Social science research on third sector organisations in the last two decades has emphasised their growing presence and importance in healthcare. This has occurred alongside significant reorganisation of health systems in the UK, including a continued policy emphasis on partnership-working between the public sector and the third sector. However, unanswered questions in the literature remain with regard to the specific roles that these organisations fulfil within partnership arrangements. This thesis examines the role of third sector organisations within Scottish services for the chronic, neurodegenerative condition Huntington’s disease (HD). The closely connected nature of Scottish healthcare and the multitude of professionals involved in HD mean these services are an important, but currently understudied, example of professional interaction around complexity. A multi-methods qualitative research framework was used to gather perspectives of key individuals working in the Scottish HD and wider health scene. Making use of the key concepts of expertise and boundary work, this thesis argues that third sector organisations have an extensive shaping role in 1) the positioning of healthcare organisations, 2) the identities of healthcare professionals, and 3) the meanings around illness and the remit of support. The research findings revealed that organisations and professionals in HD partnership arrangements engaged in processes of boundary work in the negotiation of the roles of themselves and others. Third sector professionals occupied many positions within services, as both experts and supporters of patients. In the process they and other professionals often took on identities as ‘key, committed professionals’. Understanding around HD was also shaped by these professionals as the wider aspects of illness and its support were brought into focus. Building on these findings, it is argued that third sector professionals in coordination roles are well placed to develop a type of expertise that I term ‘aggregate know-how’ (Pols 2014), based around both their professional skills and their extensive contact with patient experiential knowledge. The research builds on and extends influential previous models of third sector ‘partnership’ in healthcare (Rabeharisoa 2003), emphasising the key role of third sector organisations in knowledge production. It also offers insights of both theoretical and practical use with regard to service delivery in healthcare, showing the potential for genuine third sector/public sector partnership around expertise when there is adequate cultural support and resources.

O principal objetivo desta pesquisa é propor ações de aperfeiçoamento da gestão da comunicação organizacional na pequena empresa, visando maior eficácia estratégica. Como objetivos secundários, pretende-se: identificar as características do processo estratégico nas empresas estudadas; identificar a prática da gestão da comunicação organizacional nas empresas e seu uso no nível estratégico; analisar a influência das particularidades do setor de serviços (hoteleiro) nas características do processo estratégico e nas práticas de comunicação organizacional e analisar a influência das especificidades organizacionais da pequena empresa, nas características do processo estratégico e nas práticas de comunicação organizacional. O tema da pesquisa é gestão estratégica da comunicação organizacional, entendida como responsável por orientar toda a comunicação que é gerada na organização, como fator estratégico para o desenvolvimento organizacional. Com relação aos métodos da pesquisa, optou-se por realizá-la em duas fases. A primeira, quantitativa, teve como objetivo principal atualizar o mapeamento de todas as empresas hoteleiras da região central do Estado de São Paulo, além de analisar as principais características dessas empresas e de seus dirigentes. Na segunda fase, uma pesquisa qualitativa realizada em seis empresas, foi usado o método comparativo de casos. Para a coleta de dados, optou-se pelo uso de entrevistas e de aplicação de questionário com questões abertas e fechadas, além da observação livre. Como resultado, foram propostas nove recomendações para a melhoria da gestão estratégica da comunicação nas pequenas empresas, como unir o engajamento dos colaboradores e a construção de imagem institucional forte aos objetivos organizacionais. / The aim of this study is to propose action to improve the management of organizational communication in small business, aiming at a higher strategic efficacy. As secondary objectives, it aims to identify the characteristics of the strategic process in companies studied and the practices of the organizational communication management and its use on the strategic level, as well as analyze the influence of peculiarities of services hotel sector on both the characteristics of the strategic process and the practices of organizational communication. The research theme is the strategic management of organizational communication, as being responsible for directing all the communication generated in the organization as a strategic factor for the organizational development. The research methods, were accomplished in two different aspects. The first one was quantitative and its main objective is to update the mapping of all hotel companies in São Paulo central region, as well as analyze the main characteristics of both companies and their managers. The second one was a qualitative research accomplished in six business enterprises. Then the comparative cases method was used. Interviews, questionnaires with determined and undetermined questions as well as free observation were used for the data collection. The result of this research was the indication of nine aspects to be followed for the improvement of strategic communication management in the small business. One of them is the union of both the workers and the construction of a strong institutional image of the organizational objectives.

