PINTO JUNIOR, Valdester Cavalcante. Avaliação da Política Nacional de Atenção Cardiovascular de Alta Complexidade com foco na cirurgia cardiovascular pediátrica - 2010. 122f. Dissertação (Mestrado em Avaliação de Políticas Públicas) – Universidade Federal do Ceará, Pró - Reitoria de Pesquisa e Pós-Graduação, Programa de Pós-Graduação em Avaliação de Políticas Públicas, Fortaleza-CE, 2010. / Submitted by Ana Paula Paula (mappufce@gmail.com) on 2012-06-28T17:17:16Z No. of bitstreams: 1 2010_DIS_ValdesterCPJUNIOR.pdf: 2881878 bytes, checksum: 65e87837d668ebf5265369a47b12cc51 (MD5) / Approved for entry into archive by Maria Josineide Góis(josineide@ufc.br) on 2012-07-26T12:03:51Z (GMT) No. of bitstreams: 1 2010_DIS_ValdesterCPJUNIOR.pdf: 2881878 bytes, checksum: 65e87837d668ebf5265369a47b12cc51 (MD5) / Made available in DSpace on 2012-07-26T12:03:51Z (GMT). No. of bitstreams: 1 2010_DIS_ValdesterCPJUNIOR.pdf: 2881878 bytes, checksum: 65e87837d668ebf5265369a47b12cc51 (MD5) Previous issue date: 2010 / The National Cardiovascular Care High Complexity Policy, focusing on Pediatric Cardiovascular Surgery, formalized on June 15, 2004, through Ordinance Nº. 1169/GM Nº and 210 SAS / MS is fomented by the intervention from the SBCCV and DCCVPed together with the Ministry Health and aims to meet the demand in pediatric cardiovascular surgery. At the time of the formulation the deficits in surgeries were expressive, being more critical in the North and Northeast. The research aims to evaluate the policy on its design, implementation and results. We used quantitative methods for analysis of primary data from questionnaires administered to surgeons and secondary collected from the MS / DATASUS and IBGE. The time frame was 1999 to 2008 for procedures in congenital heart disease and from 2001 to 2008 for the valve procedures. The qualitative analyses were used for the entrances and speeches by corporate directors and managers of MS. Analyses were buoyed on the premises of the National Health System, as fairness, integrity and regionalization in the light of some authors. The results have proved to be a landmark policy by recognizing the characteristics and particular needs in the area. However, there is lack of measures to improve the frequency of the procedures, still with significant deficits, 62% for Brazil and 91%, 76%, 55%, 36% and 47% for the north, northeast, southeast, south and central west respectively, and resolve regional inequities. Politics is, according to the the analysis employed, ineffective and inefficient. As strategies to support governance actions met: realign payment amounts per procedure; implement database in partnership with DCCVPed; tables reconcile the diagnostic procedures with the orthesis and prosthesis, identify centers of excellence in complex heart and set them as reference regional centers to sponsor professional training value fees, subsidize the restructuring of the institutions empowered and structuring those who enter the system, establish policy for regional equity, create Program Prevention and Control of Rheumatic Fever. In sum, it means the policy as a trigger of a process of structuring and continuous evaluation that will provide input and be a tool to persuade the powers that be. / A Política Nacional de Atenção Cardiovascular de Alta Complexidade com foco na Cirurgia Cardiovascular Pediátrica, formalizada em 15 de junho de 2004, por meio das Portarias Nº1169/GM e Nº 210 SAS/MS, é gestada por intervenção da SBCCV e DCCVPed junto ao Ministério da Saúde e se propõe atender a demanda em cirurgia cardiovascular pediátrica. À época da formulação, os deficits em cirurgias eram expressivos, sendo mais críticos nas regiões Norte e Nordeste. A pesquisa objetiva avaliar a política quanto ao desenho, implementação e resultados. Foram empregados métodos quantitativos para análise de dados primários dos questionários, aplicados aos cirurgiões e secundários coletados no MS/DATASUS e IBGE. O recorte temporal foi de 1999 a 2008 para os procedimentos em cardiopatias congênitas e de 2001 a 2008 para os valvares. Os qualitativos foram empregados para análise das portarias e discursos de diretores de sociedades e gestores do MS. As análises foram balizadas nas premissas do Sistema Único de Saúde, equidade, integralidade e regionalização, à luz de alguns autores. Os resultados demonstram ser a política um marco, pelo fato de reconhecer características e necessidades particulares na área. Carece porém, de medidas que visem otimizar a frequência de procedimentos ainda com deficits significativos - 62% para o Brasil e 91%, 76%, 55%, 36% e 47% para as regiões