Komponentavskrivning är ett relativt nytt redovisningssätt för den offentliga sektorn. 2014 kom Rådet för kommunal redovisning med nya direktiv om att införa komponentavskrivning i de kommunala verksamheterna. Harmonisering har visat sig vara en grund till de nya direktiven, vilket påverkar de svenska kommunerna. Syftet med studien är att försöka identifiera om det finns faktorer som påverkar om en kommun har implementerat komponentavskrivning eller inte. Den teoretiska referensramen, innehållandes av relevanta teorier och begrepp, har hjälpt till att uppnå syftet. Det huvudsakliga metodvalet var att samla in data från årsredovisningar på samtliga 290 kommuner. För att komplettera svaren utfördes en telefonenkät som 57 kommuner svarade på. Resultatet visade att endast ett fåtal faktorer påverkar implementeringen av komponentavskrivning. Något som tydligt påverkar valet att implementering är den fria strukturen och ekonomichefernas eget intresse. Studiens resultat antyder att kommunerna inte följer lagen och det finns indikationer på att alla kommuner inte kommer följa lagen fullt ut i framtiden. Resultatet visade även att det finns en osäkerhet i vad för nytta komponentavskrivning skulle ge. Studien ökar förståelsen kring den offentliga sektorns redovisning med inriktning på hur i vilken utsträckning kommuner har implementerat komponentavskrivning. Enkätundersökningen visade att teorin och praktiken inte överensstämmer med varandra. Studien gav även indikationer på att det finns osäkerhet hos kommunerna vilket bidrar till att de gärna tar lärdom av varandra. Framtida forskning skulle kunna ge djupare kunskaper i varför komponentavskrivning inte har införts. / Component depreciation is a relatively new accounting method for the public sector. 2014, the Swedish Council of Municipal Accounting introduced new directives about component depreciation in municipalities. Harmonization has proved to be the basis for the new directives, which affects the Swedish municipalities. The purpose of the study is to identify if there are factors that affect whether a municipality has implemented component depreciation or not. The theoretical framework, containing relevant accounting theories and concepts, has helped to achieve the purpose. The main methodology was to collect data from annual reports in all 290 municipalities. To complete the answers, a telephone survey was performed, where 57 municipalities responded. The result showed that only few factors affect the implementation of component depreciation. Something that clearly affects the choice of implementation is the accounting choice and the CFOs own interest. The results of this study indicate that municipalities do not comply with the law and there are evidence that all municipalities will not fully comply with the law in the future. The results also showed that there is uncertainty about what benefits component depreciation would provide. The study increases the understanding of the public sector accounting, focusing on in which extent municipalities have implemented component depreciation. The survey showed that the theory and practice did not match. The study provided indications that there are uncertainties in the municipalities, which means they would like to learn from each other. Future research could provide deeper knowledge of why component depreciation has not been introduced.

Cette thèse porte sur le contrôle que les Etats exercent sur les ONG humanitaires. Ces dernièresconservent parfois une grande marge de manoeuvre dans la mise en oeuvre de leur mandat, alorsque, dans d'autres circonstances, elles agissent en sous-contractants de la politique étrangère deleur État d'origine. Nous cherchons à identifier les facteurs qui mènent les ONG plutôt dans unedirection que dans l’autre, ainsi que la modalité de contrôle exercée par les États – coordinationou blanchiment - La thèse explique pourquoi, au sortir de la guerre froide, les Etats ont accru leurengagement dans l’action humanitaire, de façon unilatérale d’abord et multilatérale ensuite.Sur la base de l’étude du cas de la politique humanitaire internationale entre 1989 et 2005,l’analyse révèle un processus causal constitué de cinq séquences, qui explique comment les Etatsont recours à un agent quand leurs stratégies unilatérales sont infructueuses.Nos résultats attestent du caractère stratégique du financement de l’action humanitaire pour lesEtats, conditionné par les préférences géographiques et politiques de ces derniers. Financerl’action humanitaire permet de soutenir les anciennes colonies, d’appuyer la lutte contre leterrorisme et les interventions militaires des pays donateurs. Les financements étatiquesbénéficient aux ONG les plus dépendantes de leurs Etats d’origine. Les organisations nongouvernementalesdeviennent des organisations néo-gouvernementales. Celles-ci connaissent un rejetplus fort de leur présence en zone de conflit par rapport aux ONG qui refusent de recourir auxfonds publics. Face à l’échec de leurs stratégies de contrôle unilatéral, les Etats interventionnisteseuropéens délèguent la gestion de la politique humanitaire à un agent, ECHO, dont le mandat estde rendre moins visible la tutelle étatique les ONG.Cette situation engendre des problèmesd’agences multiples : l’agent dérape en raison de sa forte perméabilité à ses sous-contractants. Enréaction, les Etats renforcent les dispositifs de contrôle sur leur agent. Au final, la politiquehumanitaire se construit sur un équilibre fragile dans lequel chaque État tend naturellement à lacontrôler tout en sachant qu'un contrôle trop visible priverait cette politique de l'efficacité qui luiest propre, et qui tient, précisément à sa neutralité. / This thesis examines how States control their humanitarian NGOs. NGOs may sometimes enjoya great room of manoeuver in the implementation of their mandate, whereas, in