O principal objetivo desta pesquisa é propor ações de aperfeiçoamento da gestão da comunicação organizacional na pequena empresa, visando maior eficácia estratégica. Como objetivos secundários, pretende-se: identificar as características do processo estratégico nas empresas estudadas; identificar a prática da gestão da comunicação organizacional nas empresas e seu uso no nível estratégico; analisar a influência das particularidades do setor de serviços (hoteleiro) nas características do processo estratégico e nas práticas de comunicação organizacional e analisar a influência das especificidades organizacionais da pequena empresa, nas características do processo estratégico e nas práticas de comunicação organizacional. O tema da pesquisa é gestão estratégica da comunicação organizacional, entendida como responsável por orientar toda a comunicação que é gerada na organização, como fator estratégico para o desenvolvimento organizacional. Com relação aos métodos da pesquisa, optou-se por realizá-la em duas fases. A primeira, quantitativa, teve como objetivo principal atualizar o mapeamento de todas as empresas hoteleiras da região central do Estado de São Paulo, além de analisar as principais características dessas empresas e de seus dirigentes. Na segunda fase, uma pesquisa qualitativa realizada em seis empresas, foi usado o método comparativo de casos. Para a coleta de dados, optou-se pelo uso de entrevistas e de aplicação de questionário com questões abertas e fechadas, além da observação livre. Como resultado, foram propostas nove recomendações para a melhoria da gestão estratégica da comunicação nas pequenas empresas, como unir o engajamento dos colaboradores e a construção de imagem institucional forte aos objetivos organizacionais. / The aim of this study is to propose action to improve the management of organizational communication in small business, aiming at a higher strategic efficacy. As secondary objectives, it aims to identify the characteristics of the strategic process in companies studied and the practices of the organizational communication management and its use on the strategic level, as well as analyze the influence of peculiarities of services hotel sector on both the characteristics of the strategic process and the practices of organizational communication. The research theme is the strategic management of organizational communication, as being responsible for directing all the communication generated in the organization as a strategic factor for the organizational development. The research methods, were accomplished in two different aspects. The first one was quantitative and its main objective is to update the mapping of all hotel companies in São Paulo central region, as well as analyze the main characteristics of both companies and their managers. The second one was a qualitative research accomplished in six business enterprises. Then the comparative cases method was used. Interviews, questionnaires with determined and undetermined questions as well as free observation were used for the data collection. The result of this research was the indication of nine aspects to be followed for the improvement of strategic communication management in the small business. One of them is the union of both the workers and the construction of a strong institutional image of the organizational objectives.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The central idea of this program is to analyze the determinants of income and the salary return of the service sector for the state of São Paulo for the year 2006. The Human Capital Theory For this, an analysis of the offer and analysis of data on the professional of the individual to raise wages. An idea would be analyzed in Brazil as a whole, due to the conclusion of the progress of the research process, by choosing to analyze the state of São Paulo, the Ministry of Labor (2016) is the state that most uses in the services sector. In the empirical analysis we opted for the use of micro-data in cross-sectional regression. The data obtained in the scope of work were taken from the Annual Social Information Relation (RAIS), filtered for the services sector of the state of São Paulo in the year 2006. They were detained in 16 million years, with the following characteristics: sex male and female; employed in the services sector of the state of São Paulo; annual income without main work other than zero, level of education and age line. The results obtained in this study show the need for education and work experience as a way to obtain an increase in income. It was verified that workers with higher education receive higher remuneration than those with lower education levels. It was also verified that the sections of the service sector that obtained the highest averages of gains (positive effects) in relation to the subsections that comprise them of the state of São Paulo were: Public administration, defense and social security, Administrative activities, Transport, warehousing and mail, electricity and gas and education. / A ideia central deste trabalho é analisar os determinantes dos rendimento e o retorno salarial do setor de serviços para o estado de São Paulo para o ano de 2006. A Teoria do Capital Humano considera a escolaridade e a experiência como variáveis relevantes na explicação dos rendimentos. Por esta ótica, a análise da oferta e da demanda permite identificar a importância da qualificação profissional do indivíduo para a elevação dos salários. A ideia seria analisar o Brasil como um todo, devido à limitação do tempo para o desdobramento da pesquisa, optou-se por analisar o estado de São Paulo, que segundo o Ministério do Trabalho (2016) é o estado que mais emprega no setor de serviços. Na análise empírica optou-se pela utilização de microdados em regressão cross-section. Os microdados utilizados neste trabalho foram retirados da Relação Anual de Informações Sociais (RAIS), filtrado para o setor de serviços do estado de São Paulo para o ano 2006. Foram analisados cerca de 16 milhões indivíduos ocupados. Os resultados obtidos neste trabalho evidenciam a necessidade da educação e da experiência no trabalho como forma de obter incremento nos rendimentos. Comprovou-se que os trabalhadores com maior escolaridade recebem uma remuneração maior do que os que têm menor escolaridade. Comprovou-se também que as seções do setor de serviço que obtiveram maiores médias de ganhos (efeitos positivos) em relação às subseções que as compõem do estado de São Paulo foram: Administração pública, defesa e seguridade social, Atividades administrativas, Transporte, armazenagem e correio, Eletricidade e gás e educação. / São Cristóvão, SE

