Magistro baigiamajame darbe išanalizuota ir įvertinta sveikatos priežiūros institucijoje teikiamų socialinių paslaugų kokybė, iškelta kokybės matavimo ir vertinimo problema bei pateikti siūlymai, kaip šias problemas spręsti. Pirmojoje darbo dalyje teoriniu aspektu tiriama viešųjų paslaugų vadyba, pateikiama socialinių paslaugų samprata, aptariamas jos teisinis reglamentavimas. Antrojoje dalyje nagrinėjama paslaugų kokybės vadyba, paslaugų kokybės sampratos problematika, kokybės matavimo ir vertinimo pagrindinės tendencijos bei problemos. Trečiojoje darbo dalyje pateikiama empirinių tyrimų rezultatų analizė, kuri atskleidžia sveikatos priežiūros įstaigoje teikiamų socialinių paslaugų kokybę ir šių paslaugų matavimo problematiką. / The Final Master Work analyzes and assesses the quality of social services offered in health care institution, reveals the problem of quality evaluation and assessment, and provides recommendations for solving the problems. The first part of the Final Work analyzes the management of public relations, introduces the concept of social services and discusses the legal regulation of the concept. The second part provides the research on the quality management of services, the issues in the concept of quality of services and the basic tendencies and problems in quality evaluation and assessment. The third part gives the analysis of the results of empirical surveys that reveals the quality of social services offered in health care institutions and the problem of services evaluation.

The aim of the study was to analyze quality of investigation and treatment in the specialized services – dermatological and sexually transmissible diseases outpatient department of the II Kaunas Clinical hospital and private health care institution “Medidermas”. Methods. Study population – patients with dermatological and sexually transmissible diseases. Randomly selected patients were interviewed in 2004 September-October. Totally 157 patients from state and 62 from private institution were investigated. MS Office Exel and EpiInfo 6.0 packages were used in the statistical analysis. Results. Mean age of the investigated was 42.5±1.1 yrs. One quarter of the investigated chose health care institution, recommended by familiar or friend, only 24% applied to specialized departments with referrals. The majority of respondents (85.5%) of the private institution “Medidermas” were accepted after few days of registration, 38.2% (p<0.001) of the dermatological and sexually transmissible diseases outpatient department of the II Kaunas Clinical hospital were accepted after one or two weeks. 45.2% of the investigated in the private service were registered in the interval of 10 minutes, 43.5% - 15 minutes. In the state institution only 17.8% (p 0.001) were registered during 10 minutes and half – 15 minutes. The respondents of “Medidermas” had a longer waiting time before acceptance to a medical doctor as compared to the state health care service (in 10 minutes 41.9% and 17.3%, p<0.001... [to full text]

Nowadays, the risk situations to the health that can cause damage, or lesion, are countless, being constituted risk situations, so much the environmental conditions, the products of direct and indirect consumption, as for the human interrelations. The lenders services entities to health, looking for the efficiency and effectiveness of their methods and practices, the dinamization and optimization of their resources, they seek the excellence of their activities, in benefit of the promotion of health of the population. For so much, was formulated a concept of Accreditation - that means to grant, to an organization, an evaluation certificate that expresses the conformity with a group of patterns, previously established, developed in its national format by ONA - National Organization of Accreditation. The present study objected to evaluate an institution in health area, in this case, the Santa Maria's Military Brigade Hospital (HBMSM), with base in Hospital's Accreditation Program. This institution has a military character, auxiliary force of the State of Rio Grande do Sul Government. To acilitate the understanding of the objective of this research, it was made a theoretical referential focusing the Quality in Services, Quality in Services in Health Area, Sanitary Surveillance and Hospital s Accreditation. The study has an exploratory nature, and it also presents characteristics of qualitative research, and descriptive too, with characteristics of classic inductive method of the case study. It was used an instrument containing all the eight sections, and their respective subsections, of National Organization Hospital's Accreditation Manual that evaluated from the Leadership and Administration to the practice of Teaching and Research, inside of the institution. Then, all conform and no-conform points were analyzed, helping the institution to reach its final objective. The results showed that in spite of HBM/SM to work well, and possess no one type of serious mistakes, it is necessary, to get the Accreditation Certificate, larger cares in the physical structure, of the hospital, and the continuation of the demanded legislations, the institution will guarantee full safety to the internal and external customers. / Atualmente, as situações de risco à saúde, que possam causar dano, ou lesão, são inúmeras, constituindo-se situações de risco, tanto as condições ambientais, os produtos de consumo direto e indireto, quanto às inter-relações humanas. As entidades prestadoras de serviços à saúde, buscando a eficiência e eficácia de seus métodos e práticas, a dinamização e otimização de seus recursos, visam a excelência de suas atividades, em benefício da promoção da saúde da população. Para tanto, formulou-se o conceito de Acreditação que significa outorgar, a uma organização, um certificado de avaliação que expresse a conformidade com um conjunto de padrões, previamente estabelecidos, desenvolvido em seu formato nacional pela ONA Organização Nacional de Acreditação. Nesse sentido, o presente estudo objetivou avaliar uma instituição na área da saúde, no caso, o Hospital da Brigada Militar de Santa Maria (HBMSM), com base no Programa de Acreditação Hospitalar. Esta instituição é de caráter militar, forças auxiliares, do Governo do Estado do Rio Grande do Sul. Para facilitar o entendimento do objetivo da pesquisa, foi feito um referencial teórico focando a Qualidade em Serviços, Qualidade em Serviços na Área da Saúde, Vigilância Sanitária e, finalmente Acreditação Hospitalar. O estudo é de natureza exploratória, e também apresenta características de pesquisa de natureza qualitativa, e descritiva, com características de método indutivo clássico, do tipo estudo de caso. Utilizou-se um instrumento contendo todas as oito seções, e suas respectivas subseções, do Manual de Acreditação Hospitalar pela Organização Nacional de Acreditação ,que avaliou a Instituição desde a Liderança e Administração até a prática de Ensino e Pesquisa, dentro da Instituição. Depois, foram analisados todos os pontos conformes, e não conformes, para que a instituição alcance o seu objetivo final. Os resultados mostraram que apesar do HBMSM funcionar bem, e não possuir nenhum tipo de erros graves, é necessário, para alcançar a certificação da Acreditação, maiores cuidados na estrutura física, do hospital, e o seguimento das legislações exigidas, pois, com isso, a Instituição estará garantindo plena segurança aos clientes internos e externos.