Norte, Nordeste, Sudeste, Sul e Centro-Oeste, respectivamente, e resolver iniquidades regionais. A política é, à análise empregada, ineficaz e ineficiente. Como estratégias que visam a subsidiar ações de governança, encontraram-se: realinhar valores de pagamento por procedimento; implementar banco de dados em parceria com o DCCVPed; compatibilizar tabelas de diagnóstico, procedimentos e órteses e próteses; identificar centros de excelência em cardiopatias complexas e defini-los como de referência regional; patrocinar centros para treinamento profissional; valorizar honorários; subsidiar reestruturação das instituições habilitadas e estruturação daquelas que entrarem no sistema; estabelecer política de equidade regional; criar Programa de Prevenção e Controle da Febre Reumática. Em suma, entende-se a política como desencadeadora de um processo de estruturação e que a avaliação continuada poderá trazer subsídios fundamentados e ser ferramenta de persuasão junto ao poder constituído.

Esse trabalho teve como objetivo contribuir para o debate sobre a importância das políticas de incentivo à inovação no Brasil. Os resultados esperados do uso que as empresas fizeram dos diferentes tipos de instrumentos sobre os gastos em pesquisa e desenvolvimento (P&D) foram avaliados pelo método de diferenças em diferenças. O método permitiu obter as diferenças de gastos entre empresas beneficiárias de instrumentos e as não-beneficiárias em três períodos consecutivos: 2005 em relação à 2003; 2008 em relação à 2005 e de 2011 em relação à 2008. Ao fazer isso, foi possível identificar se tais diferenças foram positivas e significativas, podendo ser atribuídas às influências dos instrumentos. Os instrumentos utilizados foram: incentivos fiscais, Lei de Informática, financiamentos em parcerias, financiamentos sem parcerias e subvenção. E a utilização dos mesmos pelas empresas teve maior relevância no âmbito de diversos programas de apoio à inovação vigentes no país a partir da retomada das políticas industriais e tecnológicas, nos anos 2000. O estudo concluiu que os efeitos positivos e significativos são limitados à determinados grupos tecnológicos e à poucos instrumentos, em geral, de caráter fiscal. Além disso, esses efeitos positivos surgem em apenas um período, sendo que para cada grupo tecnológico foram efetuadas estimativas para três períodos. Também não houve evidências de que os instrumentos financeiros exerçam efeitos significativos sobre as decisões de gastos em pesquisa e desenvolvimento, apesar da maior ênfase dada aos mesmos no período estudado. Os resultados sugerem fraca influência dos mecanismos de apoio à P&D no Brasil sobre o aumento dos gastos privados, apesar dos avanços recentes. / This study aimed to contribute to the debate about the importance of encouraging innovation policies in Brazil. Understanding the role played by public support instruments to research and development activities in relation to private business spending has become fundamental to achieving this end. The expected results of the use that companies made of different types of instruments on spending were evaluated by the method of difference in differences. This allows you to compare, over a certain period of time, the differences in expenses between the companies that made use of any type of instrument and the companies that did not. Thus, the method yielded differences in spending between the beneficiary and nonbeneficiary firms of those instruments of three consecutive periods: 2005 compared to 2003; 2008 compared to 2005 and 2011 compared to 2008. In doing so, it was possible to identify whether these differences were positive and significant and can be attributed to the influence of the instruments. The instruments used were: tax incentives, Information Technology Law, financing partnerships, financing and grants. And their use by companies had most relevance within various programs to support innovation in force in the country from the resumption of industry and technology policy in the 2000s. The study concluded that the positive and significant effects are limited to certain technological groups and the few instruments in general tax character. In addition, these positive effects arise in one period, and for each technology group estimates were made for three periods. There was also no evidence that the financial instruments carry significant effects on spending decisions on research and development, despite the greater emphasis given to them during the study period. The results suggest weak influence of mechanisms to support R&D in Brazil on the rise in private spending, despite progress in recent years.

