• Title, Summary, Keyword: cost-effectiveness analysis

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Evaluation of Cost-Effectiveness of Medical Nutrition Therapy : Meta-Analysis (메타분석을 이용한 임상영양서비스의 비용-효과성 평가)

  • 김현아;양일선;이해영;이영은;박은철;남정모
    • Journal of Nutrition and Health
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    • v.36 no.5
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    • pp.515-527
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    • 2003
  • Objectives: A meta-analysis of the literatures was conducted to evaluate the cost-effectiveness of medical nutrition therapy by dietitians. Methods : The 30 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and the PQD database until May, 2002 and a review of reference lists. The main search terms were“dietitian”,“dietary intervention”,“nutrition intervention”, “cost”,“cost-effectiveness”and“cost-benefit analysis”. The subgroup analysis was performed by publication year, study design, intervention provider, type of patient (in/out-patient) and type of cost (total cost/direct cost). Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. Results : The 30 studies were identified using the electric database search and bibliographies. The 17 trials were eligible for inclusion criteria, then the systematic review and a meta-analysis were conducted on effectiveness and cost-effectiveness of medical nutrition therapy. The quality of the studies was evaluated using the quality assessment tool for observational studies. The quality score was 0.515 $\pm$ 0.121 (range : 0.279-0.711, median : 0.466). The meta-analysis of 17 studies based on the random effect model showed that medical nutrition therapy was highly effective in treating the diseases (effect size 0.3092 : 95% confidence interval 0.2282-0.3303). The vote-counting method, one of meta-analysis methods, was applied to evaluate the cost-effectiveness of medical nutrition therapy conducted by dietitians. Two criteria (method 1, method 2) for voting were used. The calculated p-values for method 1 (more conservative method) and method 2 (less conservative method) were 0.1250 and 0.0106, respectively. Medical nutrition therapy by dietitians was significantly cost-effective in the method 2. Conclusion. This meta-analysis showed that the effectiveness of medical nutrition therapy was statistically significant in treating disease (effect size 0.3092), and that the cost-effectiveness of medical nutrition therapy was statistically significant in the method 2 (less conservative method) of vote counting. (Korean J Nutrition 36(5): 515~527, 2003)

Analysis on Cost-Effectiveness of a Train Simulator (철도차량 모의운전연습기의 훈련비용 효율성 분석)

  • Kim, Sa-Kil;Byun, Seong-Nam
    • Proceedings of the KSR Conference
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    • pp.696-702
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    • 2007
  • The purpose of this paper is to analyze cost-effectiveness of a train simulators. The cost-effectiveness of training program is assessed by multiplying transfer effectiveness ration(TER) by training cost ration(TCR). If their product is less than one, the program is not cost effective. Even if a program is not cost effective, however, safety considerations may be important to consider.

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Evaluation Standard of Cost-Effectiveness Analysis for Renew of Architectural Equipment in Public Building (공공건물 건축설비 갱신 계획시 비용-효율분석 평가기준에 관한 연구)

  • Jung, Soon-Sung
    • Journal of Power System Engineering
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    • v.17 no.4
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    • pp.131-138
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    • 2013
  • The purpose of this study is to suggest the evaluation standard of cost-effectiveness analysis for renew of architectural equipment in public building. Evaluation items of cost-effectiveness analysis for renew of architectural equipment in public building were used life cycle cost, energy consumption(ton of oil equivalent), green house gas emissions(ton of carbon dioxide) and maximum power demand. Life cycle cost is the process of making an economic assessment of an item, area, system, or facility by considering all significant costs of ownership over an economic life, expressed in terms of equivalent costs. The essence of life cycle costing is the analysis of equivalent costs of various alternative proposals. The social concern with green house gas and maximum power demand of architectural equipment field has been growing for the last several years.

