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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
451

L'Afrique face aux défis de l'économie post-pétrole : du rôle des institutions financières de développement dans la promotion des énergies renouvelables / Africa facing the challenges of the post-oil economy : the role of development financial institutions in promoting renewable energy

Masra, Succès 30 September 2016 (has links)
En 2015, lors de la COP21, à l’occasion de l’accord global sur le climat de Paris, l’Afrique s’est engagée sous le Leadership du Groupe de la Banque Africaine de Développement (BAD) et de ses autres Partenaires Techniques et Financiers, à installer à l’horizon 2030 une capacité de 300 GW d’énergies renouvelables. Cet ambitieux objectif de l’Initiative Africaine pour les Energies Renouvelables (AREI) dont la BAD est agence d’exécution, vient compléter son engagement sur la décennie 2005- 2015, qui a permis de faire passer la part des énergies renouvelables de 4% à 20% de son portefeuille. Et pourtant, l’Afrique reste le continent qui, malgré son fort potentiel en énergies renouvelables (solaire :10 TW ; hydroélectrique : 350 GW ; éolien :110 GW, et géothermie : 15 GW), a 2/3 de sa population (645 millions) sans accès aux sources modernes d’énergie (BAD, 2016).C’est dans ce contexte d’urgence d’une part et de besoin de solutions durables d’autre part que notre thèse, en s’appuyant sur des projets structurants d’énergie renouvelables instruits et suivis sur la période 2010-2015 comme Economiste Principal de l’Energie au sein de la BAD, a consisté à analyser comment la BAD, en tant que première Institution Africaine de financement du développement couvrant les 54 pays africains, peut-elle mieux appuyer l’Afrique à faire face aux défis de l’économie post-pétrole grâce à une promotion plus efficace des énergies renouvelables. Cette analyse, normative, nous a permis d’aboutir à une double série de recommandations à la fois internes et externes à la BAD, dans la perspective d’une amélioration de l’efficacité de l’aide publique au développement drainée par cette Institution. / In 2015, during the COP 21, on the occasion of the global climate agreement in Paris, Africa committed under the Leadership of the African Development Bank Group (AfDB) and its other technical and financial partners, to install a capacity of 300 GW of renewable energy by 2030. This ambitious target set in the framework of the African Renewable Energy Initiative (AREI) for which AfDB is the executing agency, completes its commitment of the decade 2005-2015, which permitted it to increase the share of renewable energy from 4% to 20% of its energy portfolio. Yet, Africa remains the continent which, despite its strong renewable energy potential (10 TW of solar, 350 GW hydroelectric, 110 GW wind and 15 GW of geothermal potential), is paradoxically characterized by two third of its population (645 millions) without access to modern energy sources (AfDB, 2016). It is in this context of energy emergency in one hand and the need for sustainable energy solutions on the other hand, that our thesis, based on renewable energy projects designed or implemented as Principal Energy Economist within the AfDB over the period 2010-2015, analyzes how AfDB, as the first African Development Financing Institution covering the 54 African countries, can assist this continent to better meet the challenges of the post-oil economy, through a more effective development of renewable energy. This analysis, essentially normative, allows us to achieve a double set of recommendations both internal and external to the AfDB in the perspective of enhanced effectiveness of Official Development Aid channeled by this institution, from the specific angle of the promotion of renewable energy.
452

Essais sur les déterminants et les conséquences macroéconomiques du développement du secteur d’assurance dans les pays en développement / Essays on the macroeconomic determinants and consequences of the development of insurance sector in developing countries