This thesis examines the effects of international capital flows on economic growth by using a dynamic general equilibrium framework based on a three-sector Ramsey Model. In order to detect the impact of financial integration on production, allocation of resources across three sectors and consumption, two different economic environments are modelled. While the first model represents a closed economy with financial autarky, the second model examplifies a financially integrated open economy with partial capital mobility. Each of the models is calibrated to Turkish economy based on the data of the year 2006. The simulation results demonstrate that the presence of international capital flows, despite being limited by a borrowing constraint, reverses the impact of economic growth on production and resource allocation. It is found that even though the importance of production in tradable-goods sector diminishes in the absence of international capital flows, it increases in the open economy model. Moreover, the findings show that while production in the closed economy model simply adjusts to domestic demand, that of the open economy model is not constrained by it. This can be explained by the augmentative effect of partial capital flows on the impact of foreign demand on domestic production.

Magister Public Health - MPH / In response to the increasing burden with regard to treatment of HIV/AIDS in Mozambique, the Ministry of Health has developed a national strategic plan for HIV and AIDS. This provided for broader access to Antiretroviral Therapy (ART) by decentralizing and integrating ART services into the essential services provided at the primary care level. In keeping with this initiative,medical technicians are now responsible for first-line ART prescription and management at primary-level care health centres in the country. The ART programme was introduced in Mozambique in 2003 alongside other health services offered in hospitals; it was decentralized to PHC health centres in 2006.This study aimed to explore the experiences and perceptions of medical technicians regarding the decentralization and integration of ART services into PHC health centres in Beira. An exploratory qualitative study was conducted using in-depth interviews, key informant interviews and focus group discussions. A sample of 15 medical technicians was distributed across two focus groups for the purpose of discussion. In addition there were four in-depth individual follow-up interviews with four medical technicians, drawn from the two focus groups. Three key informant interviews were also held to collect data. The data was analysed using content analysis.The study revealed that the decentralization process was viewed by many of the medical technicians as a very positive initiative for the country. However a number of operational and managerial issues need to be addressed to ensure the effectiveness of the comprehensive approach that was institutionalized and adopted by all PHC health centres. Key amongst the issues that needed to be addressed were the workloads of the health care personnel, and of medical technicians in particular. Their workloads have increased without any corresponding increase in the health workforce needed to manage the patient load. The medical technicians felt that this adversely affected the quality of care they were able to provide to patients, and specifically to those requiring ART medication. The recommendations that emerge from the study are intended to promote the development of policy that will improve of working conditions and assist medical technicians to provide a better service to their patients.

Made available in DSpace on 2016-08-10T10:50:49Z (GMT). No. of bitstreams: 1 LEANDRO DA COSTA.pdf: 6992368 bytes, checksum: 543e9c119a91d29a011fb765c679d4ff (MD5) Previous issue date: 2011-03-13 / This thesis deals with the expansion, changes and spatial configuration of the service s sector in the State of Goiás from the 1999-2008. It examines the relationship between this expansion, growth and the desconcentration of industrial activity of the state, during this period, with a focus on spatial dynamics of these two movements. For that analyzes the characteristics and evolution of different types of services comparing them with the profile of the industrial structure and considering the movement of the polarization of the Goiânia city economy. It was verified that the spatial distribution of service activities in their expansion followed the path of the industry reveals, however, a greater degree of initial concentration and a greater resistance to decentralization. The research also showed a difference between the dynamics of the various types of services, revealing that the productive services, unlike the others, it had increased its concentration in the expansion, crowding, especially in the metropolitan region. On the other hand personal services were the most decentralized in relation to the metropolitan area, responding to population