The analysis of cost-effectiveness of implant and conventional fixed dental prosthesis

  • Chun, June Sang;Har, Alix;Lim, Hyun-Pil;Lim, Hoi-Jeong
    • The Journal of Advanced Prosthodontics
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    • v.8 no.1
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    • pp.53-61
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    • 2016
  • PURPOSE. This study conducted an analysis of cost-effectiveness of the implant and conventional fixed dental prosthesis (CFDP) from a single treatment perspective. MATERIALS AND METHODS. The Markov model for cost-effectiveness analysis of the implant and CFDP was carried out over maximum 50 years. The probabilistic sensitivity analysis was performed by the 10,000 Monte-Carlo simulations, and cost-effectiveness acceptability curves (CEAC) were also presented. The results from meta-analysis studies were used to determine the survival rates and complication rates of the implant and CFDP. Data regarding the cost of each treatment method were collected from University Dental Hospital and Statistics Korea for 2013. Using the results of the patient satisfaction survey study, quality-adjusted prosthesis year (QAPY) of the implant and CFDP strategy was evaluated with annual discount rate. RESULTS. When only the direct cost was considered, implants were more cost-effective when the willingness to pay (WTP) was more than 10,000 won at $10^{th}$ year after the treatment, and more cost-effective regardless of the WTP from $20^{th}$ year after the prosthodontic treatment. When the indirect cost was added to the direct cost, implants were more cost-effective only when the WTP was more than 75,000 won at the $10^{th}$ year after the prosthodontic treatment, more than 35,000 won at the $20^{th}$ year after prosthodontic treatment. CONCLUSION. The CFDP was more cost-effective unless the WTP was more than 75,000 won at the $10^{th}$ year after prosthodontic treatment. But the cost-effectivenss tendency changed from CFDP to implant as time passed.

Cost-Effectiveness Methodology for Maritime Patrol Aircraft

  • Cho Doug-Woon
    • Journal of the military operations research society of Korea
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    • v.15 no.2
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    • pp.147-159
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    • 1989
  • This paper presents a formalized methodology for conducting cost-effectiveness analysis on the ROK Navy's maritime patrol aircraft. The methodology involves a Delphi method application for determining the group of appraisal variables as well as their weight values in the area of aircraft effectiveness analysis, Life-cycle costing was employed to produce cost in terms of present worth values of all costs that occur over the common 20-year life cycle. A wide range of experts was selected so that their opinions could be effectively collected and synthesized to form the framework of the effectiveness model. Such a model development strategy provides easy acceptance of the analysis result and assure fairness of the analysis.

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Cost-effectiveness Analysis for Clothing Design Improvement Using Ergonomic Methods: Evaluation of Flame-proof Clothing and Design Optimization (의복 개선 설계의 비용 대비 인간공학적 효과 분석: 방연복의 평가 및 최적 설계 도출)

  • Cho, Ja-Young;Jeong, Jung-Rim;Yeon, Soo-Min;Chang, Joon-Ho;You, Hee-Cheon;Kim, Hee-Eun
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.4
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    • pp.45-58
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    • 2008
  • Ergonomic techniques have been required to analyze the effectiveness of functional clothing design improvement in a systematic and analytic manner. The goals of the present study are to: (1) comprehensively and analytically examine the effectiveness of clothing improvement by using the relationship analysis between clothing design components (D) and ergonomic evaluation measures (E) and (2) prove the usefulness of cost-effectiveness analysis for clothing design optimization. The cost effectiveness analysis is comprised of the preliminary evaluation based on expertise and the in-depth evaluation where the D-E relationship analysis is applied. As a result of the cost effectiveness analysis applied to flame-proof clothing, an optimal design was identified by analyzing costs and qualitative/quantitative effects. In the preliminary evaluation, the expected effectiveness of each design alternative on wear efficiency and wear comfort was estimated. In the in-depth evaluation, however, the effectiveness of each design alternative was analyzed by quantitative evaluation in a wearing test using a questionnaire prepared based on the D-E relationship analysis. It was concluded that the D-E relationship analysis and the cost-effectiveness analysis are useful for comprehensive evaluation and optimization of functional clothing design.