Sawadogo, Relwendé 06 September 2016 (has links)
La présente thèse est composée d’un ensemble de travaux de recherche en économie appliquée qui s’inscrivent dans le champ contemporain de l’économie de l’assurance. La thèse s’interroge sur comment les pays en développement pourraient développer davantage le secteur d’assurance afin de bénéficier des effets sur l’économie domestique. La première partie de la thèse analyse les déterminants macroéconomiques du développement du secteur d’assurance. Premièrement, les résultats montrent que l'augmentation du revenu par habitant conduit à une augmentation des primes d'assurance-vie et l’assurance-vie est un bien de luxe en Afrique Subsaharienne (chapitre 2). On trouve également des preuves que l’impact marginal du revenu dépend de la qualité de l'environnement juridique et politique. Deuxièmement, l’analyse de l’effet des IDE montre que, ceux-ci constituent un facteur clé dans l'augmentation des primes d'assurance non-vie à la fois dans les pays d’Afrique Subsaharienne (ASS) et dans les autres pays en développement (chapitre 3). Troisièmement, les activités d’assurance-vie et bancaire sont substituables en ASS, cependant les résultats indiquent une causalité unidirectionnelle allant du crédit bancaire au secteur privé vers le développement des activités d’assurance-vie (chapitre 4). La deuxième partie de la thèse analyse l’impact du développement du secteur d’assurance sur l’économie des pays en développement. Premièrement, il apparaît que le développement de l'assurance-vie a un effet positif sur la croissance économique dans les pays en développement d'une part et d'autre part, l’effet marginal de l’assurance-vie est influencé par les caractéristiques structurelles des pays (chapitre 5). Les primes d'assurance augmentent de façon significative la valeur des titres négociés sur le marché financier aussi bien avant et après la crise de 2007(chapitre 6). Troisièmement, la thèse a montré qu’il existe une relation à long terme entre le développement de l’assurance non-vie et l’ouverture commerciale et que les primes d'assurance non-vie améliorent l'ouverture au commerce international aussi bien dans les pays en développement que spécifiquement dans les pays à faible et moyen revenu (chapitre 7). / This thesis is composed of a set of research in applied economics that enroll in the contemporary field of economics of insurance. The thesis analyses how developing countries could develop more the insurance sector and benefit from these effects on local economy. The first part explored the determinants of insurance development from a macroeconomic perspective. First, the results show that increase of income per capita leads to an increase in life insurance premiums and that life insurance is a luxury commodity in Sub-Saharan Africa (chapter 2). We also find evidence that the marginal impact of income varies according to the quality of legal and political environment. Second, analysis of effect of the FDI inflows shows that these are a key factor in increase of non-life insurance premiums in countries of Sub-Saharan Africa (SSA) and in other developing countries (chapter 3). In chapter 4, the results highlighted that the activities of life insurance and banking are substitutable in SSA and, however, there is presence of unidirectional causality running from real private credit density to life insurance and insurance density. The second part of the thesis has analysed effect of development of insurance sector on economy in developing countries. First, it appears that the development of life insurance has a positive effect on economic growth on the one hand and on the other hand marginal effect of life insurance is influenced by the structural characteristics of countries (chapter 5). In chapter 6, the results showed that the insurance premiums significantly increase stock market value traded, before as well and after the 2007's economic crisis. Finally, the thesis showed that there is a long term relationship between the development of non-life insurance and trade openness and that non-life insurance premiums improve openness to international trade as well in developing countries than specifically in low and middle income countries (chapter 7).
453

Projekty spolupráce soukromého a veřejného sektoru (PPP) v zemích Visegrádské čtyřky / PPP (Public Private Partnership) Projects in the countries of Visegrad Four

Slánská, Marie January 2008 (has links)
The diploma thesis is concerned with the problems of PPP projects (Public Private Partnership) in the countries of Visegrad Four. The term PPP can be understood as a cooperation of public and private sector. The principal aim of cooperation is to ensure public infrastructure and services. First part of thesis characterizes coutries of Visegrad Four, explains principles and benefits of PPP and informs about main countries and sectors in which PPP projects are realized. The core of the thesis is the fourth chapter which analyzes and evaluates V4 coutries on the basis of several criteria (legislation, institutional support, methodics and realized projects) and attempts to find out if those criteria influence the implementation and number of PPP projects in V4. Final part points out that PPP projects can be helpful for states in times of financial crisis to finance services or infrastructure if they do not have enough money.
454