Made available in DSpace on 2016-08-18T18:54:00Z (GMT). No. of bitstreams: 1 TESE MARIA DO SOCORRO SILVA ALENCAR.pdf: 5105998 bytes, checksum: 2b29687b4269a6a6b193f38fd5c05623 (MD5) Previous issue date: 2011-03-31 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This thesis aims to understanding and analyzing the actions and primary care services developed by the Family Health Strategy with the elder in the city of Teresina, Piauí, and as this process these actions are being shaped in attitudes of protection active and healthy aging and social guarantees to the elderly population. Methodology: The issue is linked with the dimensions: health practices offered in the basic units (health promotion, prevention and health education, group activities), political-institutional organization of care, the process of multiprofessional teamwork and training of professionals to handle the demands of the elderly and aging. Authors of the field evaluation of social policies, public health and social gerontology anchored the discussion. The object of study is located in the subject area Social Policy and Policy Evaluation and Social Programs, with emphasis on evaluation procedures for the establishment and implementation of National Health Policy for the Elderly (PNSPI) and the actions of HIPERDIA. The context and the research subjects were the network of health-care services of the Municipal Health Service and the territorial structure of the Regional Health - CRS north-central and seventeen (17) professionals, of which fourteen (14) of ten (10) teams from the Basic Health Units, and technician manager of the Management of Primary Care and technician of CRS north central: doctors, nurses, dentists, nutritionists, public health expert, practical nurses and community health workers. Qualitative research using case study in having the procedure for field research: direct observation, quantitative survey of indicators to classify the elderly by age, chronic disease and bedridden, interviews, and document analysis. The description and interpretation of the themes by triangulation of information anchored in the content analysis technique. Results and Discussion: Based on the perceptions of social actors involved in the Family Health on the limits and possibilities for health care for the elderly found that the implementation process and implementation of actions arising from PNSPI was still planning for the fledgling promotion actions active aging, healthy and self-employed with health practices fragmented and discontinuous; regarding the actions of HIPERDIA although a more consistent strategy in the care of elderly, some obstacles mentioned by the subjects also demonstrated a fragile process and to the teamwork and lack of professional training in health and aging. The health care of the elderly follows the biomedical model of individual care based on medical and nursing, with its rules introjected by these professionals, as opposed to those who observe the social determinants of contexts in which they are generated. These elements in themselves demonstrate the complexity of health care for the elderly in family health, moreover if we consider that the skills required for this care are not yet part of the formation processes of different subjects that are now part of the teams. Conclusion: The "new" paradigm of health care for the elderly that seeks to evaluate them from multidimensional functional abilities has not is a strategy, in this city, which is capable of transforming the technical care model of primary healthcare in a wider and more complex model, which can interfere with their quality of life and reaffirm the commitment to individual care and public health. Therefore, if there was progress in the proposed universal access and comprehensiveness of health care on the basis of SUS by the legal and institutional bias, this same progress has not been accompanied by effective action in family health. For the deadlocks persist in this strategy, because there is the implementation of actions to promote and protect the health of the elderly and aging active, healthy and independent in the current situation of Brazilian society, marked by social