A saúde é direito fundamental, garantidor da adequada formação, desenvolvimento e preservação da vida, pressuposto da dignidade da pessoa humana, com capacidade de influir para o qualificado desfrute dos demais direitos. Tanto assim que as ações e os serviços sanitários, na complexa realidade social e no campo constitucional, são reconhecidos como de relevância pública. Essas circunstâncias obrigam o Estado (gênero) a atuar diligentemente em prol da gestão, prestação e regulação desse direito, a fim de que possa ser assegurado de modo universal, equitativo e integral a todos. Ademais, justifica ser eficazmente protegido e operacionalizado mediante políticas públicas, a bem do interesse de cada indivíduo e da coletividade. Essa conjuntura, somada à necessidade de receber enfoque democrático, obriga que a tutela da saúde seja trabalhada através de postura transdisciplinar para a prevalência de justa resposta sanitária, em proximidade com a verdade e sem que o sistema jurídico e o microssistema jurídico-sanitário percam suas identidades no contato indispensável com outros sistemas. Tais aspectos reforçam a indispensabilidade de o Ministério Público funcionar como colaborador capaz de construtivamente proteger o direito à saúde. Todavia, a atuação da instituição em prol da saúde permanece aquém das obrigações constitucionais que lhe foram destinadas e abaixo das expectativas prevalentes no ambiente social. Por isso, não escapa de críticas e necessita adotar providências, no intuito de, concretamente, assegurar-lhe eficácia jurídica e social. Este trabalho objetiva contribuir para que a saúde pública e sua tutela através do Ministério Público sejam melhor compreendidas, organizadas, planejadas, estruturadas e executadas ainda no campo extrajudicial. Utiliza da fenomenologia, de fatores histórico-axiológicos, do rigor linguístico e do perspectivismo de José Ortega Y Gasset para alcançar esses propósitos. Propõe que o direito à saúde e as políticas correspondentes sejam tutelados pelo Ministério Público a partir: i) de seu atuar conjuntivo e cooperado; ii) da prática da humanização cidadã; iii) de postura baseada na ressignificação e reinicialização de seus atos; iv) do desempenho de funções setoriais e regionais; v) do reconhecimento e valorização de seus membros, quando intervirem de modo operoso; vi) da racionalização de seu agir; vii) da implantação e alimentação de banco de dados nacional e estaduais; viii) da definição de posições amparadas em ponderação criteriosa; ix) do funcionamento norteado pela resolutividade orientadora do sistema público de saúde e x) da busca de auxílio na biomimética, quando possível. / Health is a fundamental right, guarantor of adequate formation, development and preservation of life, a prerequisite for the dignity of the human person, with the capacity to influence the qualified enjoyment of other rights. So much so that health actions and services, in the complex social reality and in the constitutional field, are recognized as of public relevance. These circumstances oblige the State (gender) to act diligently for the management, provision and regulation of this right, so that it can be ensured in a universal, equitable and integral manner to all. In addition, they justify being effectively protected and operationalized through public policies, in the interests of each individual and the community. This conjuncture, coupled with the need to receive a democratic approach, obliges health care to be worked through transdisciplinary posture to the prevalence of a just health response, in close proximity to the truth, and without the legal system and the legal-sanitary micro-system losing their identities in the indispensable contact with other systems. These aspects reinforce the indispensability of the Ministério Público (Public Prosecution Service) to function as a collaborator capable of constructively protecting it. However, the institution\'s action in favor of health remains below of the constitutional obligations and down of expectations prevalent in the social environment. Therefore, it does not escape criticism and needs to take measures, in order to concretely ensure legal and social effectiveness. This work aims to contribute to public health and its your protection through the Ministério Público are better understood, organized, planned, structured and executed still in the extrajudicial field. It uses phenomenology, historical-axiological factors, linguistic rigor and the perspectivism of José Ortega Y Gasset to achieve these purposes. Proposes that the right to health and the corresponding policies be protect by the Ministério Público from: i) its your conjunctive and cooperative activity; ii) the practice of citizen humanization; iii) of posture based on the re-signification and reinitialization of its acts; iv) the performance of sectoral and regional functions; v) recognition and appreciation of its members, when they intervene in an efficient way; vi) the rationalization of its action; vii) the implantation and feeding of national and state database; (viii) the definition of positions supported by careful balancing; ix) the activity guided by resolutiveness advisor of the public health system and x) the search for biomimetic assistance, when possible.