Projekt Partnerství veřejného a soukromého sektoru / Project of Public Private Partnership

Klouda, Lukáš January 2012 (has links)
This thesis is about the problems of PPP projects. These are the projects, whose realization is based on the partnership of the private and public sector. This way brings new possibilities how is building and management of public infrastructure more effective. In theoretical part the basic information concerning the problems of PPP projects is described, its advantages and disadvantages, basic characters and principles. In this thesis is described actual state of PPP projects in the Czech Republic. In practical part the thesis is about specific concession project, whose realization is considered. It is the project of construction and operation of cableway to Spilberk Castle. Within this part at first the entrance data for financial models have been found, after that the financial models have been count and the analysis of sensitivity has been finished. In conclusion the evaluation of project has been done and there was the recommendation how to realize the project.
455

The role of university-industry-government relationship in cluster development : the case of MSC Malaysia

Mohd Yusof, Zatun Najahah January 2013 (has links)
Malaysia is a transition economic country that aims to be a developed country by 2020. In realising this mission (Vision 2020), the cluster concept has been an interest and adopted by the central authorities. There are few years ahead to reach the targeted year and it interest of this study to investigate the relevant development on its own engineered cluster of the Multimedia Super Corridor (MSC) that was put forward on the success of Silicon Valley in the US. This thesis focuses on the development of the MSC cluster in the Malaysia context. It examines and measures the state of the cluster, the role played by its core actors (from Triple Helix perspective) and their relationship in the MSC. The role of collaboration has been used to measure the relationship among actors with the key determinants of cluster formation. A mixed data collection method was used to answer the research question and objectives involved. A conceptual model for analysing the MSC cluster is proposed, bringing together insights from the literature on clusters, role of actors, collaborative relationship and the complex systems of innovation approach. This conceptual model uncover the weaknesses of social dimension (social infrastructure) in Porter’s diamond model and the general approach of Triple Helix model in the cluster development. The cluster lifecycle model is used to add the depth to the analysis on the condition of cluster development.
456

Análise de um processo em construção: a regulação da saúde suplementar no Brasil / Analysis of a process in construction: the regulation of the supplementary health system in Brazil