inequities. / Objetivo: Esta tese objetiva compreender e analisar as ações e serviços de atenção básica desenvolvidos pela Estratégia Saúde da Família com a pessoa idosa, no município de Teresina-Piauí, e como nesse processo estas atuações estão se configurando em atitudes de proteção ao envelhecimento ativo e saudável e em garantias sociais ao público idoso. Metodologia: A questão se articula com as dimensões: práticas de saúde ofertadas nas unidades básicas (ações de promoção, de prevenção e de educação em saúde; atividades em grupo); político-institucional da organização da atenção; do processo de trabalho em equipe multiprofissional e da capacitação dos profissionais para lidar com as demandas da pessoa idosa e do envelhecimento. Autores do campo de avaliação de políticas sociais, saúde coletiva e gerontologia social ancoraram a discussão. O objeto de estudo está situado na área temática Políticas Sociais e Avaliação de Políticas e Programas Sociais, com ênfase na avaliação dos processos de implantação e implementação da Política Nacional de Saúde da Pessoa Idosa (PNSPI) e das ações do HIPERDIA. O contexto e sujeitos da pesquisa foram a rede de serviços assistenciais de saúde da Fundação Municipal de Saúde e a estrutura territorial da Coordenadoria Regional de Saúde - CRS centro-norte e dezessete (17) profissionais, dos quais quatorze (14) de dez (10) equipes das Unidades Básicas de Saúde, gerente e técnico da Gerência de Atenção Básica e técnico da CRS centro-norte: médicos, enfermeiros, dentistas, nutricionista, especialista em saúde pública, técnicos de enfermagem e agentes comunitários de saúde. Pesquisa de abordagem qualitativa, tendo no estudo de caso o procedimento para a pesquisa de campo: observação direta, levantamento quantitativo de indicadores que classificam os idosos por idade, doença crônica e acamados; entrevistas, além da análise documental. A descrição e interpretação das categorias temáticas por triangulação das informações ancorou-se na técnica análise de conteúdo. Resultados e Discussão: Com base nas percepções dos agentes sociais envolvidos na Saúde da Família sobre os limites e possibilidades para a atenção à saúde da pessoa idosa, observamos que o processo de implantação e implementação das ações da PNSPI ainda era decorrente de planejamento incipiente para as ações de promoção ao envelhecimento ativo, saudável e autônomo, com práticas de saúde fragmentadas e descontínuas; quanto às ações do HIPERDIA, embora seja a estratégia mais consistente na atenção aos idosos, alguns obstáculos apontados pelos sujeitos demonstraram, também, frágil processo para e no trabalho em equipe e falta de capacitação dos profissionais em saúde e envelhecimento. A atenção à saúde da pessoa idosa segue o modelo biomédico de assistência individual, baseado em consultas médicas e de enfermagem, com suas regras introjetadas pelos referidos profissionais, em contraposição àquelas que observam os determinantes sociais dos contextos em que elas são geradas. Esses elementos, por si sós, demonstram a complexidade da atenção à saúde da pessoa idosa na saúde da família, mormente se considerarmos que as competências exigidas para esse cuidado ainda não fazem parte dos processos de formação dos distintos sujeitos que hoje integram as equipes. Conclusão: O novo paradigma de saúde para a atenção às pessoas idosas que busque avaliá-las multidimensionalmente a partir de suas capacidades funcionais ainda não se constitui em estratégia, neste município, que seja capaz de transformar o modelo tecnoassistencial da rede básica de saúde em um modelo mais amplo e complexo, que possa interferir na qualidade de vida delas e reafirmar o compromisso com o cuidado individual e a saúde coletiva. Portanto, se houve avanço na proposta de universalização do acesso e integralidade do cuidado em saúde na base do SUS pelo viés jurídico-institucional, esse mesmo avanço não se fez acompanhar de ações efetivas na saúde da família, pois, os impasses persistem nessa Estratégia, para que haja a implementação de ações de promoção e proteção à saúde da pessoa idosa e ao envelhecimento ativo, saudável e autônomo, na atual conjuntura da sociedade brasileira, marcada pelas iniquidades sociais.

