ABSTRACT A Study of Key Decision-making Factors of Coping Global Budget System and Reformed Hospital Accreditation of a Regional Military Hospital Since the implementation of Global budget system in 2002, the constant controversy is continuous. In addition, the fulfillment of Reformed hospital accreditation is related to the amount of insurance payment. Under this double pressure, the medical institutions generally face the dilemma of operating difficulties. Besides these pressures, the Military hospital also has problems of budget and staff reducing. How to draft and execute the business strategy to achieve sustained development is a serious and important issue. In this study, a regional military hospital was chose as a research case. We point at analysis of medical industry environment , literatures review and ways of monitoring of Global budget system and Reformed hospital accreditation of research hospital. According to the characteristics of Global budget system and Reformed hospital accreditation, we adopted the Saaty¡¦s Analytic Hierarchy Process (AHP) to establish individual multi-estimate criteria models of the key decision-making factors of Global budget system and Reformed hospital accreditation of the hospital. And then by AHP qualitative and quantitative questionnaires, undertook research and analysis of various key decision-making factors. Finally, the Analytic Hierarchy Process was applied to calculate the weighting and to sequence the priority of these factors. To find out which hospital management operation system should be strengthen. The results of study showed that in light of coping Global budget system, the ¡§strategic management¡¨ is the most important key decision-making factors, which ¡§Cost control and financial management¡¨ and ¡§ Just distribution of reward¡¨ are the top priority. In addition, ¡§ Raise the medical quality of service¡¨ and ¡§quality of medical manpower¡¨ to fight for extra Global budget and own expense items are the important strategy of broadening resources. In the light of coping the Reformed hospital accreditation, the ¡§Decision making capacity¡¨ is the most important factors, particularly the ¡§leader¡¦s leadership of the decision-making¡¨. ¡§Reformed hospital accreditation progress-control table¡¨ and the ¡§Information system of management of Reformed hospital accreditation¡¨ can standardize the preparatory work as well as the control over the progress of preparations. ¡Ô

<p>Vi har identifierat ett antal lokheter och skillnader i sättet att styra med budget, utifrån dessa drog vi ett antal paralleller till kulturteorin. Generellt kan vi säga att vi hittade ett flertal faktorer som stödjer den kulturteori som säger att den nationella kulturen påverkar ekonomistyrningen i organisationer.</p>

Texte remanié de: Thèse doctorat--Droit public--Lille 2, 2005. / LOLF = Loi organique relative aux lois de finances. Bibliogr. p. 471-542. Index.

Reproduction de : Thèse de doctorat : Sciences économiques : Lyon 2 : 2005. / Titre provenant de l'écran-titre. Bibliogr. Annexes.

Thesis (Ph. D.)--Columbia University, 1928. / Vita. Published also as Teachers College, Columbia University, Contributions to education, no. 271. eContent provider-neutral record in process. Description based on print version record. Bibliography: p. 121-122.

Thesis (M.S. in Management)--Naval Postgraduate School, December 2002. / Thesis advisor(s): Jerry L. McCaffery, John E. Mutty. Includes bibliographical references (p. 67-68). Also available online.

Thesis (M.S. in Management)--Naval Postgraduate School, December 2002. / Thesis advisor(s): Jerry L. McCaffery, John E. Mutty. Includes bibliographical references (p. 93-100). Also available online.

No description available.

Highway agencies usually face budget uncertainty for pavement maintenance and rehabilitation activities due to limitation in resources and changes in government policies. Highway agencies perform maintenance planning for the pavement network commonly based on the nominal available budget without taking the variability of budget into consideration. The maintenance program based on deterministic budget consideration results in suboptimal maintenance decisions that impact the overall network conditions, if the budget falls short in some future year in the planning horizon. As a result, it is important for highway agencies to adopt maintenance and rehabilitation policies that are protected against the uncertainty in maintenance and rehabilitation budget. In this study a multi-period linear integer programming model is proposed with its robust counterpart considering uncertain maintenance and rehabilitation budget. The proposed model is able to provide a maintenance and rehabilitation program for the pavement network that results in minimal impact of budget variability on the network conditions. A case study was carried out for a network of ten pavement sections. The solution of the robust optimization model was compared to those with deterministic model. The results show that the robust optimization model is an attractive method that can minimize the effect of budget uncertainty on pavement conditions at the network level. / text

Sammanfattning       Ämnesfördjupande arbete Ekonomihögskolan, Civilekonomprogrammet, Controllerfördjupningen Linnéuniversitetet, Växjö Titel: Vad prioriteras, eleverna eller budgeten? - En fallstudie av en kommunal verksamhet Författare: Alexandra Lagerholm &amp; Hedvig Lindgren Handledare: Anders Jerreling Examinator: Fredrik Karlsson En begränsad ekonomi och ökade statliga krav har bidragit till att kommuner idag tvingas prioritera hårdare än tidigare. Dessa prioriteringar förtydligas i kommunens budget. Ett flertal kommunpolitiker har uppmärksammat en omfattande konflikt mellan kommunens budget och de lagar de tvingas följa till förmån för bland annat elevers hälsa och uppfyllande av kunskapskrav. Om kommunen ska klara sig med sina begränsade ekonomiska resurser, med minskade skatteintäkter, kommer det leda till att de tvingas bryta mot lagar. Skolorna kan inte leva upp till de krav som ställs i skollagen, om de ska följa budgeten. Arbetets syfte är att beskriva och förklara hur budgetprocessen är uppbyggd i en kommun, för att vidare undersöka vilka prioriteringar som görs om det uppstår konflikter mellan lagar och kommunens budget. Avsikten är att utifrån detta analysera vilken styreffekt budgeten har i en kommunal verksamhet. Studien genomförs som en kvalitativ studie i form av en fallstudie av Sölvesborgs kommun. Semi-strukturerade intervjuer med ekonomer, nämndordförande och en rektor inom kommunen utgör studiens empiriska underlag. Slutsatsen av studien är att budgetens styreffekt i Sölvesborgs kommun är svag, till stor del på grund av de lagar som styr en kommunal verksamhet. Lagarna stämmer inte alltid överens med budgetens resursramar, vilket får till följd att budgeten prioriteras bort till förmån för lagen.