The paper examines the quality of domiciliary services as seen by their recipients - senior citizens. The paper consists of two parts. The first one defines the main notions {--} old age and ageing, demographic changes in society, social services goals, domiciliary services, importace of ethical norms for social workers and people in direct contact with elderly people, vulnerability of people doing some auxiliary jobs and mobilizing activities for senior citizens. The second part consists of the research carried out among the recepients of domiciliary services, its analysis, data evaluation and comparison of senior citizen´s and their home nurses´ view.

Public health is characterized by the importance of ensuring equitable and universal access to all Brazilian citizens, through quality and coverage procedures. Health is essential and necessary for a large portion of the population which is directly dependent on the services provided by the University Hospital of Santa Maria, for not having alternative access to private health plans. Public health is very relevant issue, in the area of administration resulting gains both for the organization in terms of excellence and also to society. The use of improvement tools is to contribute to the satisfaction of the customers regarding the services used. Given the above, this study aimed to evaluate the relationship between service quality and personnel management to improve the delivery of services at the University Hospital of Graphic Methods sector of Santa Maria (RS). The research was characterized as a case study being exploratory / descriptive with quantitative and qualitative approaches, using the SERVQUAL tool, 4 P's services (Profile, Process, Procedures and People) and AHP. Data were collected through a questionnaire to 294 patients and 26 employees. Through the analysis it was observed that, the organization needs to invest in human resources, since, according to the results obtained with the tools presented in the criterion 3 (Procedure) was the one that stood out, along with alternative training that had the highest degree of importance among the others, both in the perception of employees as well as the customer. Investment in alternative comes to help with employee performance and consequently for the development of the sector in relation to the services provided. / A saúde pública se caracteriza pela importância da garantia de acesso igualitário e universal a todos os cidadãos brasileiros, por meio de procedimentos de qualidade e abrangência. Saúde é essencial e necessária a uma grande parcela da população, que depende diretamente dos serviços prestados pelo Hospital Universitário de Santa Maria, por não ter alternativa de acesso a planos particulares de saúde.A saúde pública é assunto de grande relevância, para a área da administração resultando ganhos tanto para organização em termos de excelência como, também para com a sociedade. A utilização das ferramentas de melhorias vem a contribuir para com a satisfação dos clientes quanto aos serviços utilizados. Diante do exposto, o presente estudo teve como objetivo avaliar a relação da qualidade em serviços e gestão de pessoas para a melhoria da prestação de serviços do setor de Métodos Gráficos do Hospital Universitário de Santa Maria (RS). A pesquisa caracterizou como estudo de caso sendo, exploratório/descritivo, com abordagens quantitativa e qualitativa, utilizando a ferramenta SERVQUAL, 4P s de serviços (Perfil, Processo, Procedimento e Pessoas) e AHP. Os dados foram coletados por meio de um questionário a 294 pacientes e 26 colaboradores. Através das análises, observou-se que a organização precisa investir na área de recursos humanos, pois, conforme os resultados obtidos mediante as ferramentas apresentadas o critério 3 (Procedimento) foi o que se destacou, juntamente com alternativa treinamento que obteve o maior grau de importância dentre as demais, tanto na percepção dos colaboradores como também nas dos clientes. O investimento na alternativa vem a contribuir para com o desempenho dos funcionários e consequentemente para o desenvolvimento do setor no que se refere aos serviços prestados.

