3 resultados para Family physicians (or general practitioners)
em Repositório digital da Fundação Getúlio Vargas - FGV
Resumo:
We estimate the impact of the main unconditional federal grant (Fundo de Participaçãodos Municípios - FPM) to Brazilian municipalities as well as its spillover from the neighboring cities on local health outcomes. We consider data from 2002 to 2007 (Brollo et al, 2013) and explore the FPM distribution rule according to population brackets to apply a fuzzy Regression Discontinuity Design (RDD) using cities near the thresholds. In elasticity terms, we nd a reduction on infant mortality rate (-0.18) and on morbidity rate (- 0.41), except in the largest cities of our sample. We also nd an increase on the access to the main program of visiting the vulnerable families, the Family Health Program (Programa Sa ude da Família - PSF). The e ects are stronger for the smallest cities of our sample and we nd increase: (i) On the percentage of residents enrolled in the program (0.36), (ii) On the per capita number of PSF visits (1.59), and (iii) On the per capita number of PSF visits with a doctor (1.8) and nurse (2). After we control for the FPM spillover using neighboring cities near diferent thresholds, our results show that the reduction in morbidity and mortality is largely due to the spillover e ect, but there are negative spillover on preventive actions, as PSF doctors visits and vaccination. Finally, the negative spillover e ect on health resources may be due free riding or political coordination problems, as in the case of the number of hospital beds, but also due to to competition for health professionals, as in the case of number of doctors (-0.35 and -0.87, respectively), specially general practitioners and surgeons (-1.84 and -2.45).
Resumo:
There is no information whatsoever of a society in which there are no demands among private people and companies, among individuals and institutions, varying only the tenor and the intensity of the issues. It would be ideal if conflicts could be solved in common aggreement. The selfcomposition, yet, does not often occurr; leaving the remaining issues for a third part, i.e., the State. Up to the English and French Revolutions, political power was exercised by limitless governors and the State did not submit to the law. After those revolutions, rules are agregated to curb Absolutism and organize the State, which starts to acccomplish its duties under the law, i.e., a Law State. As a result, today, the individual can sue the State to make the State perform or not any undesirable action. In this dissertation, one traces back from the very beginning the role of the institutions in charge of defending the State in courts of law. The judicial defense of the Brazilian State in a court of law, since 1608 to the 1988 Constitution, was a role of the Public Ministry, along with other institutional functions, including prosecution. As a consequence of this ambivalence, the results of the State defense came even to be contradictory. The promulgation of the 1988 Federal Constitution adjusted this historical dualism. The 1988 Constituent embodied significant change to the concept and operationalization of a State Advocacy, confering to a new institution , which was called 'Advocacia Geral da União' or 'General Advocacy of the Union' (article 131), the judicial and extrajudicial representation of the Union. The final object of the reflections of this study is centred on the analysis of the activities of the 'General Advocacy of the Union', in its first years of functioning, in other words, from 1993 to 1999
Resumo:
O presente trabalho investiga os esforços orientados à geração interna de novos negócios em subsidiárias de empresas multinacionais atuantes no Brasil. Para tanto, realiza uma pesquisa exploratória, na forma de um estudo de casos múltiplos, com quatro projetos de três diferentes empresas. A pesquisa agrega evidências empíricas que poderão ser utilizadas posteriormente pela academia no desenvolvimento de teorias, ou também nas empresas, através da referência de práticas já experimentadas. Os casos são analisados com base nos conceitos da literatura produzida em torno do conceito de corporate venturing, tido como uma das manifestações do empreendedorismo corporativo. O estudo observa, entre as empresas analisadas, consideráveis diferenças em suas abordagens. Verifica, em termos de organização, desde a ausência de separação das funções de desenvolvimento de novos negócios para o negócio tradicional, até indícios de ambidestria organizacional. Constata a existência de processos estruturados, que incluem fases como a prospecção de iniciativas e a incubação, em contraste com outros mais simplificados, desenvolvidos ad-hoc para a condução de projetos específicos. Identifica manifestações de lógicas estratégicas orientadas tanto ao exploration como ao exploitation. Por fim, aponta algumas das particularidades observadas pelo fato do desenvolvimento ter sido realizado em ambiente brasileiro.