  In this paper, we consider the gradual-impulse control problem of
continuous-time Markov decision processes, where the system performance is
measured by the expectation of the exponential utility of the total cost. We
prove, under very general conditions on the system primitives, the existence of
a deterministic stationary optimal policy out of a more general class of
policies. Policies that we consider allow multiple simultaneous impulses,
randomized selection of impulses with random effects, relaxed gradual controls,
and accumulation of jumps. After characterizing the value function using the
optimality equation, we reduce the continuous-time gradual-impulse control
problem to an equivalent simple discrete-time Markov decision process, whose
action space is the union of the sets of gradual and impulsive actions.