In der ökonomischen Forschung wird eine Vielzahl von Strategien verwendet, um zu versuchen kausale Schlussfolgerungen aus Beobachtungsdaten zu ziehen. Neue Strömungen in der Literatur zu kausaler Inferenz konzentrieren sich auf die Kombination von Methoden zur Vorhersage und kausalen Fragestellungen. Diese neuen Methoden ermöglichen es neue Forschungsfragen zu beantworten und bieten die Möglichkeit bestehende Forschungsfragen in der Literatur neu zu adressieren. Diese Dissertation umfasst empirische Arbeiten in den Bereichen (i) Umweltökonomie: Ich evaluiere die Preispolitik für Abfälle mithilfe der “synthetic control” Methode und Methoden des maschinellen Lernens; (ii) Arbeits- und Migrationsökonomie: Ich identifiziere und quantifiziere nicht gemeldete landwirtschaftliche Arbeitsleistung, die durch einen plötzlichen Migrationszustrom verursacht wird; (iii) Konfliktökonomie: Ich analysiere die wirtschaftlichen Kosten eines hybriden Krieges, des Donbass-Krieges in der Ukraine. Der Beitrag dieser Dissertation zur bestehenden Literatur ist dreifach. Erstens kombiniere ich neuartige Datenquellen und stelle neue Datensätze bereit. Zweitens verwende ich moderne Evaluierungsmethoden und passe sie an, um politisch relevante kausale Parameter in verschiedenen Bereichen der ökonomischen Forschung abzuschätzen. Drittens vergleiche ich neuere mit traditionellen ökonometrischen Ansätzen, die zuvor in der Literatur verwendet wurden. Meine Dissertation zeigt, dass moderne ökonometrische Techniken vielversprechend sind, um die Genauigkeit und Glaubwürdigkeit von kausalen Schlussfolgerungen und die Evaluierung von Politikmassnahmen zu verbessern. / In economics, researchers use a wide variety of strategies for attempting to draw causal inference from observational data. New developments in the causal inference literature focus on the combination of predictive methods and causal questions. These methods allow researchers to answer new research questions as well as provide new opportunities to address older research question in the literature. This dissertation entails empirical work in the fields of (i) environmental economics: I evaluate waste pricing policies using synthetic controls and machine learning methods; (ii) labor and migration economics: I identify and quantify unreported farm labor induced by a sudden migrant inflow; (iii) conflict economics: I evaluate the economic costs of an hybrid war, namely, the Donbass war in Ukraine. The contribution of this dissertation is threefold. First, I combine novel data sources and provide unique datasets. Second, I apply and tailor modern evaluation methods to the estimation of policy-relevant causal parameters in various fields of economics. Third, I compare recent versus traditional econometric approaches previously employed by the literature. My dissertation shows that modern econometric techniques hold great promise for improving the accuracy and credibility of causal inference and policy evaluation.

Modern agriculture is causing a wide range of environmental problems. By regulating the agricultural sector, human societies try to find a balance between enabling the production of food and public goods and preventing negative consequences for the environment. In the European Union this is mainly achieved through the Common Agricultural Policy (CAP). Since many of the environmental indicators are still showing negative trends, an ongoing evaluation and adaptation of the policy instruments included in the CAP is asked for. At the same time, the field of policy evaluation is more and more incorporating a behavioral economic perspective on human behavior, one that deviates from the homo oeconomicus model that has long dominated research in this area. This thesis presents a study on “Behavioral Economics of Agri-Environmental Policies” by combining themes from agricultural and environmental economics with methods and perspectives from behavioral and experimental economics. It thereby contributes to the emerging field of behavioral agricultural economics. Specifically, it aims to shed light on the behavioral drivers of pro-environmental decisions of farmers and how these insights can be used to evaluate and adapt the CAP. With a lab-in-the-field experiment with farmers from Lower Saxony in Germany, an influence of the framing of the farmers’ societal role, their self-identity, as well as control aversion and feelings of warm glow on farmers’ behavior was uncovered. From a policy perspective, the results of this thesis provide a case for the continued use of both mandatory and voluntary policy instruments. Furthermore, with a Principal Components and Cluster Analysis, a multi-facetted picture of different farmer self-identities prevalent in the sample population was revealed. Based on a literature review, the thesis also provides an analysis of how behaviorally-informed interventions might increase the environmental performance of the CAP in the future.

