• Title/Summary/Keyword: Annual Budget

Search Result 210, Processing Time 0.027 seconds

Economic Evaluation and Budget Impact Analysis of the Surveillance Program for Hepatocellular Carcinoma in Thai Chronic Hepatitis B Patients

  • Sangmala, Pannapa;Chaikledkaew, Usa;Tanwandee, Tawesak;Pongchareonsuk, Petcharat
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.20
    • /
    • pp.8993-9004
    • /
    • 2014
  • Background: The incidence rate and the treatment costs of hepatocellular carcinoma (HCC) are high, especially in Thailand. Previous studies indicated that early detection by a surveillance program could help by down-staging. This study aimed to compare the costs and health outcomes associated with the introduction of a HCC surveillance program with no program and to estimate the budget impact if the HCC surveillance program were implemented. Materials and Methods: A cost utility analysis using a decision tree and Markov models was used to compare costs and outcomes during the lifetime period based on a societal perspective between alternative HCC surveillance strategies with no program. Costs included direct medical, direct non-medical, and indirect costs. Health outcomes were measured as life years (LYs), and quality adjusted life years (QALYs). The results were presented in terms of the incremental cost-effectiveness ratio (ICER) in Thai THB per QALY gained. One-way and probabilistic sensitivity analyses were applied to investigate parameter uncertainties. Budget impact analysis (BIA) was performed based on the governmental perspective. Results: Semi-annual ultrasonography (US) and semi-annual ultrasonography plus alpha-fetoprotein (US plus AFP) as the first screening for HCC surveillance would be cost-effective options at the willingness to pay (WTP) threshold of 160,000 THB per QALY gained compared with no surveillance program (ICER=118,796 and ICER=123,451 THB/QALY), respectively. The semi-annual US plus AFP yielded more net monetary benefit, but caused a substantially higher budget (237 to 502 million THB) than semi-annual US (81 to 201 million THB) during the next ten fiscal years. Conclusions: Our results suggested that a semi-annual US program should be used as the first screening for HCC surveillance and included in the benefit package of Thai health insurance schemes for both chronic hepatitis B males and females aged between 40-50 years. In addition, policy makers considered the program could be feasible, but additional evidence is needed to support the whole prevention system before the implementation of a strategic plan.

Input, Output and Budget of Nitrogen and Sulphur in Forested Watershed Ecosystems (산림 소유역 생태계에서 질소와 황의 유입량, 유출량과 물질수지)

  • 유영한;김준호;문형태;이창석
    • The Korean Journal of Ecology
    • /
    • v.25 no.2
    • /
    • pp.119-125
    • /
    • 2002
  • In order to elucidate the budget and cycling of Nitrogen and Sulfur, esential elements and principal constituents of acid rain, their input through precipitation, and their output by streamflow were quantified in coniferous and deciduous forested watersheds, using combination of nutrient concentration and hydrological analysis, in Kwangnung Experimental Forest from July 1991 to Decmeber 1993. Amount of annual mean precipitation was 12.916 ton·ha/sup -1/·yr/sup -1/, annual mean runoff 5,094 ton·ha/sup -1/·yr/sup -1/(39%), 7,647 ton·ha/sup -1/·yr/sup -1/(59%) in coniferous and deciduous forest watersheds, respectively. Amounts of annual input of N(NO₃/sup -/+NH₄/sup +/) and SO/sup 2-/₄ through preciptation were 12.5, 81.7 kg·ha/sup -1/·yr/sup -1/, respectively. Annual output via runoff of N(NO₃/sup -/+NH₄/sup +/) and SO/sup 2-/₄were 0.06, 39.23 ton·ha/sup -1/·yr/sup -1/ in the coniferous forest watershed ecosystem, and 0.15, 55.46 ton·ha/sup -1/·yr/sup -1/ in the deciduous one, respectively. On the basis of annual nutrient input and output, the annual budget of N(NO₃/sup -/+NH₄/sup +/) and SO/sup 2-/₄were +12.46, +42.49 ton·ha/sup -1/·yr/sup -1/ in the coniferous forest watershed, and +11.35, +26.26 ton·ha/sup -1/·yr/sup -1/ in the deciduous one. Thus N(NO₃/sup -/+NH₄/sup +/) and SO/sup 2-/₄were accumulated in both forested watershed ecosystems.

