1,721,259 research outputs found
I servizi pubblici e la governance del "gruppo pubblico locale"
No full textI servizi pubblici e la governance del "gruppo pubblico locale". I servizi pubblici in Italia: profili evolutivi; Gruppi pubblici tra forma, indirizzi e vincoli; La governance del gruppo pubblico locale: modelli e criticità emergenti; La programmazione, il controllo economico e la misurazione delle performance nel gruppo pubblico locale; Considerazioni conclusive. Le peculiarità italiane
L'azienda familiare
No full textIl contributo analizza le caratteristiche del successo nell'impresa familiare, soffermandosi sulla natura del family busines
Modello matematico per lo studio di una popolazione di insetti a seguito dell'introduzione di maschi sterili
No full textEquity and efficiency in the geographic allocation of public health resources in Mozambique
Full text linkEquitable and efficient health financing is crucial to improve health care provision, still inequitable in many low- and middle-income countries. The allocation of financial resources across geographic areas is important to increase the capacity to effectively provide services and their availability to the neediest population. However, how resources are transformed into service and finally reach the intended beneficiaries, depends on local health care management, on the supply-side, and on constraints to service use, on the demand-side. Equity and efficiency in the geographic allocation of public expenditure in Mozambique, and their determinants, are explored in this thesis.
First, inequities in the distribution of public health expenditure, assessed using a method based on Benefit Incidence Analysis, diminished over time due to improved resource allocation. However, inequities in health care use remain and limit the benefit from public health expenditure for the poor and neediest population. The difference between horizontal and vertical equity, assessed for each source of public health expenditure by raking individuals according to their economic wealth or to their need for health care, reveals initial discrepancies in government and donor expenditure targets and the potential trade-offs between equity objectives.
Second, inefficiencies in health care provision, assessed using Stochastic Frontier Analysis, exist at district level. Efficiency could be increased both in health administrations, where financial resources are managed to guarantee the availability of material resources, such as staff and equipment, and in health facilities, where those are used to deliver health care services. Heterogeneity in efficiency across districts depends on geographic, demographic, administrative and health system characteristics.
Third, results from an econometric model of demand for health care revealed that proximity to health facilities increases the probability of seeking care and that the availability of adequate staff and equipment can encourage service use by those who live near a health facility. Demand side constraints, mostly economic, prevent use even when services are available.
Results suggest that resource allocation policies are insufficient on their own to improve the distribution of public health expenditure. Extending health facility coverage and tackling demand-side barriers are needed to increase service use among and mitigate potential equity efficiency and horizontal-vertical equity trade-offs. Increasing the efficiency of district health administrations and health facilities can contribute to increase service use among those who live close to a health facility
Recurrences of colorectal cancer: time distribution and diagnostic sensitività of serum CEA, TPA, CA19.9, CA72.4 tumor markers
No full textI bilanci pubblici italiani oltre l'armonizzazione
No full textL’Italia ha affrontato il processo di rinnovamento della pubblica amministrazione a partire dagli anni ’90. I sistemi informativi sono stati modifcati secondo linee d’azione che mantengono la prevalenza della logica finanziaria, introducono in alcuni casi quella economica, definiscono ordinamenti contabili specifici per ogni categoria di amministrazione pubblica, consentono alle regioni di definire ulteriori specificità contabili per i territori di pertinenza. E' andata così emergendo una pluralità di linguaggi poco utili per le necessità di governo e di accountability. Nel 2009 sono stati adottati nuovi provvedimenti e avviato un processo di armonizzazione. In controtendenza rispetto alle prassi prevalenti nei paesi riformatori, l’Italia mantiene la priorità della dimensione finanziaria nella rilevazione consuntiva, in linea con la tradizione e la cultura prevalente. Le amministrazioni in contabilità finanziaria adottano in parallelo quella economica; quelle già tenute all’economica riclassificano i valori su base finanziaria. Emerge un sistema generalizzato di contabilità integrata che consolida i valori finanziari; i gruppi pubblici consolidano invece secondo il modello società per azioni. L’articolo si interroga su una prassi che, a legislazione vigente, possa fondare il sistema informativo su un impianto contabile di tipo duplice, in grado pertanto di accogliere tanto la dimensione monetaria quanto quella di esecuzione del bilancio
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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