Mascarenhas, Neil Patrick 31 August 2007 (has links)
Trata-se de uma pesquisa qualitativa composta por análise bibliográfica categorial com foco em reforma do Estado e regulação, por um levantamento da estrutura do mercado e das atas de reunião da Câmara de Saúde Suplementar (CSS) e por entrevistas semi-estruturadas com os principais atores desta câmara, buscando entender posicionamentos e principais pontos em debate, construindo um quadro de referência do setor, visando identificar sucessos e lacunas do processo. A pergunta central é até que ponto a regulação, a partir do modelo de agência adotado no Brasil para o setor de saúde suplementar, não estaria atingindo os objetivos propostos quando da sua criação, ou seja, de defender o interesse público na assistência suplementar à saúde. O mercado de saúde suplementar é composto por 36,9 milhões de beneficiários de planos de saúde em 2006 representando 19,6% da população brasileira. Apesar do seu tamanho e da relação público-privada que permitiu seu desenvolvimento ao longo do século passado ocorreu à margem de um regramento oficial até 1998, com a promulgação das Leis 9.656/98 e 9.961/00, esta última criando a ANS, estendendo o processo de reconfiguração do papel do Estado para o setor de saúde. Entre 01/2000 e 12/2006 a ANS realizou 25 consultas públicas (4,2 consultas ao ano em média), destas 11 trataram de temas financeiros; enquanto questões cadastrais, de definição de produtos e de contratualização foram temas de três consultas cada. Neste mesmo período a ANS emitiu 790 normativos, uma média de 113 normativos por ano. A comparação entre consultas públicas e normativos sugere uma pequena participação externa à agência no processo de regulação. Desde sua criação em 1998 até 09/2006 a CSS se reuniu 44 vezes, considerando presença relativa (ponderada pelo número de convocações) as representações mais presentes foram: prestadores de serviço, medicinas de grupo, seguradoras, reguladores (ANS) e consumidores com 100%. No pólo inverso foram identificados: trabalhadores, governo e gestores com menos de 55% de presença relativa, sugerindo o grau de importância que cada grupo de representação confere à CSS, seja como fórum de debate ou espaço para disseminação de suas posições. Nestas reuniões foram pautados 129 temas, com predominância daqueles ligados a característica e estrutura da regulamentação (35% dos temas), apresentações da ANS (13% das pautas) e programas da ANS (9% dos temas). Temas como a avaliação da ANS pelos atores e discussão quanto a lacunas no processo de regulação, embora pareçam cruciais para a adequação do modelo, foram tratados apenas uma vez cada. Adicionalmente, a elaboração por parte dos atores da CSS de documentos para discussão foi tema em apenas duas das 129 pautas. As entrevistas com os atores da CSS revelam que há consenso quanto a Reforma do Estado ser a origem da regulação via agência, porém discute-se sua autonomia, distanciamento do controle social do SUS, falta de integração com políticas do Ministério da Saúde, interfaces entre os sistemas público e privado, renúncia fiscal, subordinação entre SUS e sistema suplementar, efetividade dos contratos préregulação e participação (ou interferência) do Judiciário no processo. A maioria das xv representações discute saúde suplementar desde o inicio dos anos 90, sofrendo o desgaste em função do longo período de participação e dos resultados aquém dos esperados. A composição heterogênea, não paritária e o caráter consultivo da CSS dificulta a construção do entendimento. A baixa participação de governo, trabalhadores e gestores e a discussão prévia entre ANS e MS dos assuntos relevantes corroboram com a avaliação de baixa produtividade dada à CSS. Há consenso pela busca de sustentabilidade do mercado, mas com divergências quanto às alternativas para atingi-la, com posicionamentos antagônicos quanto a incentivos fiscais, ressarcimento ao SUS, volume de lucro aceitável e metodologia de apuração dos reajustes de preços. Os gargalos apontados pelos atores foram sistemas e recursos humanos, falta de integração entre as diretorias da agência e o volume de normativos, que são apontados como fatores de lentidão e incremento de custos no processo regulatório. Ressaltam ainda a necessidade de maior participação da sociedade e transparência. São reconhecidos poucos sucessos (definição de produtos, direitos e cobertura, saneamento do mercado e programas de qualificação e troca de informação) e diversas lacunas (adequação do marco regulatório, integração interna da ANS, incorporação do prestador de serviços no campo regulado e integração com o SUS). Conclui-se que a regulação em saúde suplementar atingiu uma fase em que nenhum ator está satisfeito, mesmo entendendo ser este um processo em construção e dadas as divergências de interesses e limitações do fórum de discussão, a construção de consensos via CSS é