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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
51

Provozní účinnosti zdrojů tepla / Performance of heat

Kocandová, Karolína January 2018 (has links)
The topic of the diploma thesis is the operational efficiency of heat sources . The thesis is divided into three parts. In the first part a theoretical solution of the heat sources efficiency can be found. In the second part there is a calculation solution of the project. The project solves the heating of a football stadium. Two variants of the heating source and warm water preparation are suggested and the variants are consequently compared and evaluated. The last part is experimental - the topic of the experiment is the efficiency of heat sources.
52

Análisis de la gestión de la cadena de suministro verde de frutas y verduras a través del método de jerarquía analítica / Analysis of the management of the green supply chain of fruits and vegetables using the Analytical Hierarchy Method

Alarcón Díaz, Diana Carol, Trigoso Güissa, Patricia Rosario 26 September 2020 (has links)
La presente tesis ha sido realizada con la finalidad de evaluar el impacto de la gestión de la cadena de suministros verde de frutas y verduras como estrategia sostenible para mejorar la eficiencia operacional de las empresas del rubro agro – exportador de la región Lambayeque. El objetivo principal, es identificar y evaluar la gestión de la cadena de suministros verde de frutas y verduras Como estrategia sostenible, analizando los elementos y principales actores que intervienen en la eficiencia operacional de la misma, teniendo en cuenta la realidad actual de las empresas seleccionadas para el estudio y así poder determinar su principal problemática. En la actualidad, el mundo globalizado está generando nuevas problemáticas y perspectivas, entre ellos los más significativos son los de índole industrial - ambiental, por lo cual resulta importante evaluar su efecto en relación de cada cadena de suministro a utilizar. Por esta razón, se busca que esta investigación sirva para comprender más sobre dicho tema. Para el desarrollo de esta investigación nos hemos apoyado en diversas entrevistas, encuestas y casos para generar un análisis completo y detallado, Por lo cual, la fuerza impulsora clave para mejorar la eficiencia de la cadena de suministro verde de frutas y verduras es construir el mecanismo de toma de decisiones en colaboración científica y racional de la cadena de suministro, a fin de resolver los problemas relacionados con la cadena de suministro verde de frutas y verduras. / This thesis has been carried out with the purpose of evaluating the impact of the management of the green fruit and vegetable supply chain as a sustainable strategy to improve the operational efficiency of companies in the agro - export sector of the Lambayeque region. The main objective is to identify and evaluate the management of the green supply chain of fruits and vegetables As a sustainable strategy, analyzing the elements and main actors that intervene in the operational efficiency of the same, taking into account the current reality of the selected companies for the study and thus be able to determine its main problem. At present, the globalized world is generating new problems and perspectives, among which the most significant are those of an industrial - environmental nature, for which it is important to evaluate its effect in relation to each supply chain to be used. For this reason, it is sought that this research serves to understand more about this topic. For the development of this research we have relied on various interviews, surveys and cases to generate a complete and detailed analysis. Therefore, the key driving force to improve the efficiency of the green supply chain of fruits and vegetables is to build the mechanism of decision-making in scientific and rational collaboration of the supply chain, in order to solve the problems related to the green supply chain of fruits and vegetables. / Tesis
53

Provozní účinnost plynových kotlů / Operational efficiency of gas boilers

Marčiš, Šimon January 2022 (has links)
This master’s thesis elaborates a design of water heating and heating system for a building of a rehabilitation center in Horný Hričov. The theoretical section describes operational efficiency of gas boilers and associated calculation methods. The experimental section covers measurements of condensing gas boiler at various temperatures of heating water conducted in university laboratory. Operational efficiency was then calculated using indirect method based on the measurement results. Subsequently, calculated values and values measured by an operational efficiency analyzer were compared. The comparison revealed minor deviations in operational efficiency values and different values of condensing heat utilization between the calculations and the analyzer results. The analytical section of the thesis consists of complex designs of two versions of the heating system and the water heating. The first design version uses condensing gas boilers as a heat source while the second version uses a water-air heat pump instead. The project section of the thesis is executed in the scope for a building permit and consists of a technical report and a design documentation.
54