Estimation of Energy Budget from Food Consumption and Growth of Hexagrammos agrammus (노래미, Hexagrammos agrammus의 섭식양과 성장양으로부터 에너지 대사의 추정)

  • KIM Chong-Kwan;ZHANG Chang-Ik
    • Korean Journal of Fisheries and Aquatic Sciences
    • /
    • v.31 no.1
    • /
    • pp.121-126
    • /
    • 1998
  • This study is to examine the energy budget of Hexagrammos agrammus in the natural habitat, based on the von Bertalanffy's growth model using food consumption and growth data of the fish. The fish were collected at the coasts of Tongbaek Island in Pusan and Shinsu Island in Samchonpo, Korea. The standard energy budget model was adopted for this study and the model has the components of toed consumption (C), production (G), assimilation (A), absorption ($A_b$), catabolism (R), excreta (U) and feces (F). These components were expressed as mass unit, not as calorie unit as usual. Both the mass and the proportion of each component varied with age of the fish, The mass of annual excreta declined as the fish became older, while those of the other components increased with the age. The relationship between mean weight (W) and annual absorption ($A_b$) was a non-linear one with the equation of $A_b=4.592W^{0.666}$, while that between mean weight (W) and annual catabolism (R) was linear as R=0.007+0.567W. On the other hand, the annual food consumption (C) showed linear relations both with annual assimilation (A) and annual catabolism (R) as A= -7.026+0.061C and R=-20.749+0.048C, respectively.

  • PDF

The Direction of Capability-based Military Build-up (국가능력에 기초한한 군사력 건설방향)

  • 이필중
    • Journal of the military operations research society of Korea
    • /
    • v.27 no.2
    • /
    • pp.88-109
    • /
    • 2001
  • Defense minister of the ROK, Kim Bong-sin suggested that the ROK′s military build-up policy will change from "scenario-based" to "capability-based". Entering the 1990s the ROK′s military build-up policy met difficulties to accomplish its goal, modernizing and strengthening of its force structure and weapon systems because of limited budget. The concept of capability-based military build-up could commit a fault in estimating total amount of defense resources required for force planing. This is because that the total amount of defense resources related to force plan for the 15 years is fixed to embody military strategy. The concept of capability-based military build-up plays a role as a constraint in choosing a military strategy. This has no connection with military build-up. Therefore the resources of mid-term military build-up program and scale of annual defense budget could be affected by the situations of its national economy. In this respect, the scale of annual defense budget and resources could be changed in accordance with national economic condition, however, the total amount of resources required to build-up military force for 15 years, namely resources of military force planing requirement for 15 years, is given already for the accomplishment of military strategy. The purpose of this study is to seek a direction of the ROK′s military build-up policy in a viewpoint of capability-based military build-up.

  • PDF

Research and Development of Polymer Electrolyte Fuel Cells in Japan

  • Miyata, Seizo
    • Proceedings of the Polymer Society of Korea Conference
    • /
    • 2006.10a
    • /
    • pp.60-61
    • /
    • 2006
  • New Energy and Industrial Technology Development Organization (NEDO) promotes R&D that individual private sector enterprises can not undertake by themselves. To do this, it utilizes an extensive network that supports cooperation between industries, universities, and public research organizations. NEDO's government-funded R&D budget for FY2005 totals approximately 148.8 billion yen. Fuel cells and hydrogen technology development project is one of NEDO's emphasizing projects. The budget size was ${\yen}$20.8 billion, corresponding to about 60% of annual expenditure of Japanese government for fuel cells in FY2005. These projects consist of 8 programs as follows.

  • PDF

Cost Model for Annual Cost Spread Estimation of Space Launch Vehicle Development (발사체 개발의 연차별 비용 추정을 위한 비용모델 개발)

  • Kim, Hong-Rae;Yoo, Dong-Seo;Choi, Jong-Kwon;Chang, Young-Keun
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.39 no.6
    • /
    • pp.576-584
    • /
    • 2011
  • In order to develop a launch vehicle successfully, it is important to estimate development costs accurately but it is also important to plan the annual budget. In this paper, the statistical method was utilized for cost spreading. For cost spread modeling, the suitability of the model by analyzing several statistical models was evaluated and consequently, the beta-distribution model has been selected. In this study, the validity of the annual estimation cost model was verified through the comparison of the actual development cost distribution and the estimating cost distribution of Space Shuttle Main Engine. In addition, this paper estimated the annual budget required for the development of the KSLV-II using currently allocated cost for successful development. It is anticipated that the present cost spread model can be applied to not only launch vehicle development but also other large complex system development.

