abstract: This dissertation studies the role of organizational politics and power and their role in the success of public service Public Private Partnerships (PPPs). By doing so, it addresses two areas of research in network governance and organizational theory. On one hand it explores the role of public private partnerships in the emerging network governance paradigm of public administration. On the other hand it studies the widely discussed but considerably under-researched role of organizational power in network governance. The literature review establishes public service PPPs as a sub type of governance networks, and provides an initial framework to study the nature and dynamics of power in these PPPs. The research is descriptive in nature and uses inductive reasoning in the tradition of Kathleen Eisenhardt. Case studies in rural areas of Punjab, Pakistan are conducted on two very similar PPPs. A replication logic is used to understand how power contributed to the success of one of those projects and lack of success in the other. Based on analysis of the findings, the dissertation concludes that public service PPPs succeed when the goals of the PPP are aligned with the goals of the most powerful collaborators. This is because regardless of its structure, a public service PPP pursues the goals targeted by the sum total of the power of its politically active collaborators. The dissertation also provides insight into the complexity of the concept of success in public service PPPs and the donor control on the operation and outcomes of public service PPPs. / Dissertation/Thesis / Ph.D. Public Administration 2012

Background: The care for the older adults is facing major challenges with the growing proportion of older people. This entails a need to find new ways to cope with the tasks of elderly care, and digitalization is seen as part of the solution. In order to succeed with digitalizing, the first-line managers in elderly care needs knowledge of change management and digitalization. That knowledge needs to be obtained via educational efforts. Aim: The aim of the study was to examine the experiences of first-line managers within elderly care after they recieved training in change management and digitalization. The aim was further to examine their perspectives on the influencing factors when it comes to leading change management in digitalization. Method: The method was a qualitative interview study with an inductive research approach and the sample consisted of first-line managers within elderly care in a medium-sized Swedish municipality. Semi-structured interviews were conducted which were analyzed by qualitative inductive content analysis.  Results: Four main categories emerged; perspectives on implemented educational efforts; identified potential, barriers and needs in change management and digitalization; responsibilities and roles in change management and digitalization; and perspectives on care users when using health and welfare technology. Potential and barriers included assent from management, cooperation between colleagues, influence of the first-line managers' level of interest, resources, goals and strategies. It also included prioritization of daily operations, employee needs, resistance and information about purpose, implementation process and technology. In order for the first-line managers in elderly care to achieve the expected benefit with training on change management and digitalization, the expectations needs to be well defined. Conclusion: Educational efforts in change management and digitalization alone are not enough to achieve a successful implementation of health and welfare technology in municipal care for the elderly. Digitalization is an ongoing process of changes and the first-line managers can-not do it by themselves. The preferred practice is to be able to create the conditions for interested employees to drive the work of digitalization within their respective operation.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2018-11-01T17:34:17Z No. of bitstreams: 1 2013 - Michelle de Andrade Souza Diniz Salles.pdf: 1724285 bytes, checksum: 0c2d93b35fcc3a346de378608aaccdd5 (MD5) / Made available in DSpace on 2018-11-01T17:34:17Z (GMT). No. of bitstreams: 1 2013 - Michelle de Andrade Souza Diniz Salles.pdf: 1724285 bytes, checksum: 0c2d93b35fcc3a346de378608aaccdd5 (MD5) Previous issue date: 2013-07-01 / This is an exploratory qualitative research accomplished at a Higher Education Federal Institution (HEFI), situated in Rio de Janeiro State. It aimed at developing a proposal for public managers? capacity building departing from their managerial learning capacity in order to develop their managerial competency to support a Professional Competencies Management System. Therefore, this research answered: How to develop managerial capacity dedicated to the HEFI real context considering managers emergent learning process at