultatet visar att segregationen utspelar sig inom både de socioekonomiskt svaga och starka områdena. Det finns däremot svårigheter med att bedöma vilken områdesindelning som är mest användbar då de verkar på olika grunder. Genom att jämföra DeSO och NYKO har resultaten av studien visat att befolkningsantalet och storleken på den geografiska områdesindelningen har en stor betydelse för hur pålitlig en studie kan bli. / What often falls away in the public debate is that the meaning of the segregation alludes to the separation of different groups, not just the "vulnerable" but also the socio-economically stronger groups. This study will investigate how the segregation plays out within Sundsvall's urban areas and which factors have the greatest impact on the differences that exist. The study is based on distinguishing the relative segregation, i. e. the distribution of factors affecting segregation, in a positive and negative direction. The purpose of the study is then to compare two different geographical area systems. One is the municipal key code system (NYKO) and the other is the state regional area system, demographic statistics areas (DeSO). In the method, two different indexes have been used to measure the distribution of segregation factors through a multi-criteria decision analysis (MKA). The first measurement has been made by a newly developed segregation index and the second measurement by the index of dissimilarity. The study has shown that there are difficulties in finding an area system that can function efficiently for all purposes. Depending on what the study aims to measure, the different zone and scale configurations play a major role in how the result is produced. The result of the study shows that the segregation takes place in both the socio-economically weak and strong areas. There are, on the other hand, difficulties in assessing which of the two area systems that is the most practical since they both operate on different grounds. By comparing DeSO and NYKO, the results of the study have shown that the population and size of the geographical area unit are of great importance for how reliable a study can be.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-02-05T20:32:05Z No. of bitstreams: 3 Dissertação - Leonardo Afonso Amorim - 2014.pdf: 2774608 bytes, checksum: b212628d1bce8ef7bf3f80e7286db111 (MD5) Dissertação - Leonardo Afonso Amorim - 2014 - Projeto.zip: 11944741 bytes, checksum: 141e5b6b22a4f615ef5f5bee052d97b5 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-02-05T20:32:50Z (GMT) No. of bitstreams: 3 Dissertação - Leonardo Afonso Amorim - 2014.pdf: 2774608 bytes, checksum: b212628d1bce8ef7bf3f80e7286db111 (MD5) Dissertação - Leonardo Afonso Amorim - 2014 - Projeto.zip: 11944741 bytes, checksum: 141e5b6b22a4f615ef5f5bee052d97b5 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2015-02-05T20:32:50Z (GMT). No. of bitstreams: 3 Dissertação - Leonardo Afonso Amorim - 2014.pdf: 2774608 bytes, checksum: b212628d1bce8ef7bf3f80e7286db111 (MD5) Dissertação - Leonardo Afonso Amorim - 2014 - Projeto.zip: 11944741 bytes, checksum: 141e5b6b22a4f615ef5f5bee052d97b5 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2014-09-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Decision making in public management is associated with a high degree of complexity due to insufficient financial resources to meet all the demands emanating from various sectors of society. Often, economic activities are in conflict with social or environmental causes. Another important aspect in decision making in public management is the inclusion of various stakeholders, eg public management experts, small business owners, shopkeepers, teachers, representatives of social and professional classes, citizens etc. The goal of this master thesis is to present two computational agents to aid decision making in public management as part of ADGEPA project: Miner Agent (MA) and Agent Decision Support (DSA). The MA uses data mining techniques and DSA uses multi-criteria analysis to point out relevant issues. The context in which this work fits is ADGEPA project. The ADGEPA (which means Digital Assistant for Participatory Public Management) is an innovative practice to support participatory decision making in public resources management. The main contribution of this master thesis is the ability to assist in the discovery of patterns and correlations between environmental aspects that are not too obvious and can vary from community to community. This contribution would help the public manager to make systemic decisions that in addition to attacking the main problem of a given region would decrease or solve other problems. The validation of the results depends on actual data and analysis of public managers. In this work, the data were simulated. / Tomada de decisão em gestão pública é associada ao alto grau de complexidade devido à insuficiência de recursos financeiros para atender todas as demandas provindas de diversos setores da sociedade. Frequentemente, atividades econômicas estão em conflito com causas sociais ou ambientais. Outro aspecto importante em tomadas de decisão em gestão pública é a inclusão dos diversos stakeholders, por exemplo especialistas em gestão pública, pequenos empresários, pequenos comerciantes, professores, representantes de classes sociais e profissionais, os próprios cidadãos etc. Diante disto, o objetivo deste trabalho de mestrado é apresentar uma proposta de Agente Minerador (AM) e Agente de Suporte à Decisão (ASD) para Gestão Pública Participativa e como fazer a interface entre eles. O AM faz uso de técnicas de mineração de dados para se encontrar regras de associação entre dados socioambientais, temporais e espaciais e o ASD faz uso de análise multicritério para ranquear problemas socioambientais que devem ser solucionados com prioridade. O contexto em que este trabalho se insere é o projeto ADGEPA (Assistente Digital para Gestão Pública Participativa), um projeto inovador para suporte à tomada de decisão participativa em gestão pública. Entende-se que a contribuição principal deste trabalho de mestrado é a possibilidade de auxiliar na descoberta de padrões e correlações entre aspectos socioambientais que não são muito óbvias e que podem variar de comunidade para comunidade. Esta contribuição poderá auxiliar o gestor público a tomar decisões sistêmicas que além de atacar o problema principal de uma determinada região diminuirá ou solucionará também problemas de outros aspectos. A validação dos resultados depende de dados reais e de análise de gestores públicos. Neste trabalho os dados foram simulados.