Regional Application of the OECD Phosphorus Budget: Comparison of the Input-Output Data Sources (OECD 인 수지 산정법의 지역단위 적용 연구: 유출입 자료 출처 비교)

  • Lim, Do Young;Ryu, Hong-Duck;Chung, Eu Gene;Kim, Yongseok
    • Journal of Environmental Science International
    • /
    • v.26 no.11
    • /
    • pp.1255-1266
    • /
    • 2017
  • Phosphorus (P) is an essential and major nutrient for both plants and animals. However, anthropogenic P in the environment may cause severe problems such as the deterioration of water quality. Therefore, it is essential for the Korean government to manage P in the agricultural sector. The annual P budget for Korea was 46 kg P ha-1 in 2013, placing Korea in second among Organisation for Economic Co-operation and Development (OECD) countries. P surplus and deficiency in agricultural lands can be estimated according to the P budget, which is one of the OECD agri-environment indicators. In the P budget, it is important to ensure consistency in the input-output data sources, in order to apply national and regional policies for the environmentally sound management of agricultural P. This study examines the impacts on the input-output data sources in the regional P budget in Korea. P budgets were between 99-145 kg-P/ha, depending on different data sources. We suggest two recommended data combinations (DC 1 and DC 2) for reliability of the data. P budgets calculated using DC 1 and DC 2 were 128 kg-P/ha and 97 kg-P/ha, respectively. According to the results, one of the core factors affecting P budgets was crop production. In this study, DC 2 was recommended rather than DC 1 in order to consider the cultivated areas for various crops. It is also necessary to analyze the sensitivity of the coefficients used in P budget in the future.

Analysis of Wave Data and Estimation of Littoral Drifts for the Eastern Coast of Korea (한국동해안의 파랑 자료 분석 및 표사량 추정)

  • 김아리;이정열;최병호
    • Journal of Korean Society of Coastal and Ocean Engineers
    • /
    • v.13 no.1
    • /
    • pp.18-34
    • /
    • 2001
  • Statistical analysis oflong-tenn wave data resulted from HYPA(HYbrid PArametric wave model) for the eastern coast of Korea was performed. Subsequently a simple approach for predicting the global annual and seasonal littoral drifts has been derived to estimate littoral sediment budget.

  • PDF

Economic Analysis of an Internet Portal, 'NANOIN'

  • Kim, Heung-Kyu
    • Journal of the Korea Society of Computer and Information
    • /
    • v.21 no.6
    • /
    • pp.117-125
    • /
    • 2016
  • In this research, economic analysis of Integrated Information System for Nano-convergence Industy (hereafter 'NANOIN'), which was developed and has been in operation by Organization of Nano-convergence Industrial Cooperation, is conducted. For this purpose, the research has been carried out in the following order. First, NANOIN user's maximum willingness-to-pay is estimated using contingent valuation method, the number for NANOIN users is estimated using Bass Diffusion Model, and annual benefit from NANOIN is estimated. Next, annual cost from NANOIN is estimated using annual budget for NANOIN related planned activities. Finally, economic value of NANOIN is evaluated using economic analysis applied to the estimated annual NANOIN benefit and cost. From the economic analysis, it is found that NANOIN has some economic value. It is expected that the procedures suggested in this research can help to systematically evaluate economic value for public goods which have not only uncertain benefit from user's side but also uncertain demand just like NANOIN.

Regional Application of the OECD Nitrogen Budget Considering Livestock Manure Compost (국내 가축분뇨 자원화 특성을 고려한 OECD 질소수지 산정법의 지역단위 적용 연구)

  • Lim, Do Young;Ryu, Hong-Duck;Chung, Eu Gene;Kim, Yongseok;Lee, Jae Kwan
    • Journal of Korean Society on Water Environment
    • /
    • v.33 no.5
    • /
    • pp.546-555
    • /
    • 2017
  • The Nutrient budget is one of the agricultural-environment indicators of OECD. A nutrient budget measures the surplus as the differential between the inputs and the outputs of within a certain boundary and within a specified period of time (i.e. one year). According to OECD, the annual nitrogen budget for Korea was $245kg\;N\;ha^{-1}$ in 2014, which corresponds to the first position among OECD countries. In Korea in 2014, about 90 % of livestock excreta was composted as solid and liquid manure, which are usually and customarily spread on agricultural land. The objectives of this study are intended to suggest methodology of the regional nitrogen budget as a nitrogen management tool, which considers conversion from raw excreta to composted manures based on the methodology of OECD/Eurostat, and application of the new method in an agricultural region of Korea. As a result, the calculated excess rate of hydrospheric nitrogen surplus was $251kg\;N\;ha^{-1}$ (in the region in 2014), which indicates the presence of potential risks emanating from excessive nitrogen, with regard to both export water and soil environments. The findings also assert that this was shown to be one of the most important elements in the nitrogen budget, which translates to the actual amounts of nitrogen lost during the solid composting process. To better understand the process and the reliability of the method, it is necessary to analyze the sensitivity of the relevant co-efficients used in the method in the near future.