Informatização da operação e da gestão de uma unidade de saúde de alta complexidade do sistema único de saúde (SUS): estudo de caso do instituto de medicina integral Prof. Fernando Figueira (Imip) sob o enfoque do isomorfismo institucional

O trabalho buscou identificar e avaliar a escolha do Imip à luz da teoria neoinstitucional, mediante os mecanismos isomórficos que caracterizam o campo das organizações de saúde. Trata-se de um estudo de caso, tendo o Imip como objeto de análise, voltado especificamente para dois modelos de informatização da operação e da gestão, a fim de verificar qual o mais adequado para as especificidades da instituição, incluindo o aspecto financeiro, custo/benefício. O primeiro modelo se refere a um sistema próprio de informatização; o segundo a um modelo de sistema de gestão já existente, comercializado por empresa especializada nesta tecnologia. A metodologia abrangeu pesquisas bibliográficas, documentais e de campo. O referencial teórico foi a teoria neoinstitucional e o trabalho de campo constou de uma pesquisa incluindo observação simples, visando compor variáveis dos dois modelos avaliados, e coleta de dados realizada por meio da aplicação de dois questionários: um questionário aberto, com os dirigentes do Imip, e um questionário misto, com cem colaboradores, utilizadores do sistema, escolhidos aleatoriamente, por sorteio. Entre os achados se identificou claras referências ao isomorfismo, principalmente o mimético, nas percepções dos indivíduos respondentes. Ao final da pesquisa, foi possível concluir que a contratação de um sistema de gestão hospitalar, já existente no mercado, concebido e comercializado por empresa de tecnologia especializada no segmento da saúde, justificou-se como a melhor escolha para a organização, pois, as semelhanças existentes entre os processos do Instituto e aqueles contidos no sistema eram muito mais relevantes que suas particularidades. Outro fator relevante levou em consideração os elevados custos para uma única instituição desenvolver e manter sozinha um sistema atualizado segundo as exigências normativas e técnicas necessárias às organizações de saúde e os padrões de qualidade da informação estabelecidos pelo SUS.

Impacto dos países desenvolvidos e emergentes na economia brasileira

A proposta desta dissertação é analisar o comportamento econômico brasileiro em relação às demais economias de países emergentes e desenvolvidos, utilizando-se como metodologia a análise de componentes principais com variáveis de crescimento econômico e macroeconômicas como inflação, bolsa, moeda e juros. Visando obter uma robustez maior nos resultados foram realizados dois exercícios, primeiro buscou-se comparar o resultado obtido para o Brasil com outros países. No segundo exercício a comparação foi realizada para diferentes períodos de tempo, de maneira de separar o período em pré e pós-crise de 2009.

Indicadores macroeconômicos e planejamento estratégico: uma percepção dos altos executivos brasileiros

The work studies the use of macroeconomic indicators in strategic planning, considering the perception of senior Brazilian executives. Strategic planning is a management process of great importance within companies of all sizes and sectors. Good planning drives the company in the right direction, helping so she can anticipate the threats and make a diagnosis of opportunities and improvements. Macroeconomic indicators mainly represent data and / or signaling information behavior (individual or integrated) of the different variables and phenomenon components of an economic system of a country, region or state. These play a key role both to provide a better understanding of the present situation and the design of shortterm trends in the economy, and to support the process of making strategic decisions of public officials (government) and private (businesses and consumers). The design of the research followed a qualitative-quantitative model, conducting 12 semi-structured interviews, followed by conducting a survey to 416 companies operating in Brazil. As a result of research it was concluded that top executives know the importance of using macroeconomic indicators in strategic planning, and other accompaniments and decisions of companies, and point out that is not yet fully incorporated into the strategic planning process, running today, in most companies, only as a source of information and confirmation. The analysis of the two variables, from the perspective of senior executives resulted in the highlighted two other interesting variables for future work: trust and Brazilian culture.

Price setting and macroeconomic variables: evidence from Brazilian CPI

Esta tese investiga as estratégias de precificação em ambientes macroeconômicos distintos, utilizando uma base de dados única para o IPC da Fundação Getulio Vargas. A base de dados primária consiste em um painel de dados individuais para bens e serviços representando 100% do IPC para o período de 1996 a 2008. Durante este período, diversos eventos produziram uma variabilidade macroeconômica substancial no Brasil: duas crises em países emergentes, uma mudança de regime cambial e monetário, racionamento de energia, uma crise de expectativas eleitorais e um processo de desinflação. Como consequência, a inflação, a incerteza macroeconômica, a taxa de câmbio e o produto exibiram uma variação considerável no período. No primeiro capítulo, nós descrevemos a base de dados e apresentamos as principais estatísticas de price-setting para o Brasil. Em seguida, nos capítulos 2 e 3, nos construímos as séries de tempo destas estatísticas e das estatísticas de promoções, e as relacionamos com as variáveis macroeconômicas utilizando análises de regressões. Os resultados indicam que há uma relação substancial entre as estatísticas de price-setting e o ambiente macroeconômico para a economia brasileira.