work? Five intermediate goals were also attained: (a) Characterizing the management learning activity in public service; (b) Elucidating the managers? perception about the required competencies for practicing their managerial role; (c) Identifying managerial competencies developed by managers in the exercise of managerial activity; (d) Identifying individual and collective learning processes embedded in managers work, (e) Setting up the managerial development activities. Empirical data collected among 19 managers of the HEFI, through semi-structured individual interviews, were qualitatively analyzed by means of hermeneutic interpretive inductive approach. Empirical results indicates that the managers learning process and managerial competency development occurred through: (a) Self-learning, (b) vicarious learning, c) self-experience, and by solving problems in a trial and error mode (d) Social and collective interactions (e) Formal education (f) Working practice deconstruction; g) Managers? life activities off work. To trigger the development of managerial competencies including the emerging managers learning processes at this HEFI, an institutionalized managerial development project is needed grounded in andragogy pedagogy, this is, specific for adult learning process based on public managers awareness enhancement about the importance of the various ways of learning in the working practice. For instance, encouraging vicarious learning through the presentation of other institutions cases and the collective identification of the required managerial competencies. The managerial development project structure should take into account the need to meet individual managers? development requirement as well as the constraints imposed by the collective election process for being a public manager at this HEFI. Developing managerial competencies should have as structure: a) Evaluation b) learning c) Analysis d) Practice e) Application. Managerial competencies development should follow a continuous learning at work approach, taking into account profile differences concerning the academic and technical managerial positions. / Trata-se de uma pesquisa explorat?ria de natureza qualitativa realizada em uma institui??o federal de ensino superior (IFES), situada no Estado do Rio de Janeiro. O objetivo do estudo foi subsidiar uma capacita??o de gestores p?blicos com vistas a desenvolver compet?ncias gerenciais no escopo da Gest?o de Pessoas por Compet?ncias. Para tanto partiu-se da quest?o como capacitar gestores da UFRRJ nas compet?ncias gerenciais tendo como base a aprendizagem dos gestores no escopo de uma Gest?o de Pessoas por Compet?ncias? e cinco objetivos intermedi?rios foram alcan?ados: (a) Caracterizar a aprendizagem gerencial no servi?o p?blico; (b) Levantar as compet?ncias requeridas dos gestores segundo a percep??o dos mesmos para o exerc?cio da fun??o gerencial; (c) Identificar as compet?ncias gerenciais desenvolvidas pelos gestores no exerc?cio da atividade gerencial; (d) Identificar processos de aprendizagem individual e coletiva presentes no trabalho dos gestores; (e) Propor atividades de capacita??o gerencial para desenvolvimento de compet?ncias gerenciais pertinentes aos gestores da IFES examinada. A coleta de dados emp?ricos foi feita junto a 19 gestores, por meio de entrevistas semiestruturadas conduzidas pessoalmente com cada entrevistado. A an?lise qualitativa dos dados se realizou por meio de abordagem indutiva com interpreta??o hermen?utica. Os resultados emp?ricos indicam que o processo de aprendizagem gerencial ocorre por meio de: a) Auto-aprendizagem; b) Aprendizagem vic?ria; c) Experi?ncia pr?pria, resolvendo problemas e por tentativa e erro; d) Intera??es sociais e coletivas; e) Educa??o formal; f) Desconstru??o de pr?ticas de trabalho; g) Atividades na vida dos gestores fora do trabalho. As compet?ncias foram desenvolvidas por meio destes processos de aprendizagem. Para ativar o desenvolvimento de compet?ncias gerenciais por meio de aprendizagem na IFES recomenda-se a institucionaliza??o de um Programa de capacita??o gerencial, com base na andragogia, ou seja especifica para aprendizagem de adultos, pautada em um processo de sensibiliza??o dos quadros gestores, a ser feita propiciando uma aprendizagem vic?ria por meio da apresenta??o de exemplos de outras institui??es e pela identifica??o coletiva das necessidades dos pr?prios gestores da IFES. A estrutura da capacita??o dever? levar em considera??o a necessidade de atender as demandas de desenvolvimento gerencial assim como as restri??es impostas pelo processo de elei??o colegiada de gestores vigente. Recomenda-se uma capacita??o assim estruturada: a) Avalia??o; b) Aprendizagem; c) An?lise; d) Pr?tica; e) Aplica??o. S?o sugeridas capacita??es gerenciais seguindo a abordagem da capacita??o continuada por n?veis, considerando as diferen?as dos respectivos perfis dos cargos t?cnicos e docentes.