A Study on Effectiveness Analysis of K2 system with Weapon's unit cost (무기체계 단위비용을 고려한 K2 체계의 효과분석 방법 연구)

  • Jung, Byungki
    • Journal of the Korea Society for Simulation
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    • v.26 no.2
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    • pp.31-39
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    • 2017
  • This paper analyses the effectiveness of Kill Chain (KC) and Korea Air and Missile Defense (KAMD), also known as the K2 systems, using monte carlo simulation. It is assumed that the K2 systems are consisted with unitary KC and multi-layered (upper-tier and lower-tier) KAMD. And each system has two or three arbitrary weapon systems and its combination makes 12 scenarios. Measures of effectiveness (MOE) of the K2 systems were defined as ratio of eliminated ballistic missiles from total threats. And total cost was calculated by number of weapon launched and its unit cost. MOE and total cost of the K2 systems were estimated using monte carlo simulation with a thousand iteration for each scenario. Cost-effectiveness analysis was performed and the best candidate was selected using fixed effectiveness approach. As a result, the performances of KC are prime factor that affects both effectiveness and total cost of the K2 systems. It is also, acquired proper level of lower-tier KAMD to achieve desired defense effectiveness. For future work, it needs to be performed cost-effectiveness analysis based on practical specification and life cycle cost of weapon systems.

COST AND OPERATIONAL EFFECTIVENESS ANALYSIS

  • Toomepuu Juri
    • Journal of the military operations research society of Korea
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    • v.4 no.1
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    • pp.91-109
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    • 1978
  • The paper discusses Cost and Operational Effectiveness Analysis (COEA) in the context of a military study system. The objectives of a study system, development of study programs, and management of studies are addressed. Basic cost-effectiveness models are presented and the COEA planning steps, analytical processes, and implementation discussed.

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Seismic effectiveness of tuned mass dampers in a life-cycle cost perspective

  • Matta, Emiliano
    • Earthquakes and Structures
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    • v.9 no.1
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    • pp.73-91
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    • 2015
  • The effectiveness of tuned mass dampers (TMDs) in reducing the seismic response of civil structures is still a debated issue. The few studies regarding TMDs on inelastic structures indicate that they would perform well under moderate earthquake loading, when the structure remains linear or weakly nonlinear, while tending to fail under severe ground shaking, when the structure experiences strong nonlinearities. TMD seismic efficiency should be therefore rationally assessed by considering to which extent moderate and severe earthquakes respectively contribute to the expected cost of damages and losses over the lifespan of the structure. In this paper, a method for evaluating, in a life-cycle cost (LCC) perspective, the seismic effectiveness of TMDs on inelastic building structures is presented and exemplified on the SAC LA 9-storey steel moment-resisting frame benchmark building. Results show that the LCC concept may provide an appropriate alternative to traditional performance criteria for the evaluation of the effectiveness of TMDs and that TMD installation on typical existing middle-rise buildings in high seismic hazard regions may significantly reduce building lifetime cost despite the poor control performance observed under the most severe seismic events.

Contract Awarding Process and its Reasonable Improvement for Defense Acquisition (공공사업 경쟁입찰에서 낙찰자 결정방법분석 및 국방획득사업의 합리적인 사업자결정 방안)

  • Eo, Hajoon;Kim, Sung-Chul
    • Journal of Information Technology Services
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    • v.14 no.2
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    • pp.69-86
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    • 2015
  • The current contract awarding process regulated by laws and ordinances is analyzed and more reasonable processes are suggested. To this end, the principle of economic analysis is described with emphasis on the cost-effectiveness analysis, and the laws and ordinances regulating the process are thoroughly examined. The current contract awarding rule is based on the weighted sum of effectiveness score and cost score. This may not conform to the framework of economic analysis where effectiveness is supposed to be measured as an output and cost measured as an input. An improvement is attempted to the defense acquisition system and it is recognized that the economic analysis and policy consideration should be performed separately. Concept of statistical testing is introduced to see if the results of the cost effectiveness analyses show the significant difference between the alternatives. It is suggested that the contract awarding process can be improved by performing significance test followed by the aggregation of the two analyses. A minor improvement is also suggested on the application of current rules.