The study aimed to investigate the implementation of customer care at the Casualty Department of Edenvale Regional Hospital in Gauteng Province. The research was conducted using a qualitative case study approach, which sought to gain deeper understanding of the impact of customer care in the hospital’s Casualty Department from the employees’ point of view. Data was collected from 16 purposively selected respondents using semi-structured interviews and document analyses were interpreted by the researcher to give voice and meaning to the assessment topic. Data was analysed using the Content Analysis framework and six themes emerged from the data analysis: (1) High expectation levels from the community; (2) Quality of patient care; (3) Lack of resources; (4) Malfunctioning equipment; (5) Compromised safety and security; (5) Strategies to improve customer care; and (6) The effect of policies and guidelines on the quality of services rendered. The study revealed that the surrounding community that is served by the Edenvale Hospital’s Casualty Department had high expectations which the hospital was unable to meet because of the many limitations, especially resource constraints. The issues and difficulties associated with overcrowding in the emergency section were raised by respondents, who reported several challenges experienced in the hospital. These included patients sleeping on floor mattresses and even on stretchers, inadequate beds, shortage of staff, malfunctioning equipment and lack of sufficient infrastructure. These challenges resulted in long waiting periods for patients to be given open beds in the wards, bad attitudes from both patients and employees alike, poor communication among staff and patients and their families, and an unsafe environment for the staff and customers (patients). There is hence a need for the Gauteng Health Department together with the hospital management to review resources allocated to the Edenvale Regional Hospital and to increase awareness among the community about the operations of the level 2 hospitals such as this. / Public Administration / M. P. A.

Ces dernières années, le contexte concurrentiel a démontré la nécessité de réformer la politique portuaire française. C’est ainsi que la réforme portuaire issue de la loi n°2008-660 du 4 juillet 2008 a créé les grands ports maritimes. Le modèle du « landlord port », autrement dénommé port propriétaire/aménageur, a été consacré en France. Le grand port maritime voit ses activités recentrées sur ses missions régaliennes, ses missions d’exploitation ayant été transférées aux opérateurs privés portuaires. Face aux contraintes domaniales, issues du droit administratif, les grands ports maritimes ont dû valoriser leur domaine portuaire en attirant les investisseurs privés et en développant leurs activités avec leur « hinterland ». Le partenariat public/privé est donc la solution pour améliorer la compétitivité des grands ports maritimes. Si du point de vue juridique, l’autorité portuaire est en position « dominante » par son rôle décisionnaire d’attribution d’espaces portuaires aux différents opérateurs, du point de vue économique, le rapport de force est inversé au profit des opérateurs. Il est donc indispensable de parvenir à équilibrer ces visions dans le respect du libre jeu de la concurrence. / These last years, the competitive context demonstrated the necessity of reforming the French port policy. This is how the port reform stemming from the law n°2008-660 of July 4th, 2008 created the Major seaports. The model of landlord port was recognized in France. The Major seaport sees its activities refocused on its kingly missions, its missions of operation having been transferred to the port private operators. In front of state property constraints, stemming from the administrative law, the Major seaports had to value their port domain by attracting the private investors and by developing their activities with their «hinterland». The public / private partnership is thus the solution to improve the competitiveness of the Major seaports. If, from the legal point of view, the port authority belongs in «dominant» position by its decision-making role of allocation of port spaces to the various operators, from the economic point of view, the balance of power is inverted for the benefit of the operators. It is thus essential to succeed in balancing these visions in the respect for the free play of competition.

This thesis aims to analyze how tendencies to corruption affect trust in Central Managing Authorities: Sweden Public Employment Service, National Service Center, and Swedish Insurance Agency.  The research questions are:  · Can the trust and legitimacy for the three Central Managing Authorities has been affected by corruption?  · What similarities and differences exist about the corruption into Swedish Public Employment Service, National Service Center, and Swedish Social Insurance Agency?  · Can the lack of trust and legitimacy have other causes than the occurrence of corruption?  The study used comparative method, where cases have been compared and analyzed out from theoretical framework. Through comparation, similarities and differences between the cases and find explaining factors about how corruption can affect trust through applying of the theoretical framework was identified. There are some important implications. First, corrupt tendencies can lead to common interests be override because of personal interests. Second, the democratic values in the public administration can be affect negatively because of corrupt tendencies. Lastly, knowledge and awareness are fundamental for how corrupt tendencies affect citizen’s trust for Central Managing Authorities.