Повышение эффективности деятельности авиакомпании в сфере региональных воздушных перевозок : магистерская диссертация / Improving operational efficiency in the regional airlines

Юровских, Е. А., Iurovskikh, E. A. January 2022 (has links)
Целью исследования является совершенствование инструментария повышения эффективности деятельности авиакомпаний в сфере региональных воздушных перевозок. Предложен методический подход к повышению эффективности региональных воздушных перевозок, элементами которого являются выработка стратегических решений по совершенствованию структуры парка воздушных судов, тактических решений по их распределению по маршрутам региональных перевозок, обоснование направлений совершенствования системы полетного сервиса и методическое обеспечение этих элементов. Предложенные автором рекомендации позволяют повысить эффективность деятельности авиакомпаний в сфере региональных воздушных перевозок. / The aim of the work is to improve the instruments of operational efficiency in the regional airlines. Methods to improving operational efficiency in the regional airlines consist of the development of strategic solutions to improve air fleet efficiency, tactical decisions of aircraft routing on regional air traffic, the rationale for the flight services improvement and methodological support of these elements. The author’s methods make it possible to improving operational efficiency in the regional airlines.
55

Medida de la eficiencia en atención primaria: fronteras eficientes y modelos no paramétricos condicionados

González de Julián, Silvia 07 September 2023 (has links)
[ES] La buena gestión de la atención primaria como puerta de entrada al sistema sanitario condiciona el funcionamiento de la atención especializada y la hospitalización, lo cual repercute directamente sobre la salud de la población. La sostenibilidad del sistema de salud público implica que los servicios de atención primaria sean eficientes. Objetivo Desarrollar un modelo para evaluar la eficiencia en cuanto a actividad realizada y resultados de salud de las unidades funcionales (UF) de atención primaria del Departamento de Salud Valencia Clínico - La Malvarrosa en los años 2015 a 2019. Metodología Se han integrado las bases de datos de la Conselleria de Sanitat Universal i Salut Pública y el Departamento de Salud Valencia Clínico - La Malvarrosa para obtener para cada UF: características de la población asignada, actividad asistencial y recursos humanos de los centros y consultorios de atención primaria. El análisis factorial pone de manifiesto las principales diferencias y similitudes encontradas entre las UF y permite reducir el número de variables utilizadas para elaborar los modelos de evaluación de la eficiencia, de manera que no se pierda poder explicativo, y facilite la interpretación de los resultados. Se ha utilizado el Análisis Envolvente de Datos (DEA) con orientación input y output y rendimientos variables a escala para la evaluación de la eficiencia. Los inputs incluidos han sido las tasas por 10.000 habitantes de: personal facultativo y personal de enfermería (inputs no discrecionales) y coste farmacéutico; como outputs se han incluido las tasas por 10.000 habitantes de: urgencias hospitalarias, consultas externas, derivaciones, hospitalizaciones evitables, mortalidad evitable y el indicador de eficiencia en la prescripción. Urgencias, hospitalizaciones evitables y mortalidad evitables se consideran outputs no deseables. Y como variables exógenas se han incluido el porcentaje de población mayor de 65 y 80 años y un indicador de morbilidad (case-mix). Se han analizado las puntuaciones de eficiencia de cada UF según tres modelos. Todos los modelos incorporan los mismos inputs y diferentes combinaciones de outputs relacionados con: Actividad asistencial (primer modelo), outcomes o resultados de salud (segundo modelo) y actividad asistencial + outcomes (tercer modelo, en el que se incluyen todos los outputs). Cada modelo se analiza con y sin variables exógenas. Resultados Se han evaluado los tres modelos con sus diferentes especificaciones para identificar las diferencias entre ellos y ver cuál de ellos permite diferenciar más claramente la eficiencia de las UF, teniendo en cuenta variables