othercircumstances, they act as sub-contractors of their home States’ foreign policies. This researchaims to identify the factors leading them to opt for one or the other course of action, as well as themodalities of States’ control (coordination or laundering). We explain why, at the end of the ColdWar, States have increased their commitments in humanitarian action, firstly bilaterally and then,multilaterally. Drawing upon the analysis of the international humanitarian policy between 1989and 2005, we reveal a 5-phases causal process which explain why States delegate competencies toan international agent when faced with the failures of their unilateral strategies. The results showthat States fund humanitarian aid in a strategic way, aligned with their geographic and politicalpreferences. Humanitarianism enables them to support their former colonies, to contribute toanti-terrorism policies, and to back military interventions. States’ funding mostly benefit to NGOthat depend on their home States. NGO thus become neo-governmental organizations. Theseagencies experience a greater rate of rejection of their action in conflict zones that NGOs thatrefuse to rely on public funding. Faced with the failure of their unilateral control strategies,European interventionist States delegate the management of the humanitarian policy to an agent,ECHO, who mandate is to make the State control of NGOs less visible. This situation raisesmultiple-agency problems: the agent slips because of its strong permeability to its sub-contractors.The principal react by reinforcing the control of its agent. At the end of the day, the humanitarianpolicy builds on a fragile equilibrium in which each State strives to control is while knowing thata too visible control decrease the efficacy of such policy, which precisely lies on its neutrality.

The major difference between venture capital-firms and other financiers is that their business idea is not only providing capital but also knowledge in business development. The ownership structure of an venture capital-firm can be private as well as public. The Swedish government is today one of the major actors in the Swedish venture capital-industry. The purpose of this study is to shed light on how venture capital-firms involve itself in its portfolio firm and if this contributes to an increased value of the portfolio firm. We also try to shed light on differences in how a public and a private venture capital-firm gets involved in its portfolio firm and if there is any difference in how they can contribute to added value. We have chosen to interview two public and two private venture capital-firms and one of their portfolio firms. To answer the essay’s purpose we used qualitative case studies with semi-structured interviews. The theoretical framework consists of principal-agent theory, knowledge-based view of the firm and social capital and previous studies of venture capital-firms involvement and value-added in their portfolio firms. This essay is limited only to venture capital-firms and portfolio firms located in Stockholm. It is the perceptions of the Venture capital-firm and the portfolio firm we are interested in, regarding the venture capital-firms involvement and value-added. Our study shows that venture capital-firm’s level of involvement in their portfolio firms varies depending on the development stage in the portfolio firm. The portfolio firm’s network increases with the venture capital firm’s entry and it also provides knowledge in business development. The study did not find any difference in the way which the public or private venture capital-firm involve itself in its portfolio firm. Nor is there any difference in how they contribute to value-added in their portfolio firm. / Skillnaden mellan venture capital-företagen och andra finansiärer är att de har som affärsidé att förutom tillförandet av kapital även tillföra kunskaper i affärsutveckling till de företag de investerar i. Venture capital-företag investerar i onoterade företag som befinner sig i ett tidigt utvecklingsskede med tillväxtpotential. Venture capital-företagens ägarstruktur kan vara såväl privat som statlig. I dagsläget är den svenska staten en stor aktör på den svenska venture capital-marknaden. Syftet med uppsatsen är att belysa hur venture capital-företag involverar sig samt hur det kan bidra till ett ökat värde i sitt portföljföretag. Vi försöker även belysa om det finns skillnad i hur ett statligt och ett privat venture capital-företag involverar sig i sitt portföljföretag samt om det finns en skillnad i hur de kan bidra till ett ökat värde i sitt portföljföretag. Undersökningsobjekten för vår studie är två privata och två statliga VC-företag och ett av deras respektive portföljföretag. Vi har använt oss av kvalitativa fallstudier med semistrukturerade intervjuer för att kunna besvara våra frågeställningar. Den teoretiska referensramen består av principal-agent teorin, ”knowledge-based view of the firm” och socialt kapital, samt tidigare studier om venture capital-företagens involvering och värdetillförsel. Vi har avgränsat oss till venture capital-företag och dess respektive portföljföretag belägna i Stockholm. Uppsatsen har sin utgångpunkt i venture capital-företagets och portföljföretagets uppfattningar avseende involvering och värdetillförsel. Vår studie visar att venture capital-företagens involveringsgrad i sina portföljföretag varierar beroende av portföljföretagets utvecklingsfas. Portföljföretagets nätverk ökar i samband med venture capital-företagets inträde och de tillför även deras kunskap i affärsutveckling. Studien visar också att det inte finns en skillnad i hur det statliga och det privata venture capital-företaget involverar sig i sitt portföljföretag. Det finns inte heller någon skillnad i hur de bidrar till ett ökat värde i sitt portföljföretag.