expansion and improvement of income in the emerging industrial centers of the state. The segments in the strategic location of knowledge-intensive industries, the most modern of productive services, proved to be the most concentrated. They had, however, some devolution, revealing that the industry of the state, especially the agro-industry, increasingly it calls for more sophisticated services. It was also explained that small deconcentration of services was limited, even more strongly that the industry in a limited number of municipalities. The relative distribution between the service activities in the municipalities is related to the type of industry, its expansion and diversification, degree of local roots, as well as the position of the municipality in the process of polarization of economic activities in the State of Goias. / Esta Dissertação trata da expansão, transformações e configuração espacial do setor de serviços em Goiás no período 1999 a 2008. Ela verifica a relação entre essa expansão o crescimento e a desconcentração da atividade industrial do Estado nesse período, com foco na dinâmica espacial dos dois movimentos. Analisa as características e evolução dos diversos tipos de serviços cotejando-as com o perfil da estrutura industrial e considerando o movimento de polarização da economia goiana. Buscou-se suporte nas teorias clássicas sobre o setor de serviços, decomposto em quatro seguimentos, e na teoria de desenvolvimento regional, para, posteriormente, trabalhar os dados referentes ao setor de serviços e da indústria, da Relação Anual de Informações, do Ministério do Trabalho e do PIB dos Municípios, da Seplan-Go. Desse modo, constatou-se que os serviços em Goiás, considerando a evolução das ocupações, possuem certa relação com a indústria. Quanto à concentração regional, dos três setores, os serviços possuem maior concentração espacial, superando a concentração industrial. As aglomerações empresariais dos serviços são articuladas e diversificadas com atividades específicas da indústria, principalmente com atividades relacionadas à tecnologia. A distribuição espacial das atividades de serviço em sua expansão acompanhou a trajetória da indústria revelando, entretanto, um maior grau de concentração inicial e uma resistência maior à descentralização. Os segmentos mais modernos dos serviços produtivos, estratégicos na localização das indústrias intensivas em conhecimento, revelaram-se os mais concentrados, principalmente na região metropolitana. A distribuição relativa entre as atividades de serviços nos municípios se relaciona com o tipo de indústria, sua expansão e diversificação, grau de enraizamento local, bem como com a posição do município no processo de polarização das atividades econômicas no Estado de Goiás.

Made available in DSpace on 2016-06-02T19:51:25Z (GMT). No. of bitstreams: 1 116.pdf: 571999 bytes, checksum: ff9cd0169262d2aa81efa72382be17ab (MD5) Previous issue date: 2003-08-26 / Financiadora de Estudos e Projetos / The privatization of Telebras opened the national telephone market to competition,strengthening the importance of employing a management program having quality as a competitive advantage. Quality management as competitive strategy is an innovation in a sector that is no longer characterized by a monopoly market structure without competition. This study aims mainly at presenting the current quality management of a fixed line phone company. In this study, organizational structure for quality, a quality management program used by the studied company, methodologies and tools utilized, indicators of quality performance and improvement actions are presented and analyzed. A case study methodology was used. From the case study it can be concluded that in a telephone company quality management is directed at enhancing its competitive capacity the way it occurs in markets that face tough competition. The quality of fixed line phone service is differentiated depending on the kind of consumers, who are classified according to the amount of service utilized, since it is a private company, and therefore, seeks profit. In general, quality goals demanded by The National Telecommunications Agency have been met by the company, which confirms some foreseen trends after the privatization of the sector, at least in the area the company serves. / A privatização do Sistema Telebrás abriu o mercado de telefonia nacional à concorrência, fortalecendo a importância da adoção de um programa de gestão voltado para a qualidade como vantagem competitiva. A gestão da qualidade como estratégia competitiva ganhou destaque no setor que deixou de ser caracterizado por uma estrutura de mercado de monopólio com ausência de concorrência. Este trabalho tem como objetivo principal apresentar a atual gestão da qualidade de uma empresa do setor de telefonia fixa. No desenvolvimento do estudo, são apresentadas a estrutura organizacional para a qualidade; o programa de gestão para a qualidade adotado pela empresa estudada; as metodologias e ferramentas utilizadas; os indicadores de desempenho da qualidade e as ações de melhorias. A metodologia utilizada no desenvolvimento deste trabalho foi o estudo de caso. Pode-se concluir, a partir do estudo de caso, que a gestão da qualidade, na empresa de telefonia, é direcionada para aumentar a sua capacidade competitiva, assim como acontece em mercados com concorrência acirrada. A qualidade dos serviços telefônicos fixos é diferenciada de acordo como o tipo de consumidor, que é classificado segundo o volume de serviços que consome, pois a empresa é de capital privado e, portanto, visa lucro. De maneira geral, as metas de qualidade exigidas pela Agência Nacional de Telecomunicações vêm sendo cumpridas pela empresa o que confirma uma das tendências previstas com a privatização do setor, pelo menos na região de atuação da empresa.