1,356 research outputs found

    The German hegemony in the European Union: European Economic Integration as an Asymmetric Regime

    Get PDF
    In this paper we intend to analyze the hegemonic position of Germany within the European Union, examining, from a historical perspective, the process of economic integration of the continent, highlighting the haggling process among its Member States and the emergence of power relations among those. Primordially, the economic relations among the States and the circumstances that led European States to pursue the international cooperation, in order to build an international regime, will be analyzed, considering whether such an asymmetrical arrangement. In view of this, the present work has been organized into three sections and a conclusion where we state our opinion on the subject and point out suggestions and referrals on the theme.     Recebido em: agosto/2019. Aprovado em: agosto/2020

    Does expanding primary healthcare improve hospital efficiency? Evidence from a panel analysis of avoidable hospitalisations in 5506 municipalities in Brazil, 2000-2014.

    Get PDF
    BACKGROUND: Hospitals account for the major share of health expenditure. Primary healthcare may improve efficiency at the hospital level by reducing avoidable admissions. We examined whether rapid expansion of primary healthcare in the context of Brazil's Family Health Strategy (FHS) was associated with a reduction in avoidable hospitalisations. METHODS: We constructed panel data for 5506 municipalities over 2000-2014. Our primary outcome was the rate of avoidable hospitalisations, defined with reference to the official list of ambulatory care sensitive conditions (ACSC). The exposure variable was FHS coverage. We used first-difference models at the municipality level, controlling for municipality characteristics and confounding trends. We ran similar models for each of the 19 diseases in the list of ACSCs. FINDINGS: FHS coverage expanded from 14% to 64% of the population between 2000 and 2014. Over the same period, the rate of avoidable hospitalisations fell from 17 to 10 per 1000 population. Results from the econometric analysis show that the FHS at full coverage was associated with an increase of 0.6 (95% CI 0.3 to 0.9; p<0.001) in the rate of avoidable hospital admissions. Expansion of the FHS was associated with an increase of 866 (95% CI 762 to 970; p<0.001) in the rate of primary care consultations. The FHS was not significantly associated with a reduction in hospitalisations for any of the 19 conditions. CONCLUSIONS: While high-quality primary healthcare can deliver considerable health benefits to the population, it may not always be effective in addressing inefficiencies at the hospital level due to avoidable admissions

    Uncertainty in economic evaluation studies

    Get PDF
    Este artigo aponta três tipos de incerteza em avaliação econômica: metodológica, estrutural e paramétrica

    Body and corporeity in their historical and social course for postmodernity

    Get PDF
    Post-modernity configures as the time marked by the valorization and cult of the body, focused on aesthetics and narcissistic standards of youth and beauty that emphasize egalitarian stereotypes to all individuals. The body, published in the media as a symbolic product of success, takes its place on the social front. Thus, the body appears overvalued, becoming an idealized target of unattainable perfection, through the excessive appreciation of thinness, attempts to delay the natural aging process, through aesthetic procedures, and the incessant search to fit in dictated beauty standards culturally. This article is based on the analysis of bibliographic discussions aimed at contextualizing the body, corporeality, beauty and social standards

    SISTEMA FINANCEIRO E CRESCIMENTO ECONÔMICO: UMA APLICAÇÃO DE REGRESSÃO QUANTÍLICA

    Get PDF
    This work has as objective to analyze the supposed existing positive relation between financial development and economic growth. The financial system influences the economic growth due to the functions that it plays, such as: ) the mobilization of resources; b) allocation of the resources in the space and the time; c) administration of the risk; d) selection and monitoration of firms; and e) production and spreading of information. It was applied technique of quantile regression to analyze these aspects for data of 77 countries, what it allowed a more complete mapping of the impact generated for the measures of financial development in the conditional distribution of the response varieble (measured of economic growth). The estimates allow us to conclude that: ) it has a positive relation between financial development and economic growth; and b) bigger the quantil (that is, greater the ratio of economic growth) bigger is the contribution of the financial system for the economic growth.

    Methodological procedure for applying DMAIC model of six sigma methodology in a beverage company: a case study

    Get PDF
    This study aimed to describe the DMAIC model of the Six Sigma methodological procedure and demonstrate the practical application and results obtained in the process of palletizing loads in a Beverage Industry of the Industrial Pole of Manaus. This case study was carried out using a bibliographic survey of the concepts, methods, and procedures of the quality tools, Six Sigma. As a procedure for collecting information, secondary data were used. A Six Sigma application model based on the DMAIC methodology in the palletizing process was presented. The results obtained and the contributions to the improvement of the quality and efficiency of the processes were analyzed. It is concluded that through the application of the methodological procedure of the DMAIC model it was possible to determine and quantify the main defects and wastes, analyze the causes and establish improvement actions in the palletizing process in the Company, resulting in a 40% reduction in handling of the supply operators in the company\u27s shipping area, the elimination of the lack of pallets in the shipping process, the elimination of solid waste disposal in the environment and the reduction of expenses with pallets by 56% in the Company in question

    Cadastro técnico multifinalitário: base fundamental para avaliação em massa de imóveis

    Get PDF
    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção
    corecore