complexa podendo não ocorrer. Adicionalmente, os posicionamentos e lacunas da agência no processo não permitem enxergá-la como efetiva defensora do interesse público em saúde suplementar. / This qualitative research is composed by a bibliographical analysis focused on state reform and regulation, the market structure analysis, the Câmara de Saúde Suplementar (CSS) meeting minutes analysis and by semi-structured interviews with CSS actors understanding positioning, discussion points, identifying successes and lacking points of the process. The objectives of this thesis are build a frame of reference for the supplementary health market, through a statistical analysis including analysis of the CSS meeting minutes, of the public consultations and rules issued by ANS; as well as analyzing the impacts of regulation on the several groups of interest represented in the CSS, discussing amplitude and range of regulation and questioning ANS mission achievement, as public interest defender in this market. The Brazilian supplementary health market assists 36.9 million beneficiaries, according to 2006 s data, which represents 19.6% of the population. Despite its size and the public-private relationship which allowed its growth since the beginning of last century, it remained unregulated until 1998. Regulatory activity was undertaken by ANS in 2000, extending State role reconfiguration concept to health field. Between 01/2000 and 12/2006 ANS called 25 public consultations (4.2 per year), from which 11 dealt with financial subjects, while masterfile, product definitions and contractualization were subject of 3 consultations each. During this period ANS issued 790 rules, an average of 113 per year. The comparison between the number of public consultations and of rules issued suggests small external participation. Since its creation in 1998 until 09/2006, CSS held 44 meetings. Considering relative participation, the most present representations were service providers, health maintenance groups, insurers, regulators and consumers with 100% of presence. On the other hand health workers, government and public health managers were present to less than 55% of the meetings, suggesting the relative importance given to CSS by each representation. During these meetings 129 different subjects were discussed. Main topics covered were regulation characteristics and structure (35%), ANS presentations (13%) e ANS programs (9%). Subjects as ANS evaluation and lacking points discussion, despite seeming crucial were dealt only once each. Additionally discussion of documents prepared by CSS actors took place only twice. Interviews seeked for actor s positioning on regulation model, were consensus resides on agency origin from state reform process, but autonomy, distance from SUS social control, lack of integration with Health Ministry policies, public and private systems interfaces, tax relieves, subordination of private system to SUS, effectiveness of preregulation contracts and Justice interference in the process are still points of discussion. The majority of representants have being discussing private health issues since the beginning of the 90s, suffering from the stress of long participation with limited results. The uneven composition and consulting status of the CSS are obstacles towards build understanding. Government s, health workers and public health managers low participation in CSS and pre-meeting discussions of relevant xvii subjects between ANS and MS, induce to a low productivity appraisal of CSS. Pursue sustainability seems to be a consensus, although ways to achieve this are discrepant, varying from definition of new fiscal incentives and reimbursement to SUS policy to definition of admited profit margins. ANS s evaluation by actors indicate botlenecks in IT and human resources, lack of integration within the agency s directorships and the amount of rules issued all of with contribute to increase costs and delay the regulatory process. Transparency and participation on decision processes are also claimed for. Few success examples are identified (product, rights and coverage definition, market clearing and implementation of quality programs) and several lacking points are indicated (adequacy of the regulatory base, internal integration, inclusion of the service providers in the regulated field and integration with SUS). Conclusions indicate that regulation has achieved a stage were none of the actors are satisfied, even recognizing that this is still a process in construction, and given the interest discrepancies between actors and limitations of the discussion arena, build consensus via CSS is complex and may not happen. At the same time, the number of lacking points in the regulation process show the distance for ANS to achieve its mission, and therefore do not allow see ANS as effective public interest defender in this market.
457