Although the future socio-economic benefits of a new fibre-based ("next generation access", NGA) telecommunications infrastructure seem to be uncontroversial, most countries have to date only undertaken NGA investments on a small scale. Accordingly, a universal NGA coverage appears to be a rather unrealistic objective without government intervention. Indeed, many governments have already initiated diverse subsidy programs in order to stimulate NGA infrastructure deployment. We contend, however, that the current contract practice of fixing ex ante targets for network expansion is inefficient given the uncertainty about future returns on NGA infrastructure-based services and the public authorities' incomplete information about the capital costs of the network provider. This paper puts forward to delegate the choice of the network expansion to the NGA provider. Simple linear profit-sharing contracts can be designed to control the NGA provider's incentives and to put in balance the public objectives of network expansion and limitation of public expenditure. (author's abstract) / Series: Working Papers / Research Institute for Regulatory Economics

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A tese trata de questões referentes à economia dos transplantes renais, enfocando os mecanismos institucionais e de incentivos relacionados à captação de órgãos no Brasil, bem como a eficiência dos estados brasileiros que captam e realizam tais transplantes. A questão investigada na tese por meio dos ensaios foi analisar os efeitos e as implicações da estrutura de incentivos sobre o número de órgãos (inclusive rim) captados, ou seja, sobre o comportamento do sistema público de transplantes. Buscou-se também avaliar a eficiência desse sistema e sua tendência de comportamento ao longo do período 2006-2011. Foi conduzida inicialmente uma apresentação de alguns fatos estilizados para a possível elaboração de estratégias referente ao problema de pesquisa, entre os quais se destacaram: i) o tamanho e o tempo de espera nas filas por transplante de órgãos, no período recente, vêm apresentando uma tendência crescente; ii) o Brasil ocupa o segundo lugar no número absoluto de transplantes renais, atrás apenas dos Estados Unidos; iii) o país apresenta o maior programa público de transplantes de órgãos sólidos; iv) o processo de captação de órgãos tem-se apresentado uma atividade com elevada variabilidade entre os estados brasileiros, gerando um desequilíbrio entre a oferta e a demanda por órgãos e v) o sistema de transplante renal é classificado como uma modalidade terapêutica eficiente. No segundo ensaio da tese, analisaram-se os mecanismos de incentivos oferecidos aos hospitais que realizam a captação de rim para transplantes no Brasil. A abordagem teórica usada foi o modelo Principal-Agente, num contexto de informação assimétrica. No modelo, o SUS foi classificado como o Principal (receptor de órgãos captados) e os hospitais captadores, como Agentes. O SUS, por meio de um contrato, busca maximizar o seu objetivo de obter o maior número de órgãos para transplante e, para atingi-lo, delega ações aos hospitais. Os Agentes decidem se lhes interessam criar uma estrutura e condições para a captação de tal órgão. De acordo com os resultados do modelo Agente-Principal, verificou-se que o SUS (Principal) tem adotado diversas medidas de incentivos aos hospitais que realizam a captação de órgãos, tais como: criação de um fundo específico para financiamento dos transplantes (FAEC - Fundo de Ações Estratégicas e Compensação); pagamento uniforme para hospitais universitários e não universitários; expansão dos tipos de procedimentos hospitalares a serem pagos pelo SUS; reajuste frequente das remunerações pagas por procedimento da Tabela de Procedimentos do Sistema de Informações Hospitalares do Sistema Único de Saúde; cursos e/ou encontros com os profissionais da saúde que atuam no processo de doação-transplante e criação de novos incentivos financeiros para hospitais que realizam transplantes na rede pública. Portanto, se os profissionais recebem maiores incentivos, esses podem agir com eficiência no processo de captação do órgão e, consequentemente, contribuem para que ocorra uma redução no tempo e nas filas de espera por transplantes. Objetivando avaliar a eficiência dos estados brasileiros no sistema de transplante renal e a produtividade deles ao longo do tempo, fez-se uso do ferramental da Análise Envoltória de Dados-DEA e do Índice de Malmquist e suas decomposições (efeito Emparelhamento e Deslocamento de Fronteira). Utilizou-se uma amostra de 22 estados no período 2006-2011. O método DEA com Retornos Variáveis de Escala (BCC) orientado no sentido do produto foi aplicado nesse estudo. Cada estado foi considerado como Unidade de Tomada de Decisão (DMU). Os dados classificados como inputs (recursos) foram os seguintes: gastos (nominal) totais com transplantes renais, gastos (nominais) com serviços hospitalares e gastos (nominais) com serviços dos profissionais relacionados ao setor. Como output (produto) foi usado o número de rins transplantados. Os resultados indicaram que existe entre os estados brasileiros uma discrepância significativa em