Établir des priorités en soins de santé. Comment passer des besoins vitaux aux taux de remboursement?

Choisir est consubstantiel à l’existence humaine, mais dans le cadre de biens collectifs comme les soins de santé, dans le cadre de budgets forcément limités et objet de réduction, choisir devient un devoir éthique. Nous proposons une approche susceptible d’être féconde dans la détermination du « paquet de soins ». Cette approche est fondée sur le concept de « besoin vital » qui doit être rencontré afin d’éviter un « endommagement grave » qui altère la capacité d’agent de la personne. Nous formulons ensuite une critique de la plupart des variables focales, qui déterminent chacune une forme d’égalitarisme, avant de considérer quelques questions éthiques liées à la fixation de priorités en santé. La prise en considération des préférences de la population apparaît comme un élément incontournable à la légitimation des décisions. Elle peut s’avérer féconde si elle bénéficie d’une forme de care que nous qualifions d’informationnel.

Crítica, método e escrita da história em João Capistrano de Abreu (1853-1927)

A presente dissertação tem por objetivo desenvolver uma reflexão sobre a relação entre método e escrita da história a partir da análise dos escritos de João Capistrano de Abreu. A hipótese que orienta a leitura de sua obra é a de que os dispositivos da crítica documental, praticada pelos historiadores do século XIX, ao mesmo tempo em que conferem as marcas de credibilidade ao texto histórico, também impõem coerções e limites incontornáveis à sua construção. O estudo do caso Capistrano oferece a possibilidade de investigar alguns desdobramentos epistemológicos desta questão, sobretudo em um momento em que a história nacional investiu-se de pretensões científicas, com diretrizes teóricas e temáticas próprias. A história em capítulos do historiador corresponderia à instauração de um novo regime de escrita cujos dispositivos de validação não se encontrariam exclusivamente na explicitação do aparato crítico utilizado, mas na coerência explicativa própria do texto que ele elaborou.

Estudo comparado do pensamento de Joan Robinson e Milton Friedman

É objetivo deste trabalho a ánalise comparada do pensamento de dois economista: Milton Frideman que acredita no capitalismo como um sistema que garante a maximização do desenvolvimento e Joan Robinson cujos são diferentes e que propõe o socialismo como solução mais plausível para os problemas econômicos que atingem a maioria dos povos. Esta análise nos permitirá compreender melhor como são tratados e explicados os problemas sócio-econômicos partindo de premissas diferentes sobre suas causas.

Afinal, quantos éramos? Um estudo da mortalidade pretérita na freguesia da gloriosa Sant Anna

Search mortality in the glorious St. Anna Parish, hinterland of Rio Grande do Norte in the time frame 1788-1838 is the main objective of this research. Questions that the research aims to answer are: how many were after? Data parish deaths allow us to study mortality in Town? To conduct the research, first appealed to the population maps of the years 1777, 1810, 1811, 1824, 1844, 1853; censuses of 1872 and 1890. As well, the first two books of burials / deaths of the Parish, the first dating from 1788 to 1811 and the second from 1812 to 1838 and a book of baptism 1803-1806. Among the findings it was realized that, for now, the question of knowing, "After all, how many were?" Still cannot be answered, because during the analysis we noticed a high rate of underreporting, demonstrated through a study of the first infant mortality, in which the records we have was very high, which goes against the pre-transitional period, but with the exercise of inverse projection found the opposite, a population that would have a life expectancy higher. Demonstrating the problem of underreporting. Infant deaths occur mainly with the male children in the first months of the year due to infectious causes, and in the early days and weeks, we raised a hypothesis is that these deaths have as a backdrop the poor condition of the mother leading to poor training child, thus leading to his early death

Um estudo das condições de percolação e estabilidade em barragens de terra mediante métodos geofísicos: caso do dique de Sant Llorenç de Montgai - Espanha

The monitoring of Earth dam makes use of visual inspection and instrumentation to identify and characterize the deterioration that compromises the security of earth dams and associated structures. The visual inspection is subjective and can lead to misinterpretation or omission of important information and, some problems are detected too late. The instrumentation are efficient but certain technical or operational issues can cause restrictions. Thereby, visual inspections and instrumentation can lead to a lack of information. Geophysics offers consolidated, low-cost methods that are non-invasive, non-destructive and low cost. They have a strong potential and can be used assisting instrumentation. In the case that a visual inspection and strumentation does not provide all the necessary information, geophysical methods would provide more complete and relevant information. In order to test these theories, geophysical acquisitions were performed using Georadar (GPR), Electric resistivity, Seismic refraction, and Refraction Microtremor (ReMi) on the dike of the dam in Sant Llorenç de Montgai, located in the province of Lleida, 145 km from Barcelona, Catalonia. The results confirmed that the geophysical methods used each responded satisfactorily to the conditions of the earth dike, the anomalies present and the geological features found, such as alluvium and carbonate and evaporite rocks. It has also been confirmed that these methods, when used in an integrated manner, are able to reduce the ambiguities in individual interpretations. They facilitate improved imaging of the interior dikes and of major geological features, thus inspecting the massif and its foundation. Consequently, the results obtained in this study demonstrated that these geophysical methods are sufficiently effective for inspecting earth dams and they are an important tool in the instrumentation and visual inspection of the security of the dams

Le progrès technique chez Joan Robinson : un essai de systématisation et de formalisation

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts of treating this subject in accordance to the Keynesian theory of employment and income distribution, mainly in the long run. This paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time the paper exposes the problems she faced - and did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

Technical Progress in Joan Robinson's View: An attempt at systematisation and formalisation

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts at treating this subject in accordance with the Keynesian theory of employment and income distribution, mainly in the long run. The paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time, the paper exposes the problems she faced - but did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

Resolución 19: Relación entre problemas económicos y de salud pública = Resolution 19: Relationship between economic and public health problems = Résolution 19: Rapports entre les problèmes économiques et la santé publique

El símbolo E/840/Rev.1 corresponde a la edición bilingüe inglés/francés publicada en 1953

Daños ocasionados por el huracán Joan en Nicaragua: sus efectos sobre el desarrollo económico y las condiciones de vida, y requerimientos para la rehabilitación y reconstrucción: nota de la Secretaría = Damage caused by hurricane Joan in Nicaragua: its effects on economic development and living conditions, and requirements for rehabilitation and reconstruction: note by the Secretariat

Incluye Bibliografía