The quantification of medical waste from the point of generation to the point of disposal: case studies at three private hospitals in Pretoria

Heunis, Louis Barend 11 1900 (has links)
The South African Waste Information System (SAWIS) was developed by the Department of Environmental Affairs and Tourism (DEAT) in 2005. This is a system used by government and industry to capture routine data on the tonnages of waste generated, recycled and disposed of in South Africa on a monthly and annual basis. All waste producers and waste management organisations should contribute to this national waste database and should accurately monitor the types and quantities of waste produced and handled. According to DEAT (2006) the need for Data verification is important. DEAT (2006:59) defined the term Data Verification as: "assessing data accuracy, completeness, consistency, availability and internal control practices that serve to determine the overall reliability of the data collected." The aim of the study is to determine a procedure, as well as the nature and extent of internal and external source documents, which could be used in the reconciliation of medical waste quantities from generation to disposal. The key objectives are to determine whether the selected hospitals keep internal records of the quantities of medical waste generated; to reconcile the waste quantities on the internal records with the external records, such as the collection certificates, invoices and waste incineration certificates; to ascertain whether the quantity of medical waste generated is equal to the quantity of waste incinerated and disposed of to determine the ratio factor between the quantity of medical waste before incineration and the quantity of the residue (ashes) after incineration, and to make recommendations on the reconciliation of waste quantities from the point of generation to the point of disposal. The results of the study indicate that the destruction certificate is the proof that the waste that was on-site collected by the service provider has been disposed /treated. Especially as an internal control measure. The health care risk waste (HCRW) management record keeping of quantities of weight as per Hospital A, Hospital B and Hospital C allows the opportunity to analyse the weight per month and per Hospital and per category and to make comparisons. The weakness or the gap however still exist that the waste is not weighed at the point of origin, but at the point where the waste service provider collects the waste onsite. It is from this point onwards that the service level agreement between the hospital and the waste service provider and the document management system and the tracking receipt and the waste collection documents (WCD) becomes relevant and where the quantities of waste per category are for the first time recorded. The hypothesis as stated in Chapter 1 was proven valid. The study concludes that reconciliation and comparison between the collection certificate and the destruction certificate and the monthly invoice is therefore possible, but the risk of mixing of waste and the understating or overstating of waste quantities is still not overcome. / Environmental Sciences / M. Sc. (Environmental management)
458

Análise de um processo em construção: a regulação da saúde suplementar no Brasil / Analysis of a process in construction: the regulation of the supplementary health system in Brazil