relação à captação e o número de transplantes de rins. Isso gerou uma ineficiência no sistema de transplante renal no país e pode estar ocorrendo em virtude do funcionamento não adequado da gestão; do não seguimento das regras nacionais (como por exemplo, vinculação das equipes a centros transplantadores; distribuição adequada de imunossupressores; encaminhamento de órgãos não aproveitados para estados próximos; execução da tipagem HLA de toda a lista de espera de rim) que causam prejuízos aos pacientes; das comissões intra-hospitalares não ativas e das equipes hospitalares sobrecarregadas. Portanto, alguns estados que participam do processo de captação e doação de rins para transplante estão apresentando ineficiência em termos de ordem administrativa e operacional. / The thesis is about the economy of kidney transplants, focusing on the institutional mechanisms and incentives related to organ harvesting in Brazil, as well as the efficiency of the Brazilian states that perform such transplants. The essays investigated the effects and implications of the incentives structure on the number of organs (including kidney) harvested by the transplants public system. The efficiency of this system and its performance over the 2006-2011 period was also evaluated. Firstly some stylized facts related to the subject were presented, among which stand out: i) the size of queues and waiting times for organ transplantation in recent years have grown; ii) Brazil ranks second in the absolute number of kidney transplants, behind only the United States, iii) the country has the largest public program for solid organs transplantation, iv) the process of organ harvesting has high variability among Brazilian states, creating an imbalance between supply and demand for organs and v) the kidney transplantation system is as an effective therapeutic modality. In the second essay the mechanisms of incentives offered to hospitals that perform kidney harvesting in Brazil were analyzed. The theoretical model used was the Principal-Agent in a context of asymmetric information. In the model, SUS was rated as the Principal (receptor of harvested organs) and the harvesting hospitals, as agents. SUS seeks to maximize the number of organs for transplantation in a contract through which it delegates the harvesting to hospitals. Agents decide whether they are interested in creating a framework and conditions for harvesting organs. The results of the Principal-Agent model indicate that SUS (the Principal) has adopted various incentives to hospitals that perform organ harvesting, such as creating a specific fund to finance transplants (FCSA - Fund for Compensation and Strategic Actions); same payment for university and non-university hospitals, expanding the types of hospital procedures to be paid by SUS; frequent remuneration raises of the amount paid by the procedures in Table of Procedures of the Hospital Information System of the Unified Health System; courses and / or meetings with health professionals working in the donation-transplantation process and creation of new financial incentives to hospitals that perform transplants for the public system. So, if the professional receives stronger incentives, he will act more effectively in the organ harvesting and will thereby contribute to a reduction in waiting lines for transplantation. In order to evaluate the efficiency of the Brazilian states in kidney transplant and their productivity over time, the Data Envelopment Analysis-DEA was used and the Malmquist index and its decomposition (Pairing effect and Boundary Displacement) to a sample of 22 states over five years (2006-2011). The DEA model with variable returns to scale (BCC) directed towards the product was applied in this study. Each state was considered a Decision Making Unit (DMU). Data classified as inputs (resources) were the following: total amount spent (nominal) with kidney transplants, amount spent (nominal) with hospital services and amount spent (nominal) with the professional services related to that sector. As output (product) was used the number of transplanted kidneys. The results indicated that there is a significant discrepancy among the Brazilian states in harvesting and transplanting kidneys. This fact has led to inefficiency in the country’s kidney transplant system and it may be so due to inadequate management, to ignoring natiimmunosuppressants; forwarding not used organs to nearby states, implementation of HLA exam to the entire waiting list for kidney transplant) causing harm to patients; to inactive in-hospital committees and to overloaded hospital staff. Therefore, some states in the process of kidney harvesting and transplantation are showing operational and managerial inefficiencies.onal directives (eg, vinculating teams to transplant centers; proper distribution of immunosuppressants; forwarding not used organs to nearby states, implementation of HLA exam to the entire waiting list for kidney transplant) causing harm to patients; to inactive in-hospital committees and to overloaded hospital staff. Therefore, some states in the process of kidney harvesting and transplantation are showing operational and managerial inefficiencies.