Towards a measure of income inequality freed from the volatility caused by variations in the rate of unemployment

By mixing together inequalities based on cyclical variables, such as unemployment, and on structural variables, such as education, usual measurements of income inequality add objects of a di§erent economic nature. Since jobs are not acquired or lost as fast as education or skills, this aggreagation leads to a loss of relavant economic information. Here I propose a di§erent procedure for the calculation of inequality. The procedure uses economic theory to construct an inequality measure of a long-run character, the calculation of which can be performed, though, with just one set of cross-sectional observations. Technically, the procedure is based on the uniqueness of the invariant distribution of wage o§ers in a job-search model. Workers should be pre-grouped by the distribution of wage o§ers they see, and only between-group inequalities should be considered. This construction incorporates the fact that the average wages of all workers in the same group tend to be equalized by the continuous turnover in the job market.

Brazilian indexing and inertial inflation: evidence from time-varying estimates of an inflation transfer function

This paper is a theoretica1 and empirica1 study of the re1ationship between indexing po1icy and feedback mechanisms in the inflationary adjustment process in Brazil. The focus of our study is on two policy issues: (1) did the Brazilian system of indexing of interest rates, the exchange rate, and wages make inflation so dependent on its own past values that it created a significant feedback process and inertia in the behaviour of inflation in and (2) was the feedback effect of past inf1ation upon itself so strong that dominated the effect of monetary/fiscal variables upon current inflation? This paper develops a simple model designed to capture several "stylized facts" of Brazi1ian indexing po1icy. Separate ru1es of "backward indexing" for interest rates, the exchange rate, and wages, reflecting the evolution of po1icy changes in Brazil, are incorporated in a two-sector model of industrial and agricultural prices. A transfer function derived irom this mode1 shows inflation depending on three factors: (1) past values of inflation, (2) monetary and fiscal variables, and (3) supply- .shock variables. The indexing rules for interest rates, the exchange rate, and wages place restrictions on the coefficients of the transfer function. Variations in the policy-determined parameters of the indexing rules imply changes in the coefficients of the transfer function for inflation. One implication of this model, in contrast to previous results derived in analytically simpler models of indexing, is that a higher degree of indexing does not make current inflation more responsive to current monetary shocks. The empirical section of this paper studies the central hypotheses of this model through estimation of the inflation transfer function with time-varying parameters. The results show a systematic non-random variation of the transfer function coefficients closely synchronized with changes in the observed values of the wage-indexing parameters. Non-parametric tests show the variation of the transfer function coefficients to be statistically significant at the time of the changes in wage indexing rules in Brazil. As the degree of indexing increased, the inflation feadback coefficients increased, while the effect of external price and agricultura shocs progressively increased and monetary effects progressively decreased.

The influence of materialism on consumption indebtedness in the context of low income consumers from the city of São Paulo

This research is in the domains of materialism, consumer vulnerability and consumption indebtedness, concepts frequently approached in the literature on consumer behavior, macro-marketing and economic psychology. The influence of materialism on consumer indebtedness is investigated within a context that is characterized by poverty and by factors that cause vulnerability, such as high interest rates, limited access to credit and to quality affordable goods. The objectives of this research are: to produce a materialism scale that is well adapted to its environment, characterizing materialism adequately for the population studied; to compare results obtained with results of other studies; and to measure the relationship between materialism, socio-demographic variables, attitude to debt and consumption indebtedness. The primary data used in the analyses were collected from field research carried out in August, 2005 that relied on a probabilistic household sample of 450 low income individuals who live in poor regions of the city of Sao Paulo. The materialism scale, adapted and translated into Portuguese from Richins (2004), proved to be very successful and encourages new work in the area. It was noted that younger adults tend to be more materialistic than older ones; that illiterate adults tend to be less materialistic than those who did literacy courses when they were already adults; and that gender, income and race are not associated with the materialism construct. Among the other results, a logistic regression model was developed in order to distinguish those individuals who have an installment plan payment booklet from those who do not, based on materialism, socio-demographic variables and purchasing and consumer habits. The proposed model confirms materialism as a behavioral variable useful for forecasting the probability of an individual getting into debt in order to consume, in some cases almost doubling the chance of occurrence of this event. Findings confirm the thesis that it is not only adverse economic factors that lead people to get into debt; and that the study of demand for credit for consumption purposes must, of necessity, include variables of a psychological nature. It is suggested that the low income materialistic consumer experiences feelings of powerlessness and exclusion because of the gap that exists between their possessions and their desires. Lines of conduct to combat this marginalization from the consumer society are drawn targeting marketing professionals, public policy makers and vulnerability researchers. Finally, the possibility of new studies involving the materialism construct, which is central to literature on consumer behavior, albeit little used in empirical studies in Brazil, are discussed.