Neil Patrick Mascarenhas 31 August 2007 (has links)
Trata-se de uma pesquisa qualitativa composta por análise bibliográfica categorial com foco em reforma do Estado e regulação, por um levantamento da estrutura do mercado e das atas de reunião da Câmara de Saúde Suplementar (CSS) e por entrevistas semi-estruturadas com os principais atores desta câmara, buscando entender posicionamentos e principais pontos em debate, construindo um quadro de referência do setor, visando identificar sucessos e lacunas do processo. A pergunta central é até que ponto a regulação, a partir do modelo de agência adotado no Brasil para o setor de saúde suplementar, não estaria atingindo os objetivos propostos quando da sua criação, ou seja, de defender o interesse público na assistência suplementar à saúde. O mercado de saúde suplementar é composto por 36,9 milhões de beneficiários de planos de saúde em 2006 representando 19,6% da população brasileira. Apesar do seu tamanho e da relação público-privada que permitiu seu desenvolvimento ao longo do século passado ocorreu à margem de um regramento oficial até 1998, com a promulgação das Leis 9.656/98 e 9.961/00, esta última criando a ANS, estendendo o processo de reconfiguração do papel do Estado para o setor de saúde. Entre 01/2000 e 12/2006 a ANS realizou 25 consultas públicas (4,2 consultas ao ano em média), destas 11 trataram de temas financeiros; enquanto questões cadastrais, de definição de produtos e de contratualização foram temas de três consultas cada. Neste mesmo período a ANS emitiu 790 normativos, uma média de 113 normativos por ano. A comparação entre consultas públicas e normativos sugere uma pequena participação externa à agência no processo de regulação. Desde sua criação em 1998 até 09/2006 a CSS se reuniu 44 vezes, considerando presença relativa (ponderada pelo número de convocações) as representações mais presentes foram: prestadores de serviço, medicinas de grupo, seguradoras, reguladores (ANS) e consumidores com 100%. No pólo inverso foram identificados: trabalhadores, governo e gestores com menos de 55% de presença relativa, sugerindo o grau de importância que cada grupo de representação confere à CSS, seja como fórum de debate ou espaço para disseminação de suas posições. Nestas reuniões foram pautados 129 temas, com predominância daqueles ligados a característica e estrutura da regulamentação (35% dos temas), apresentações da ANS (13% das pautas) e programas da ANS (9% dos temas). Temas como a avaliação da ANS pelos atores e discussão quanto a lacunas no processo de regulação, embora pareçam cruciais para a adequação do modelo, foram tratados apenas uma vez cada. Adicionalmente, a elaboração por parte dos atores da CSS de documentos para discussão foi tema em apenas duas das 129 pautas. As entrevistas com os atores da CSS revelam que há consenso quanto a Reforma do Estado ser a origem da regulação via agência, porém discute-se sua autonomia, distanciamento do controle social do SUS, falta de integração com políticas do Ministério da Saúde, interfaces entre os sistemas público e privado, renúncia fiscal, subordinação entre SUS e sistema suplementar, efetividade dos contratos préregulação e participação (ou interferência) do Judiciário no processo. A maioria das xv representações discute saúde suplementar desde o inicio dos anos 90, sofrendo o desgaste em função do longo período de participação e dos resultados aquém dos esperados. A composição heterogênea, não paritária e o caráter consultivo da CSS dificulta a construção do entendimento. A baixa participação de governo, trabalhadores e gestores e a discussão prévia entre ANS e MS dos assuntos relevantes corroboram com a avaliação de baixa produtividade dada à CSS. Há consenso pela busca de sustentabilidade do mercado, mas com divergências quanto às alternativas para atingi-la, com posicionamentos antagônicos quanto a incentivos fiscais, ressarcimento ao SUS, volume de lucro aceitável e metodologia de apuração dos reajustes de preços. Os gargalos apontados pelos atores foram sistemas e recursos humanos, falta de integração entre as diretorias da agência e o volume de normativos, que são apontados como fatores de lentidão e incremento de custos no processo regulatório. Ressaltam ainda a necessidade de maior participação da sociedade e transparência. São reconhecidos poucos sucessos (definição de produtos, direitos e cobertura, saneamento do mercado e programas de qualificação e troca de informação) e diversas lacunas (adequação do marco regulatório, integração interna da ANS, incorporação do prestador de serviços no campo regulado e integração com o SUS). Conclui-se que a regulação em saúde suplementar atingiu uma fase em que nenhum ator está satisfeito, mesmo entendendo ser este um processo em construção e dadas as divergências de interesses e limitações do fórum de discussão, a construção de consensos via CSS é complexa podendo não ocorrer. Adicionalmente, os posicionamentos e lacunas da agência no processo não permitem enxergá-la como efetiva defensora do interesse público em saúde suplementar. / This qualitative research is composed by a bibliographical analysis focused on state reform and regulation, the market structure analysis, the Câmara de Saúde Suplementar (CSS) meeting minutes analysis and by semi-structured interviews with CSS actors understanding positioning, discussion points, identifying successes and lacking points of the process. The objectives of this thesis are build a frame of reference for the supplementary health market, through a statistical analysis including analysis of the CSS meeting minutes, of the public consultations and rules issued by ANS; as well as analyzing the impacts of regulation on the several groups of interest represented in the CSS, discussing amplitude and range of regulation and questioning ANS mission achievement, as public interest defender in this market. The Brazilian supplementary health market assists 36.9 million beneficiaries, according to 2006 s data, which represents 19.6% of the population. Despite its size and the public-private relationship which allowed its growth since the beginning of last century, it remained unregulated until 1998. Regulatory activity was undertaken by ANS in 2000, extending State role reconfiguration concept to health field. Between 01/2000 and 12/2006 ANS called 25 public consultations (4.2 per year), from which 11 dealt with financial subjects, while masterfile, product definitions and contractualization were subject of 3 consultations each. During this period ANS issued 790 rules, an average of 113 per year. The comparison between the number of public consultations and of rules issued suggests small external participation. Since its creation in 1998 until 09/2006, CSS held 44 meetings. Considering relative participation, the most present representations were service providers, health maintenance groups, insurers, regulators and consumers with 100% of presence. On the other hand health workers, government and public health managers were present to less than 55% of the meetings, suggesting the relative importance given to CSS by each representation. During these meetings 129 different subjects were discussed. Main topics covered were regulation characteristics and structure (35%), ANS presentations (13%) e ANS programs (9%). Subjects as ANS evaluation and lacking points discussion, despite seeming crucial were dealt only once each. Additionally discussion of documents prepared by CSS actors took place only twice. Interviews seeked for actor s positioning on regulation model, were consensus resides on agency origin from state reform process, but autonomy, distance from SUS social control, lack of integration with Health Ministry policies, public and private systems interfaces, tax relieves, subordination of private system to SUS, effectiveness of preregulation contracts and Justice interference in the process are still points of discussion. The majority of representants have being discussing private health issues since the beginning of the 90s, suffering from the stress of long participation with limited results. The uneven composition and consulting status of the CSS are obstacles towards build understanding. Government s, health workers and public health managers low participation in CSS and pre-meeting discussions of relevant xvii subjects between ANS and MS, induce to a low productivity appraisal of CSS. Pursue sustainability seems to be a consensus, although ways to achieve this are discrepant, varying from definition of new fiscal incentives and reimbursement to SUS policy to definition of admited profit margins. ANS s evaluation by actors indicate botlenecks in IT and human resources, lack of integration within the agency s directorships and the amount of rules issued all of with contribute to increase costs and delay the regulatory process. Transparency and participation on decision processes are also claimed for. Few success examples are identified (product, rights and coverage definition, market clearing and implementation of quality programs) and several lacking points are indicated (adequacy of the regulatory base, internal integration, inclusion of the service providers in the regulated field and integration with SUS). Conclusions indicate that regulation has achieved a stage were none of the actors are satisfied, even recognizing that this is still a process in construction, and given the interest discrepancies between actors and limitations of the discussion arena, build consensus via CSS is complex and may not happen. At the same time, the number of lacking points in the regulation process show the distance for ANS to achieve its mission, and therefore do not allow see ANS as effective public interest defender in this market.
459