Submitted by Pedro Hofmeister (pedromh@gmail.com) on 2018-03-23T13:18:34Z No. of bitstreams: 1 Dissertação-MPA-Hofmeister-vf3.pdf: 832446 bytes, checksum: dc761531a703961644cef75bc4af9897 (MD5) / Approved for entry into archive by Mayara Costa de Sousa (mayara.sousa@fgv.br) on 2018-03-26T18:58:10Z (GMT) No. of bitstreams: 1 Dissertação-MPA-Hofmeister-vf3.pdf: 832446 bytes, checksum: dc761531a703961644cef75bc4af9897 (MD5) / Approved for entry into archive by Suzane Guimarães (suzane.guimaraes@fgv.br) on 2018-03-27T12:54:10Z (GMT) No. of bitstreams: 1 Dissertação-MPA-Hofmeister-vf3.pdf: 832446 bytes, checksum: dc761531a703961644cef75bc4af9897 (MD5) / Made available in DSpace on 2018-03-27T12:54:10Z (GMT). No. of bitstreams: 1 Dissertação-MPA-Hofmeister-vf3.pdf: 832446 bytes, checksum: dc761531a703961644cef75bc4af9897 (MD5) Previous issue date: 2018-03-02 / This study focuses on the relation between the pay and performance of executives of Brazilian publicly listed firms. We used a series of multiple linear regressions with OLS estimation to investigate whether compensation is positively associated with shareholder return. Our sample includes 525 observations and comprises a three-year period (2014, 2015 and 2016). We find that, in general, pay is positively associated with performance but that this sensitivity is not sufficiently large. We also confirm that stock-based compensation and a higher governance level are important for aligning pay and performance. Firms with concentrated ownership tend to pay less, which suggests that monitoring decreases the need of pay to align incentives or reduces the power of executives to set their own compensation. Finally, our model suggests that fixed compensation is adjusted to meet the reservation utility and information rent whereas variable compensation serves to address moral hazard. / Este estudo enfoca a relação entre remuneração dos executivos, desempenho da empresa e retorno para o acionista de executivos de empresas brasileiras de capital aberto. Utilizamos uma série de regressões lineares múltiplas com estimativa de mínimos quadrados comuns (OLS) para investigar se a remuneração dos executivos está positivamente associada ao retorno do acionista. Nossos dados foram coletados do Formulário Referência da BM&FBOVESPA (equivalente ao SEC 20-F), Economatica e Bloomberg, e nossa amostra incluiu 525 observações e compreende um período de três anos (2014, 2015 e 2016) com dados de 175 empresas. Concluímos que, em geral, o pagamento está positivamente associado ao desempenho, mas que essa sensibilidade não é suficiente. Também confirmamos que a remuneração que inclui opções, bem como empresas com um nível de governança superior são fatores importantes para alinhar o salário e o desempenho. As empresas com controle concentrado tendem a pagar menos, o que sugere que o monitoramento diminui a necessidade de incentivos financeiros para alinhar interesses ou diminui o poder dos executivos para estabelecer sua própria remuneração.