de calidad, y las características de la población. Se ha obtenido la puntuación de eficiencia de cada UF y se han identificado las UF que forman parte de la frontera eficiente del grupo estudiado. Los resultados han mostrado que existen diferencias en las puntuaciones de eficiencia estimadas en función de las variables introducidas como outputs. Determinadas UF se encuentran siempre en la frontera eficiente o muy cerca, mientras que otras UF son siempre ineficientes. Por otra parte, cuando se consideran outputs de actividad asistencial, las puntuaciones de eficiencia de todas las UF mejoran y aumenta el número de UF eficientes. Se detecta que la puntuación de eficiencia de las UF desciende, en general, a lo largo del periodo evaluado. Esta disminución es más pronunciada cuando se incluyen sólo los outputs de actividad. Conclusiones Se han obtenido diferentes resultados en función del modelo utilizado. El DEA permite analizar las ineficiencias de los centros de atención primaria, aunque es necesario identificar los objetivos esperados de las UF, ya que la perspectiva de los análisis influye en los resultados. / [CA] La bona gestió de l'atenció primària com a porta d'entrada al sistema sanitari condiciona el funcionament de l'atenció especialitzada i l'hospitalització, la qual cosa repercuteix directament sobre la salut de la població. La sostenibilitat del sistema de salut públic implica que els serveis d'atenció primària siguen eficients. Objectiu Desenvolupar un model per a avaluar l'eficiència quant a activitat realitzada i resultats de salut de les unitats funcionals (UF) d'atenció primària del Departament de Salut València Clínic - La Malva-rosa en els anys 2015 a 2019. Metodologia S'han integrat les bases de dades de la Conselleria de Sanitat Universal i Salut Pública i el Departament de Salut València Clínic - La Malva-rosa per a obtindre per a cada UF: característiques de la població assignada, activitat assistencial i recursos humans dels centres i consultoris d'atenció primària. L'anàlisi factorial posa de manifest les principals diferències i similituds trobades entre les UF i permet reduir el nombre de variables utilitzades per a elaborar els models d'avaluació de l'eficiència, de manera que no es perda poder explicatiu, i facilite la interpretació dels resultats. S'ha utilitzat l'Anàlisi Envolupant de Dades (DEA) amb orientació input i output i rendiments variables a escala per a l'avaluació de l'eficiència. Els inputs inclosos han sigut les taxes per 10.000 habitants de personal facultatiu i personal d'infermeria (inputs no discrecionals) i cost farmacèutic; com a outputs s'han inclòs les taxes per 10.000 habitants de consultes, urgències hospitalàries, derivacions, hospitalitzacions evitables, mortalitat evitable i l'indicador d'eficiència en la prescripció. Urgències, hospitalitzacions evitables i mortalitat evitables es consideren outputs no desitjables. I com a variables exògenes s'han inclòs el percentatge de població major de 65 i 80 anys i un indicador de morbiditat (case-mix). S'han analitzat les puntuacions d'eficiència de cada UF segons tres models. Tots els models incorporen els mateixos inputs i diferents combinacions d'outputs relacionats amb activitat assistencial (primer model), outcomes o resultats de salut (segon model) i activitat assistencial + outcomes (tercer model, en el qual s'inclouen tots els outputs). Cada model s'analitza amb i sense variables exògenes. Resultats S'han avaluat els tres models amb les seues diferents especificacions per a identificar les diferències entre ells i veure quin d'ells permet diferenciar més clarament l'eficiència de les UF, tenint en compte variables de qualitat, i les característiques de la població. S'ha obtingut la puntuació d'eficiència de cada UF i s'han identificat les UF que formen part de la frontera eficient del grup estudiat. Els resultats han mostrat que existeixen diferències en les puntuacions d'eficiència estimades en funció de les variables introduïdes com a outputs. Determinades UF es troben sempre en la frontera eficient o molt a prop, mentre que unes altres UF són sempre ineficients. D'altra banda, quan es consideren outputs d'activitat assistencial, les puntuacions d'eficiència de totes les