韓国の認知症政策の取り組みを総合的にまとめている「第3次痴呆管理総合計画(2016～2020)」を研究対象とし，認知症高齢者が生活するうえで抱えているニーズがどれだけ反映されているかと，計画によって実施されている取り組みの状況を，セオリー評価の理論枠組みを用いて検討した．計画の見直しのため，従来の実績測定中心の評価から脱却し，認知症者の視点からプログラムの妥当性を実証的に明らかにしたものである． / Research on the "Third Dementia Management Comprehensive Management Plan (2016 - 2020)" that comprehensively summarizes the efforts of Korean dementia policy and reflects the needs that elderly people with dementia have in their lives and the situation of the efforts being implemented by the plan was examined by using the theory framework of theory evaluation. In order to revise the plan, I excluded the evaluation centered the conventional performance measurement and empirically clarified the validity of the program from the perspective of elderly people with dementia. / 博士(社会福祉学) / Doctor of Philosophy in Social Welfare / 同志社大学 / Doshisha University

為深入瞭解「電子化政府」及ICT應用等相關方案對行政治理之影響，本研究檢視有關ICT應用與社會及公共行政發展之文獻，並以歷史分析之途徑，探討我國推動「電子化政府」之演進，並以「經濟部國際貿易局(以下簡稱國貿局)」為個案研究的對象，探討「電子化政府推動方案」，以及ICT應用方案之實施情形與經驗，以瞭解將ICT運用於公共行政系絡之整體背景與意義；並輔以問卷調查方式，調查行政人員實際運用ICT處理公共事務之現象，以評估公部門所推動之電子化政府計畫之成效，以及ICT應用對行政效能之影響；最後，歸納各項研究發現，陳述本研究之理論及實務意涵，並提供我國未來推動「電子化政府」計畫之建議。 本研究經綜合所獲得的證據後，認為ICT及其應用與當代社會及公共行政發展的關係，並非如「科技決定論」論述所接櫫的單一線性因果關係，認為僅需直接將ICT導入公共事務活動上，即能自動地出現新形態的治理關係與行政實務活動。事實上，ICT及其應用之發展與結果，係一複雜的「社會建構」過程（Bekkers, 1996）。在此一過程中，「ICT應用」與「行動者之認知」及所處之「社會系絡」進行互動；「社會系絡」框架出ICT及其應用的參考架構，並賦與ICT適當的社會意義，：「行動者之認知」則展現其對於ICT之理解與知覺；ICT應用不僅反映出所處系絡的權力、意義與文化價值等社會安排，並成為該體系「維持」及「再生產」的手段。故各類「ICT應用」之態樣，實為在特定社會系絡影響下，行動者之心智模式的一種「再現」。換言之，科技及其應用僅為僅為互動過程之因素之一，並非宰制性的力量。 本文認為ICT應用於公共事務所能產生的影響，係取決於科技應用之社會系絡及其價值與意義。將資訊科技導入公共事務活動上，本身並無法自行出現新型態的治理關係與行政實務，電子化政府的新型態治理與公共行政之發展，仍需透過對於社會正義、民主、自由及人道等價值之反思，役使資訊科技滿足人類與社會發展及成長之需求。

本研究は，就学前児童の親における「次世代育成支援対策推進政策に対する認知的評価」と「社会福祉関連QOL」の関係を明らかにすることを目的とした．政策評価における課題を整理し，プログラム評価，特にロジックモデル評価に焦点を当てた．大中小3都市の1,583名分のデータを用い，アウトカム指標を開発し，政策のロジックモデルを評価した．地域・性別ごとの分析も実施し，就学前児童の親の視点によるアウトカム・インパクトを効果的・効率的に高める政策に関する知見を得た． / The purpose of this study was to clarify the relationship between "cognitive appraisal of the policy on Advancement of Measures to Support Raising Next-Generation Children" and "social welfare related quality of life" of preschool children's parents. I organized the issues in policy evaluation and focused on program evaluation, especially logic model evaluation. I used 1,583 data of preschool children's parents in three large, medium and small cities and evaluated the logic model of the policy using the developed outcome and impact indicators. I also analyzed by region and gender, and gained knowledge on measures to effectively/efficiently enhance the outcome and the impact from the viewpoint of the parents. / 博士(社会福祉学) / Doctor of Philosophy in Social Welfare / 同志社大学 / Doshisha University