The major objectives of health policy reform include efficiency, equity, quality improvement and need of insurer¡¦s health services . For those goal ,the capitation payment is used . The result of insurer¡¦s privilege may be victimized if the competitive health insurance market has not any norm, So some nations have already introduced risk adjustment to their health care reform, because risk adjustment may achieve both goal of equity and efficiency . This study is using 3 years medical expenditure of a isolated area as analysis unit, data duration from 2000 to 2003. the purpose of study intends to develop a risk-adjusted capitation rates using demographic ¡Bcatastrophic factor and prior utilization factors. The results show the model with only age and gender factor has R2 5.69%¡BAdj-R2 5.65%. On the other hand, the model accommodating catastrophic factor has R2 11.71%¡BAdj-R2 11.67%¡Athe model accommodating 1~2 year prior utilization has R2 43.14%¡B45.57%¡BAdj-R243.11%¡B45.54%¡C

<p>Permanentno prilagođavanje trži&scaron;nim promenama ukupne turističke privrede Srbije, predstavlja njeno strategijsko prilagođavanje. U tom smislu sagledavane su dimenzije i strukturne odlike turističkog trži&scaron;ta, a posebno funkcionalne karakteristike tražnje i ponude. Analizirani su faktori&nbsp; konkurentnosti turističke ponude. Posebno su obrađeni procesi i složenost promena na turističkom&nbsp; trži&scaron;tu kao &scaron;to su:&nbsp; dugoročne promene u pokretačkim faktorima turističke traženje, dugoročne tendencije i promene u međunarodnom turističkom poslovanju,&nbsp; faktori i efekti globalizacije poslovanja u turizmu. U strategijskom prilagođavanju preduzeća turističke privrede, kao i ostalih učesnika u turističkoj ponudi promenama tražnje, po&scaron;lo se od procesa formulisanja strategije a potom od tehnolo&scaron;kog i trži&scaron;nog prilagođavanja usluga i ostalih instrumenata marketinga.&nbsp; Zatim je&nbsp; ukazano na prilagođavanje organizacione strukture preduzeća na turističkom trži&scaron;tu, a posebno na strategijsko i taktičko upravljanje tražnjom. Obuhvaćen je i koncept strategijskog upravljanja turističkom destinacijom. U daljem istraživanju obuhvaćene su strategijske&nbsp; osnove razvoja Srbije kao turističke destinacije.&nbsp; Naročito je ukazano na strategije transformacije preduzeća. Pobolj&scaron;anje ukupne organizovanosti turističke privrede Srbije podrazumeva unapređenje proizvoda i ostalih instrumenata trži&scaron;nog nastupa turističke ponude.&nbsp; To podrazumeva i strategijsko unapređivanje prodajno-promotivnih aktivnosti.&nbsp; Dati su elemnti perspektive razvoja turizma Srbije do&nbsp; 2010 godine, zajedno sa ekolo&scaron;kom komponentom turističkog proizvoda Srbije.</p> / <p>Permanent adjusting of the overall Serbian touristic economy to the market changes represent a form&nbsp; of its strategic adjustment. Dimensions and structural characteristics of the tourist market, and especially the functional characteristics of demand and offer have been perceived from that aspect. Factors of competitiveness of the tourist offer have also been analyzed. Processes and complexity of changes on the tourist market such as: long term tendencies and changes in motivating&nbsp; factors of the tourist demand, long-term tendencies and changes in the carrying of business activities in tourism, factors and effects of globalisation of the carrying out of business enterprises in tourist economy, as well as that of the other participants in tourist offer of to do schanges of the demand have been initiated by process of strategy formulation, followed by technological and market adjustments of services and other marketing instruments. At a later stage, adjustment of organizational structure of enterprises to the scanges on the tourist market, and especially strategic and tactical management of the demand have also been pointed out.</p>