Du point de vue de la médecine et des sciences du vivant, la médecine personnalisée (MP) est trop souvent réduite à cette idée d'adapter un diagnostic, une prédisposition ou un traitement, en fonction des caractéristiques génétiques d'un individu. Cependant, du point de vue des sciences humaines et sociales, la MP peut être considérée comme un phénomène social complexe en raison d'une existence propre et d'une composition sui generis, de l'effet de contraintes qu'il exerce sur les individus, d'un grand nombre d'interactions et d'interférences entre un grand nombre d'unités, mues d'incertitudes, d'indéterminations, de hasard, d'ordre et de désordre. Selon nous, cet autre point de vue permet de mieux étudier la MP par un travail de recherche en bioéthique, mais avec un nouvel objectif, opposé mais complémentaire de celui du droit et de la philosophie morale, et une nouvelle méthode. En effet, l'objectif de la bioéthique devrait être un travail de recherche prospectif questionnant les normes établies faisant face à un phénomène social complexe émergeant, non l'inverse. Ceci permet de déterminer les bénéfices pour la société, et ses individus, à laisser le phénomène émerger en son sein, et d'étudier des solutions possibles et probables et non des certitudes, pour le présent et le futur. De cette façon, les bénéfices identifiés pourront se produire. Mais cet objectif nécessite une méthode permettant d'étudier le fonctionnement du phénomène dans son ensemble, à l'échelle de la société, sans le réduire à l'a priori de certains individus, en privilégiant ses interactions à ses éléments : il s'agit de la modélisation théorique systémique inductive qualitative. L'idée clé est d'être dans une logique de découverte, non de preuve. Cette nouvelle approche nous a tout d'abord permis de comprendre que la MP ne devrait plus être nommée «personnalisée », ni même « génomique » ou de « précision», mais «médecine des données» (MD) étant donné le caractère centrale de la « donnée » (data) pour son fonctionnement. En effet, les finalités du phénomène semblent être, à partir d'une masse importante de données (génétiques), déduire (Datamining) ou induire (Big Data) différentes informations valorisables au niveau du soin, de la recherche et de l'industrie. Le moyen pour ça semble être le développement d'un réseau d'échange ou de partage d'échantillons biologiques, de données génétiques et d'informations entre patients, cliniciens, chercheurs et industriels, grâce à des voies de communication dématérialisées, qui centralisent le stockage des échantillons biologiques et des données génétiques, et une partie du traitement et de l'analyse, au niveau de centres de soin et de recherche académiques (France), et/ou d'entreprises privées (États-Unis), avec ou sans l'intermédiaire du clinicien. Les enjeux éthiques majeurs semblent donc résider dans les moyens et les modalités d'accès, de stockage et d'usage des données génétiques, car delà découle pour une organisation globalement similaire du phénomène un fonctionnement radicalement (social/libéral) opposé qui questionne certaines normes morales et juridiques. Au final, notre méthode nous a permis d'apporter différents arguments en faveur du consentement éclairé exprès électronique (e-CE) dynamique comme solution et moyen permettant un développement de la MD plus optimal concernant l'accès, le stockage et l'usage des données génétiques que ce soit pour le partage (France) ou l'échange (États-Unis) des données génétiques. / In the context of medicine and life sciences, personalized medicine (PM) is all too often reduced to the idea of adapting a diagnosis, predisposition or treatment according to the genetic characteristics of an individual. However, in human and social sciences, PM may be considered as a complex social phenomenon, due to the proper existence and unique composition of the constraints it imposes on individuals, the large number of interactions and interferences between a large number of units, rich in uncertainties, indeterminations, chance, order and disorder. We feel that this alternative point of view makes it possible to study PM more effectively by bioethics research approaches, but with a new objective, contrasting but complementary to those of law and moral philosophy, and a new method. Indeed, the objective of bioethics should be prospective studies questioning established norms in the face of emerging complex social phenomena, rather than the other way round. This makes it possible to determine the benefits, to society and its individuals, of allowing the phenomenon to emerge fully, and to study possible and probable solutions, rather than certainties, for the present and the future. This may allow the identified benefits to occur. However, this objective requires a method for studying the functioning of the phenomenon as a whole, at the scale of society, without a priori restriction to certain individuals, thereby favoring its interactions over its elements. Qualitative inductive systemic theoretical modeling is just such an approach. The key idea here is a rationale of discovery, rather than of proof. This new approach allowed us to understand that PM should not be called "personalized", or even "genomic" or "precision" medicine, and that the term "data medicine" (DM) should be favored, given the key role of data in its functioning. Indeed, the goal of this phenomenon seems to be to use a large mass of data (genetics) to deduce (data mining) or induce (big data) different types of information useful for medical care, research and industry. The means of achieving this end seems to be the development of a network for exchanging or sharing biological samples, genetic data and information between patients, clinicians, researchers and industrial partners, through electronic communication, with the central storage of biological samples and genetic data, and with treatment and analysis carried out at academic care and research centers (France) or in private companies (United States), with or without the involvement of a clinician. The major ethical issues thus seem to relate to the means and mode of access to, and the storage and use of genetic data, which may lead to a radically opposed (social/liberal) organizations and functioning, calling into question certain moral and legal standards. Finally, our method provided several arguments in favor of the use of dynamic electronic informed consent (e-CE) as a solution optimizing the development of PM in terms of genetic data access, storage and use, for the sharing (France) or exchange (United States) of genetic data.