UF milloren i augmenta el número d'UF eficients. Es detecta que la puntuació d'eficiència de les UF descendeix, en general, al llarg del període avaluat. Aquesta disminució és més pronunciada quan s'inclouen només els outputs d'activitat. Conclusions S'han obtingut diferents resultats en funció del model utilitzat. El DEA permet analitzar les ineficiències dels centres d'atenció primària, encara que és necessari identificar els objectius esperats de les UF, ja que la perspectiva de les anàlisis influeix en els resultats. / [EN] The proper management of primary healthcare as the gateway to the health system determines the performance of specialised healthcare and hospitalisation, which has a direct impact on the health of the population. The sustainability of the public health system requires the efficiency of primary healthcare services. Objectives To develop a model to evaluate the efficiency in terms of activity and health outcomes of the functional units (FU) of primary healthcare of the Valencia Clínico - La Malvarrosa Health District in the years 2015 to 2019. Methodology The databases of the Conselleria de Sanitat Universal i Salut Pública and the Valencia Clínico - La Malvarrosa Health District have been integrated to obtain for each FU: characteristics of the covered population, healthcare activity and human resources of the primary healthcare centres. The factorial analysis reveals the main differences and similarities found between the FUs and makes it possible to reduce the number of variables used to develop the efficiency evaluation models, so as not to lose explanatory power and to facilitate the interpretation of the results. Data Envelopment Analysis (DEA) with input and output orientation and variable returns to scale has been used to assess the efficiency. The inputs included were the rates per 10,000 inhabitants of: professional and nursing staff (non-discretionary inputs) and pharmaceutical cost; outputs included the rates per 10,000 inhabitants of: consultations, hospital emergencies, referrals, avoidable hospitalisations, avoidable mortality and the prescription efficiency indicator. Emergencies, avoidable hospitalisations and avoidable mortality are considered undesirable outputs. As exogenous variables we have included the percentage of the population over 65 and 80 years old and a morbidity indicator (case-mix). The efficiency scores of each FU have been analysed according to three models. All models incorporate the same inputs and different combinations of outputs related to: healthcare activity (first model), outcomes (second model) and healthcare activity + outcomes (third model, in which all outputs are included). Each model is analysed with and without exogenous variables. Results The three models have been evaluated with their different specifications to identify the differences between them and to see which of them allows the efficiency of the FU to be differentiated more clearly, considering quality variables and the characteristics of the population. The efficiency score of each FU has been obtained and the FUs that form part of the efficient frontier of the group studied have been identified. The results show that there are differences in the estimated efficiency scores depending on the variables introduced as outputs. Certain FUs are always on the efficient frontier or very close to it, while other FUs are always inefficient. On the other hand, when healthcare activity outputs are considered, the efficiency scores of all FUs improve and the number of efficient FUs increases. It is found that the efficiency score of the FU generally decreases over the period under evaluation. This decline is more pronounced when only activity outputs are included. Conclusions Different results have been obtained depending on the model used. The DEA makes it possible to analyse the inefficiencies of primary healthcare centres, although it is necessary to identify the expected objectives of the FU, as the perspective of the analysis influences the results. / González De Julián, S. (2023). Medida de la eficiencia en atención primaria: fronteras eficientes y modelos no paramétricos condicionados [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/196735
56