Sweden is a main extractor of natural resources, leading the exploitation of forestry in Europe. Forestry counts for ten percent of exported goods from Sweden and has the most significant trade balance of all industrial categories. Forestry is a branch that has remained traditional for a long time and has not actually been the focus for research in this field. Internal control is implemented in all Swedish companies to protect company assets and minimise risk. The aim of International business strategies is mainly to achieve success on the international market. Through a qualitative single case study, with empirical data extracted from interviews and observations, conclusions were drawn. The interaction between the two terms internal control and international business strategy are investigated, and results show that they do indeed relate to each other. Another finding was that the sampled forestry company, SCA centralised administrative functions to improve Internal control had affected their International business strategy positively and their international subsidiaries could focus on remaining main tasks. In conclusion, the forestry benefit from having centralised administrative functions to improve efficiency and decentralise departments such as sales to drive revenue abroad.

A tese trata de questões referentes à economia dos transplantes renais, enfocando os mecanismos institucionais e de incentivos relacionados à captação de órgãos no Brasil, bem como a eficiência dos estados brasileiros que captam e realizam tais transplantes. A questão investigada na tese por meio dos ensaios foi analisar os efeitos e as implicações da estrutura de incentivos sobre o número de órgãos (inclusive rim) captados, ou seja, sobre o comportamento do sistema público de transplantes. Buscou-se também avaliar a eficiência desse sistema e sua tendência de comportamento ao longo do período 2006-2011. Foi conduzida inicialmente uma apresentação de alguns fatos estilizados para a possível elaboração de estratégias referente ao problema de pesquisa, entre os quais se destacaram: i) o tamanho e o tempo de espera nas filas por transplante de órgãos, no período recente, vêm apresentando uma tendência crescente; ii) o Brasil ocupa o segundo lugar no número absoluto de transplantes renais, atrás apenas dos Estados Unidos; iii) o país apresenta o maior programa público de transplantes de órgãos sólidos; iv) o processo de captação de órgãos tem-se apresentado uma atividade com elevada variabilidade entre os estados brasileiros, gerando um desequilíbrio entre a oferta e a demanda por órgãos e v) o sistema de transplante renal é classificado como uma modalidade terapêutica eficiente. No segundo ensaio da tese, analisaram-se os mecanismos de incentivos oferecidos aos hospitais que realizam a captação de rim para transplantes no Brasil. A abordagem teórica usada foi o modelo Principal-Agente, num contexto de informação assimétrica. No modelo, o SUS foi classificado como o Principal (receptor de órgãos captados) e os hospitais captadores, como Agentes. O SUS, por meio de um contrato, busca maximizar o seu objetivo de obter o maior número de órgãos para transplante e, para atingi-lo, delega ações aos hospitais. Os Agentes decidem se lhes interessam criar uma estrutura e condições para a captação de tal órgão. De acordo com os resultados do modelo Agente-Principal, verificou-se que o SUS (Principal) tem adotado diversas medidas de incentivos aos hospitais que realizam a captação de órgãos, tais como: criação de um fundo específico para financiamento dos transplantes (FAEC - Fundo de Ações Estratégicas e Compensação); pagamento uniforme para hospitais universitários e não universitários; expansão dos tipos de procedimentos hospitalares a serem pagos pelo SUS; reajuste frequente das remunerações pagas por procedimento da Tabela de Procedimentos do Sistema de Informações Hospitalares do Sistema Único de Saúde; cursos e/ou encontros com os profissionais da saúde que atuam no processo de doação-transplante e criação de novos incentivos financeiros para hospitais que realizam transplantes na rede pública. Portanto, se os profissionais recebem maiores incentivos, esses podem agir com eficiência no processo de captação do órgão e, consequentemente, contribuem para que ocorra uma redução no tempo e nas filas de espera por transplantes. Objetivando avaliar a eficiência dos estados brasileiros no sistema de transplante renal e a produtividade deles ao longo do tempo, fez-se uso do ferramental da Análise Envoltória de Dados-DEA e do Índice de Malmquist e suas decomposições (efeito Emparelhamento e Deslocamento de Fronteira). Utilizou-se uma amostra de 22 estados no período 2006-2011. O método DEA com Retornos Variáveis de Escala (BCC) orientado no sentido do produto foi aplicado nesse estudo. Cada estado foi considerado como Unidade de Tomada de Decisão (DMU). Os dados classificados como inputs (recursos) foram os seguintes: gastos (nominal) totais com transplantes renais, gastos (nominais) com serviços hospitalares e gastos (nominais) com serviços dos profissionais relacionados ao setor. Como output (produto) foi usado o número de rins transplantados. Os resultados indicaram que existe entre os estados brasileiros