Currently a growing number of users depend on the Edge Cloud Computing Paradigm in a Metro Optical Network (MON). This has led to increased competition among the Cloud Service Providers (CPs) to supply incentives for the user through guaranteed Quality of Service (QoS). If the CP fails to guarantee the QoS for the accepted request, then the user will move to another CP. Making an informed decision dynamically in such a sensitive situation demands that the CP knows the user's application requirements. The Software Defined Networking (SDN) paradigm enabled the CP to achieve such desired requirement. Therefore, a framework called Virtual Network Embedding on SDN-based Metro Optical Network (VNE-MON) is proposed in this Thesis. The use of SDN paradigm in the framework guarantees profit to the CP as well as QoS to the user.\par The design concept of the SDN control plane, raises concerns regarding its scalability, reliability and performance compared to a traditionally distributed network. To justify concerns regarding the SDN, the performance of VNE-MON and its possible dependancy on the controller location is investigated. Several strategies are proposed and formulated using Integer Linear Programming to determine the controller location in a MON. Performance results from the assessment of the VNE-MON illustrates that it is more stable compare to GMPLS-based network. It is evident that the controller location's attributes have a significant effect on the efficacy of the accepted VN request.

The diploma thesis is focused on analysis and deployment of Quality of Services (QoS) in a computer network of The University of Economics in Prague (VŠE). The thesis describes the main QoS technologies focusing on technology Diffserv and its deployment with using available network devices in computer network of VŠE. In thesis the needs of network services and protocols for quality of services with division into different classes of services according to priority are discussed. The thesis explains the benefits and drawbacks of deploying QoS in the environment of VŠE with regard to wired and wireless network. In the practical part recommendations are applied to the production network and subsequently the benefits of modification are evaluated.

El objetivo del presente trabajo de investigación es determinar la calidad percibida en los servicios de karaokes de Lima Moderna. Para dicha investigación se utilizó la metodología del modelo SERVQUAL. El diseño de la investigación es un estudio descriptivo, cuantitativo y no experimental y de tipo aplicado. Se realizaron 233 encuestas digitales enviadas por conveniencia a clientes que asisten frecuentemente a los principales karaokes ubicados en los diversos distritos de Lima Moderna. Las preguntas se agruparon en cinco factores; tangibilidad, fiabilidad, capacidad de respuesta, seguridad y empatía. Los resultados evidencian la validez del instrumento utilizado para la investigación con una fiabilidad de 0,97. Como resultado del estudio de investigación, se concluye que son los factores de fiabilidad y seguridad los que influyen significativamente en la calidad percibida por los clientes del servicio de karaokes. El trabajo también investiga la relación entre factores, atributos y la calidad percibida por rangos de edad, así como comparativos entre principales distritos y karaokes de Lima Moderna. En el Perú no existen estudios que aplican el modelo SERVQUAL para medir la calidad de servicio en los servicios de entretenimiento denominados karaokes, por lo que, creemos, esta investigación servirá de base para futuros estudios sobre este rubro de negocio en Lima Moderna. / The objective of this research is to determine the perceived quality of karaoke services in modern Lima. The methodology of the SERVQUAL model was used for this research. The design of the research is a descriptive, quantitative and non-experimental study of an applied type. A total of 233 digital surveys were sent out for convenience to clients who frequently attend the main karaokes located in the various districts of Modern Lima. The questions were grouped into five factors; tangibility, reliability, responsiveness, security and empathy. The results show the validity of the instrument used for the research with a reliability of 0.97. As a result of the research study, it is concluded that it is the reliability and security factors that significantly influence the quality perceived by karaoke service clients. The work also investigates the relationship between factors, attributes and perceived quality by age ranges, as well as comparisons between main districts and karaokes in modern Lima. In Peru there are no studies that apply the SERVQUAL model to measure the quality of service in the entertainment services called karaokes, so we believe this research will serve as a basis for future studies on this business area in Modern Lima. / Tesis

The aim of my diploma is to introduce the SNMP protocol designed for remote device management to the readers and present its implementation into the Opnet Modeler simulation environment. For the implementation the DiffServMIB database has been chosen, which describes the components of differentiated services mechanism. My diploma thesis describes in detail the possibilities of application of the DiffServMIB database in traffic management. The design of a simulation model, which represents the differentiated data processing in input and output direction on a router interface, is also introduced. Next, this model is implemented into the Opnet Modeler simulation environment. The goal of this simulation model is the possibility of simple configuration of individual MIB attributes. In my work I also suggest an implementation method able to interconnect the MIB database with the configuration process of the active network element - with focus on output procedures of DiffServ mechanism.

This diploma thesis deals with computer networks which play a key role in present society. More and more demands are placed on these networks (especially on quality of services and throughput) because of fast-growing developement of services such as voice and video real-time transmissions. All the packets in typical Ethernet networks are equal. Therefore it is sometimes impossible for the application to maintain required throughput speed of a network. For this case it is useful to take some mechanisms into the consideration. These mechanisms (sometimes called QoS) are able to distinguish different types of transmissions and traffic, analyze them and then prioritize them according to some pre-defined set of rules. The most famous mechanisms are Integrated Services and Differentiated Services. The implementation of Differentiated Services is the goal of this thesis.