Incorporation of Alternative income Streams Into the Lessor’s Business Model and it’s Effects on a Building Asset Value : A Case Study on Stockholm’s Private Rental Sector / Inkorporering av alternativa intäktsströmmar i bostadsägares affärsmodell och dess effekter på fastighetsvärdet : En fallstudie om Stockholms privata hyressektor

Medlöv, Daniel, Robles, José Maria January 2021 (has links)
Digital platforms and tools have already taken over a large part of human daily lives and with the latest pandemic of COVID-19 it is clear how these technological trends have just increased, in both intensity and complexity, across most of the different aspects that comprehend our everyday activities. For instance, people are staying more at home and people now socialize, consume and work with help of different digital tools, which in other words means that the homes’ original role is changing to a more multifaceted and integral function. Based on such reality, this master thesis aims to investigate how property owners of housing rentals in Stockholm could extract value from these mentioned trends and context by incorporating new alternative income streams in their current business models. Moreover, this academic inquiry also intends to investigate the financial effect that these streams incorporation could have on a property valuation in the housing rental sector of Stockholm.  This thesis project follows two different, yet subsequential, lines of research, where the first one is an interview with local industry experts that provided insights in which kind of potential new value streams that property owners could incorporate in their current business models. They also shared information regarding which kind of digital tools are needed nowadays to make the new offering to the tenants in the most effective way within the Stockholm Private Rental Sector context. The industry experts also gave estimations of the cash flows enhancements that these service incorporation could bring to the owner . This information created the foundation that was used to later interview property owners. The property owners gave information of which kind of digital tools they used today, and what their view was about incorporating the new services and contracts that the industry experts had pointed out as possible new income streams. Both sets of interviews were analyzed with help of finding themes and reviewed literature that allowed the authors of this project to move on to evaluate the financial effect on a housing rental property in Stockholm whenever the new cash flows of the filtered income streams were considered.  The thesis has reached the conclusion that an incorporation of provision of services can create value for both the tenant and the property owner, even though specific services that should be incorporated aren't pointed out. The market was, at the time this thesis was written, immature and fast moving, which makes it hard to say which services will be successful in the Swedish market. Despite this are the results pointing out that contracts as home-electricity and insurances are among the services that have the lowest barrier to implement, and have already been tried by some actors in the industry. For those actors that have started an incorporation of provision of services have already noticed new cash-flows streams, even if they today are minor. The second conclusion is that those cash-flows will in the future trigger higher property values as properties will be a more attractive asset to possess. To be able to identify the demand and extract value from it in a successful way is a user-centered approach a key aspect, as the transaction must create new value for all actors involved / Digitala plattformer och verktyg har redan tagit över en stor del av människors dagliga liv och med den senast Corona-pandemin är det tydligt hur teknologiska trender har ökat, i både intensitet och komplexitet, och påverkar de flesta människors vardagsaktiviteter. Under Corona-pandemin har människor spenderat mer tid hemma och människor har socialiserar, konsumerar och arbetar med hjälp av olika digitala verktyg, vilket innebär att hemmets originella funktion har förändrats till en mer mångfacetterad funktion i människors liv. Baserad på detta så undersöker denna masteruppsatsen hur fastighetsägare, av hyresrätter i Stockholm, kan extrahera värde från dessa nämnda trender genom att inkorporera nya intäktsströmmar i deras befintliga affärsmodell. Denna akademiska uppsats undersöker också vilken påverkan dessa nya intäktsströmmar har på fastighetsvärden i hyresrättssektorn i Stockholm.  Metoden för att nå en slutsats är uppdelad i två processer, där den första är att intervjua vad som benämns i uppsatsen som industri-experter inom ämnet proptech. Dessa bidrar med insikt kring vilka nya intäktsströmmar som möjliga att inkorporera i fastighetsägares nuvarande affärsmodell. Dom understödjer också med information kring vilka digitala verktyg som är nödvändiga för att kunna inkorporera tjänsteförmedling på ett effektivt sätt till hyresgäster i Stockholms privata hyressektor. Utöver detta så ger industri-experterna estimeringar kring vilka värden som kunde tillfalla fastighetsägarens för varje enskild tjänsteförmedling. Denna information används som ett underlag vid nästa skede av intervjuprocessen med fastighetsägarna. Fastighetsägarna bidrar med information kring vilka digitala verktyg dom använde, vid tidpunkten denna uppsats skrevs, och deras syn på att inkorporera förmedling av de tjänster och kontrakt som industri-experterna pekar ut under första intervjuprocessen. Intervjuerna analyseras med hjälp av tematisk analys och parallellt med detta analyseras litteratur, vilket skapade möjlighet att utvärdera vilka finansiella effekter som en inkorporering av tjänsteförmedling kan få på hyresrättssektorn i Stockholm.  Uppsatsen når slutsatsen att inkorporering av tjänsteförmedling kan skapa värde för både hyresgästen och fastighetsägaren, även om de specifika tjänsterna inte pekas ut. Marknaden var vid tidpunkten när denna uppsats skrevs omogen och utvecklades snabbt vilket gör det svårt att svara på vilka tjänster som kommer vara framgångsrika i en svensk marknad. Trots detta pekar resultat på att kontakt som hushållsel och hemförsäkring hade låga ingångsbarriärer i marknaden att implementera, och vissa fastighetsägare har redan påbörjat denna process. Denna inkorporering har för dessa aktörer inneburit vissa nya intäktsströmmar, som dock är väldigt begränsade. Den andra slutsatsen är att de nya intäktsströmmar i framtiden kommer utlösa högre fastighetsvärderingar då fastigheter kommer bli en attraktivare tillgång att inneha. För att kunna identifiera efterfrågan och extrahera värdet ur en tjänsteförmedlingen, på ett framgångsrikt sätt, är en användarcentrerad strategi en viktig aspekt då transaktionerna som sker mellan fastighetsägaren och hyresgästen måste vara värdeskapande för alla inblandade aktörer.
57