Obchodování s lidmi: role EU v přístupech k problému v ČR a Belgii / Human trafficking: the role of the EU and the approaches to the problem in Czech Republic and in Belgium

Haniaková, Tereza January 2020 (has links)
This master thesis aims to unveil and examine the interplay between different actors in the fight against human trafficking. These are: the European Union, the Czech Republic and Belgium. A content (text) analysis of the primary sources gives the answers on how those actors work with the definition of human trafficking and to what extent the two member states implemented the EU Directive 2011/36/EU and other documents. In addition to conducting the content (text) analysis, creating a literature review and researching on different discourses linked to this phenomenon, this thesis include two semi-structured interviews with the representatives of the Czech Republic and Belgium. Those offer deeper insight into how those states form this fight in practice. They unveiled different aspects in their own approaches but also aspects that make their approach unique. This thesis examines also how the new strategy - the most important document framing the fight against human trafficking and the country's priorities - is adopted and what generally will those strategies include from the year 2020.
460

Exploring post-training supervisory support in enhancing transfer of training in the private sector

Krugel, Willem Frederik 28 April 2021 (has links)
The research describes how post-training supervisory support enhances training transfer in the private sector. Transfer of training principles were identified, after which the participants were interviewed to determine which transfer of training criteria were used by supervisors to enhance training in the work environment. The study population for this research was comprised of call centre supervisors and call centre agents from a company in the private sector in Gauteng Province, South Africa. The study methodology involved qualitative interviews and document reviews. Themes and sub-themes were identified from the data collected. The findings of the study reflected how post-training supervisory support enhances transfer of training. Recommendations were provided that could have a significant impact on organisations’ approach towards ensuring successful transfer of training to the work environment. Suggestions for further studies were made. The study concludes by suggesting a transfer of learning strategy aimed at enhancing transfer to the work environment that should be implemented by organisations. / Adult Basic Education (ABET) / M. Ed. (Adult Education)

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