uma discrepância significativa em relação à captação e o número de transplantes de rins. Isso gerou uma ineficiência no sistema de transplante renal no país e pode estar ocorrendo em virtude do funcionamento não adequado da gestão; do não seguimento das regras nacionais (como por exemplo, vinculação das equipes a centros transplantadores; distribuição adequada de imunossupressores; encaminhamento de órgãos não aproveitados para estados próximos; execução da tipagem HLA de toda a lista de espera de rim) que causam prejuízos aos pacientes; das comissões intra-hospitalares não ativas e das equipes hospitalares sobrecarregadas. Portanto, alguns estados que participam do processo de captação e doação de rins para transplante estão apresentando ineficiência em termos de ordem administrativa e operacional. / The thesis is about the economy of kidney transplants, focusing on the institutional mechanisms and incentives related to organ harvesting in Brazil, as well as the efficiency of the Brazilian states that perform such transplants. The essays investigated the effects and implications of the incentives structure on the number of organs (including kidney) harvested by the transplants public system. The efficiency of this system and its performance over the 2006-2011 period was also evaluated. Firstly some stylized facts related to the subject were presented, among which stand out: i) the size of queues and waiting times for organ transplantation in recent years have grown; ii) Brazil ranks second in the absolute number of kidney transplants, behind only the United States, iii) the country has the largest public program for solid organs transplantation, iv) the process of organ harvesting has high variability among Brazilian states, creating an imbalance between supply and demand for organs and v) the kidney transplantation system is as an effective therapeutic modality. In the second essay the mechanisms of incentives offered to hospitals that perform kidney harvesting in Brazil were analyzed. The theoretical model used was the Principal-Agent in a context of asymmetric information. In the model, SUS was rated as the Principal (receptor of harvested organs) and the harvesting hospitals, as agents. SUS seeks to maximize the number of organs for transplantation in a contract through which it delegates the harvesting to hospitals. Agents decide whether they are interested in creating a framework and conditions for harvesting organs. The results of the Principal-Agent model indicate that SUS (the Principal) has adopted various incentives to hospitals that perform organ harvesting, such as creating a specific fund to finance transplants (FCSA - Fund for Compensation and Strategic Actions); same payment for university and non-university hospitals, expanding the types of hospital procedures to be paid by SUS; frequent remuneration raises of the amount paid by the procedures in Table of Procedures of the Hospital Information System of the Unified Health System; courses and / or meetings with health professionals working in the donation-transplantation process and creation of new financial incentives to hospitals that perform transplants for the public system. So, if the professional receives stronger incentives, he will act more effectively in the organ harvesting and will thereby contribute to a reduction in waiting lines for transplantation. In order to evaluate the efficiency of the Brazilian states in kidney transplant and their productivity over time, the Data Envelopment Analysis-DEA was used and the Malmquist index and its decomposition (Pairing effect and Boundary Displacement) to a sample of 22 states over five years (2006-2011). The DEA model with variable returns to scale (BCC) directed towards the product was applied in this study. Each state was considered a Decision Making Unit (DMU). Data classified as inputs (resources) were the following: total amount spent (nominal) with kidney transplants, amount spent (nominal) with hospital services and amount spent (nominal) with the professional services related to that sector. As output (product) was used the number of transplanted kidneys. The results indicated that there is a significant discrepancy among the Brazilian states in harvesting and transplanting kidneys. This fact has led to inefficiency in the country’s kidney transplant system and it may be so due to inadequate management, to ignoring natiimmunosuppressants; forwarding not used organs to nearby states, implementation of HLA exam to the entire waiting list for kidney transplant) causing harm to patients; to inactive in-hospital committees and to overloaded hospital staff. Therefore, some states in the process of kidney harvesting and transplantation are showing operational and managerial inefficiencies.onal directives (eg, vinculating teams to transplant centers; proper distribution of immunosuppressants; forwarding not used organs to nearby states, implementation of HLA exam to the entire waiting list for kidney transplant) causing harm to patients; to inactive in-hospital committees and to overloaded hospital staff. Therefore, some states in the process of kidney harvesting and transplantation are showing operational and managerial inefficiencies.