總額預算制度下醫院所有權結構與營運績效關係之研究

劉惠玲 Unknown Date (has links)
所有權結構、支付制度與競爭係影響醫院績效之關鍵因子,本研究援用相關文獻之發現,推論出三項因素對醫院績效之關係,並以我國獨特之總額預算制度為研究對象,蒐集、串連與合併不同來源之資料,實證檢視衝量競爭與所有權結構對醫院營運績效與醫療品質之聯合效果。 台灣於民國91年7月實施醫院總額預算制度後,浮動點值制度之設計為醫院間引入了衝量競爭(即虛假價格競爭),而結算後之點值則係反映出醫院間衝量競爭後之結果,醫院除了需面對支付點值所致之財務衝擊外,尚須面對自全民健保實行後,備受醫院詬病之核減制度之衝擊,因此,本文首先嘗試估算醫院受到核減與支付點值所致之財務衝擊程度。無論是國外或國內之研究,對於不同所有權結構醫院之績效表現是否有差異性,一直無法獲得一致性之結論,除了納入營運效率之績效指標外,本研究亦採用疾病別與醫院層級別之醫療品質指標來檢視不同所有權結構醫院之績效表現。更以考量核減與支付點值所致之財務衝擊程度,取代目前文獻僅以總額前、後之二元變數,評估財務衝擊程度對營運效率、醫療品質與財務績效之影響。最後,則是檢視總額預算制度下,醫院受到之財務衝擊度是否會縮小不同所有權結構醫院之營運效率與醫療品質表現之差距。 實證研究發現,不同所有權結構醫院之營運效率並未有顯著差異,但不同所有權結構醫院在某些疾病別品質指標(子宮肌瘤切除手術之住院超過7日機率與再入院率)與醫院層級品質指標(院內感染率與淨死亡率)表現上則有差異性;且公立或非營利醫院受到核減與支付點值之財務衝擊高於私立醫院,因此不同所有權結構醫院之行為與績效存有某些差異性。台灣的醫院在總額預算制度下,若受到之財務衝擊程度愈大,其營運效率會變差、醫療品質也受到負面之影響、財團法人醫院之醫務利益率與稅後淨利率也會降低,但現金流量比則會增加,故財務衝擊愈大,醫院之績效愈低。若同時考量財務衝擊度對不同所有權結構醫院之營運效率與醫療品質之聯合效果後,可發現財務衝擊雖然不會縮小公立(或非營利)醫院與私立醫院營運效率之差距,卻縮小公立(或非營利)醫院與私立醫院醫療品質之差距,故以台灣資料可部分支持「不同所有權結構醫院績效差距縮小之因素係競爭力量之崛起」之論點。 / Hospital ownership, payment system and competition are all key drivers to influence hospital performance. This research infer and depict the association of these three drivers from the related literature and empirically examined the effects of fictitious price competition due to the floating point-value system and ownership on hospital operational performance and quality of care by combing and merging different sources of data. Deduction rate of claim and the floating point-value system are the two controversial debates to the payment system. I attempt to estimate hospital financial pressures as precipitated by deduction rate of claim and floating point-value system. To investigate whether for-profit, not-for-profit, and government hospitals differ in operating performance and quality of care, five diagnose-level and two hospital-level quality indicators are selected. Different from prior research, the financial pressure is captured by hospital data instead of a binary variable (pre and post global budget) and I examine the effect of financial pressure on hospital operational efficiency, quality of care and financial performance. Finally, we test whether differences in operational efficiency and quality care among hospitals with different ownership forms will mitigate or narrow, as hospital financial pressure increases. The results show that for-profit, not-for-profit and government hospitals are far more alike than different in operational efficiency, but ownership affects not only the rate of readmission and the rate of the length of stay larger than 7 days of uterine myomectomy, but also the hospital-level quality indicators: the rate of nosocomial infection and hospital mortality rate. I also find higher financial pressure incurred at government or not-for-profit hospitals than for-profits hospitals. Given my findings, we conclude that hospital ownership status affect performance in terms of quality of care and financial pressure from rate of deduction and float point-value system. The study shows that financial pressure adversely affects operational efficiency and quality of care. As not-for proprietary hospital financial pressure increases, the profit margin and net profit ratio will decrease, but the cash flow ratio will increase. Nonetheless, deduction rate of claim and global budget has a negative impact on hospital performance. This research further considers the joint effect of financial pressure on difference between quality of care and efficiency of for-profit hospitals and the other two types. My results indicate that hospital financial pressure mitigates the difference of quality of care between for-profit hospital and not-for profit (or government) hospitals, but does not narrow the difference in quality of care between for-profit hospital and not-for profit (or government) hospitals. This finding partly supports that increased competition should force not-for-profit (or governmental) hospitals to be increasingly similar to their for-profit counterparts.
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Účinnost zdrojů a nepřímotopný ohřev teplé vody / Boiler efficiency and indirect heating of hot water