Three essays on education from the perspective of the economics of public setor

This work consists of three essays organized into chapters that seek to answer questions at first sight unrelated, but with one common denominator, which is the scarcity of public resources devoted to education, overall, especially in lower education. . The first chapter deals with the scarcity of resources devoted to education in a context of population aging. Two hypotheses were tested for Brazilian municipalities on the relationship between the aging of the population and educational expenditure. The first, already proven in the literature, is that there is an intergenerational conflict for resources and the increase of the share of elderly in the population reduces the educational expenditure. The second, proposed here for the first time, is that there should be reduction of competition for resources if there is a relationship of co-residence between young and old. The results indicated that an increase in the share of elderly reduces the educational expenditure per youth. But the results also illustrate that an increase in the share of elderly co-residing with youth (family arrangement more common in Latin American countries) raises the educational expenditure, which reflects a reduction of competition for resources between generations. The second chapter assesses the allocative efficiency of investments in Higher Education. Using the difference between first-year and last-year students’ scores from Enade aggregated by HEI as a product in the Stochastic Production Function, is possible to contribute with a new element in the literature aimed at estimating the production function of education. The results show that characteristics of institutions are the variables that best explain the performance of students, and that public institutions are more inefficient than the private ones. Finally, the third chapter presents evidence that the allocation of public resources in early childhood education is important for a better future school performance. In this chapter was calculated the effects of early childhood education on literacy scores of children attending the 2nd grade of elementary school. The results using OLS and propensity score matching show that students who started school at the ages to 5, 4, and 3 years had literacy scores between 12.22 and 19.54 points higher than the scores of those who began school at the ages 6 years or late. The results also suggest that the returns in terms of literacy scores diminish in relation to the number of years of early childhood education.

The role of profits in wage determination: evidence from US manufacturing

We estimate the effect of firms' profitability on wage determination for the American economy. Two standard bargaining models are used to illustrate the problems caused by the endogeneity of profits-per-worker in a real wage equation. The profit-sharing parameter can be identified with instruments which shift demando Using information from the input-output table, we create demand-shift variables for 63 4-digit sectors of the US manufacturing sector. The LV. estimates show that profit-sharing is a relevant and widespread phenomenon. The elasticity of wages with respect to profits-per-worker is seven times as large as OLS estimates here and in previous papers. Sensitivity analysis of the profit-sharing parameter controlling for the extent of unionization and product market concentration reinforces our results.

Deunionization in the US: a panel data analysis from 1973 to 1999

There are four different hypotheses analyzed in the literature that explain deunionization, namely: the decrease in the demand for union representation by the workers; the impaet of globalization over unionization rates; teehnieal ehange and ehanges in the legal and politieal systems against unions. This paper aims to test alI ofthem. We estimate a logistie regression using panel data proeedure with 35 industries from 1973 to 1999 and eonclude that the four hypotheses ean not be rejeeted by the data. We also use a varianee analysis deeomposition to study the impaet of these variables over the drop in unionization rates. In the model with no demographic variables the results show that these economic (tested) variables can account from 10% to 12% of the drop in unionization. However, when we include demographic variables these tested variables can account from 10% to 35% in the total variation of unionization rates. In this case the four hypotheses tested can explain up to 50% ofthe total drop in unionization rates explained by the model.

Debt maturity determinants in Brazil: evidence from private and public corporate borrowings

This study provides an empirical investigation of the determinants of long-term debt maturity in Brazil. We built a unique database that includes privately placed debt and public debt for 308 publicly traded, non-financial Brazilian companies, from 2009 to 2013. We perform GMM panel analyses using as dependent variables the amount of long-term debt payable in more than one, three, and five years for total debt, BNDES (Brazilian Development Bank) debt and corporate bonds. The results show that the BNDES finances less risky firms, i.e., those that are larger, older, more tangible and more transparent. We also find support for information asymmetry theories, as companies with higher transparency levels have similar leverage levels relative to others but higher proportions of long-term debt in their capital structures. Regarding debt levels, we find that more levered companies are larger, less profitable, more tangible and have fewer growth opportunities. To our knowledge, this is the first paper to address the determinants of long-term debt maturity in Brazil that uses various specifications of long-term debt and that examines different types of debt.

Invariant tests in an instrumental variables model with unknown data generating process

In this work we focus on tests for the parameter of an endogenous variable in a weakly identi ed instrumental variable regressionmodel. We propose a new unbiasedness restriction for weighted average power (WAP) tests introduced by Moreira and Moreira (2013). This new boundary condition is motivated by the score e ciency under strong identi cation. It allows reducing computational costs of WAP tests by replacing the strongly unbiased condition. This latter restriction imposes, under the null hypothesis, the test to be uncorrelated to a given statistic with dimension given by the number of instruments. The new proposed boundary condition only imposes the test to be uncorrelated to a linear combination of the statistic. WAP tests under both restrictions to perform similarly numerically. We apply the di erent tests discussed to an empirical example. Using data from Yogo (2004), we assess the e ect of weak instruments on the estimation of the elasticity of inter-temporal substitution of a CCAPM model.

Volatility of returns, variations in prices and volume traded: evidence from the main stocks in Brazil

We study the relationship between the volatility and the price of stocks and the impact that variables such as past volatility, financial gearing, interest rates, stock return and turnover have on the present volatility of these securities. The results show the persistent behavior of volatility and the relationship between interest rate and volatility. The results also showed that a reduction in stock prices are associated with an increase in volatility. Finally we found a greater trading volume tends to increase the volatility.