Matůšů, Ondřej January 2019 (has links)
This diploma thesis deals with efficiency of heat sources and indirect heating of hot water. First part of this thesis is about heating of hot water, particulary indirect heating of hot water and it is all summarized in theoretical knowledge section. Second part deals with central heating and indirect heating of hot water in four floor flat house. The heat source for this object is cascade of two gas condensing boilers. In this building there are mostly used panel radiators. In the last, third part, I experimentaly deal with operational efficiency of heating sources with heating of hot water.
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Provozní účinnosti zdrojů tepla / Operational efficiency of boilers

Doležal, Lukáš January 2019 (has links)
The topic of this diploma thesis is the operational efficiency of heat sources. The work had several goals. The first was to determine the efficiency of the wood boiler according to available calculation methods and to compare the methods among them. The second was to determine the difference in the performance of the flue gas analyzer and the real calculation. Further, to determine the efficiency of a boiler firing different wood species - spruce and hornbeam based on their properties and elemental composition. Experimental measurement of various operating states of effectiveness took place in an older two-generation family house, which was also the subject of the project part. Due to lack of project documentation, it was necessary to focus and plot the object. Afterwards, the building was thermally inspected and the design of the heating system and the reconstruction of the whole heating system was carried out. The project was developed in two variants for two different heat sources - a heat pump and a solid fuel boiler for heating and water preparation. The thesis deals with the technical report, the conceptual solution of the related professions, the evaluation of the heat source variants and the project documentation.
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Provozní účinnost kotlů / Working efficiency of boilers

Rejsa, Vojtěch January 2020 (has links)
This work deals with the determination of the operational efficiency of solid fules boilers for their inclusion in the relevant emission class according to ČSN EN 303-5. Two steel boilers of the same manufacturer, type and performance but of different ages, were measured. The experimental measurments in the real operation of the boilers were carrien out during the combustion of two types of fuels, namely brown coal and spruce wood.The operational efficiency of the monitored sources was calculated from the measured data using both direct and undirect methods. The found efficiency of the boilers corresponds to the expected values, due to their construction, age and the way of using individual components and regulations. In the project part of this work there is a proposal of heating of the family house for the condition of the building before and after the insulation. The calculation was made for the solid fuel boiler and heat pump. The building is heated by radiators and floor heating. The design of the whole system, technical report and project documentation were prepared for each variant.

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