• Title/Summary/Keyword: Benefit-Cost analysis

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Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients (유방암 수술 환자에 대한 가정간호서비스의 경제성 평가)

  • Ko, Jeong Yeon;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.356-367
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    • 2021
  • Purpose: This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery. Methods: A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives. Results: There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p<.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018. Conclusion: Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

Design Improvements of Investment Analysis System for SOC (SOC투자평가시스템의 체계 및 설계개선)

  • Lee, Jinsun;Nam, Doohee
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.3
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    • pp.131-136
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    • 2015
  • The feasibility study is an evaluation and analysis of the potential of a proposed project. It is based on extensive investigation and research to support the process of decision making. A systematic approach to determining the optimum use of scarce resources, involving comparison of two or more alternatives in achieving a specific objective under the given assumptions and constraints. Economic analysis takes into account the opportunity costs of resources employed and attempts to measure in monetary terms the private and social costs and benefits of a project to the community or economy. Cost-benefit analysis (CBA), sometimes called benefit-cost analysis (BCA), is a systematic approach to estimating the strengths and weaknesses of alternatives that satisfy transactions, activities or functional requirements for a business. It is a technique that is used to determine options that provide the best approach for the adoption and practice in terms of benefits in labor, time and cost savings etc. The CBA is also defined as a systematic process for calculating and comparing benefits and costs of a project, decision or government policy and projects.

Empirical Analysis on the Shortcut Benefit Function and its Factors for Triple Database (트리플 데이터베이스 단축 경로 이득 함수와 구성 인자 실험 분석)

  • Kang, Seungseok;Shim, Junho
    • The Journal of Society for e-Business Studies
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    • v.19 no.1
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    • pp.131-143
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    • 2014
  • A triple database consisting of a number of three-column tables require high cost of query processing, whereby building a shortcut is known as an effective way to reduce the cost. It is important to figure out what shortcuts needs to be selectively built. Most shortcut selection algorithms make use of a benefit model that considers the query frequency. However they work poor to reflect the database update. In this paper, we consider a benefit model for triple databases. The model considers not only the profit of query response times but also the building and maintenance costs of the shortcuts. We apply the model to design a benefit function which can be plugged in a greedy-based shortcut selection algorithm. We perform the empirical experiments on a real-world dataset and analyze the effect of each factor employed in the benefit function.

Benefit-Cost Analysis of GIS in Local Governments: A Case Study of Taegu Metropolitan City (지방자치단체에서 GIS구축에 따른 비용편익분석: 대구광역시를 사례로)

  • Jo, Myung-Hee;Kim, Kwang Ju;Park, Sang-Woo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.2 no.2
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    • pp.87-96
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    • 1999
  • Using the case of Taegu city, this study analyses benefits and costs related to the construction of GIS to local government. For this purpose, the study uses a case study selecting Taegu Metropolitan city. In this study, four discount rates(5%, 8%, 10%, 12%) are used for sensitivity analyses. According to this benefit-cost analysis, Taegu city government could get positive net present benefits from the year of 2004 which is 6 years after its GIS construction. This a result, Provides the economical and financial validity of GIS Construition in local government. In this study, analysis of invisible benefits are excluded. If these invisible and potential benefits are included in the analysis, GIS could produce more net benefits and the even break point of GIS construction in local governments will come earlier. For the further study, the study needs to develop new benefits and utilize cost-effectiveness analysis to catch these invisible benefits.

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Cost-Benefit Analysis of Clinical Pharmacokinetic Consultation Service of Theophylline (테오필린에 대한 약물동력학 자문서비스의 비용-편익분석)

  • Han, Euna;Yang, Bong-Min;Lee, Eui-Kyung
    • Quality Improvement in Health Care
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    • v.7 no.2
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    • pp.168-179
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    • 2000
  • Background : Economic evaluation of clinical pharmacokinetic consultation services for theophylline, which is being widely used recently, is considered in patients for both proper care and cost efficiency. Mathods : This is a cost-benefit analysis of clinical pharmacokinetic consultation service for theophylline. Trial groups were chosen from 2 general hospitals which was performing clinical pharmacokinetic consultation- services in 1998. Control group was chosen from another one general hospital. The analysis includes 25 patients (sample patients) for trial group and 17 patients for control group. Results : On the basis of incremental analysis, it is estimated that the total (direct and indirect) annual costs of the clinical, pharmacokinetic services of theophylline for the patients in the trial group was about \65 million, whereas total annual benefits from those services was estimated to be about \551 million. The net benefits incurred to the sample patients, thus calculated, was about \485 million per year. In the analysis, we assumed that indirect benefits accruing to those services were non-existent. If that amount was included, the estimated net benefits would be much greater than the calculated one. Conclusion : We found that clinical pharmacokinetic consultation services for theophylline could produce more marginal benefits than marginal costs by those services from the social point of view. More controlled prospective trial in the future would be helpful for affirmation of the results of this study.

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Health Economics Evaluation of a Gastric Cancer Early Detection and Treatment Program in China

  • Li, Dan;Yuan, Yuan;Sun, Li-Ping;Fang, Xue;Zhou, Bao-Sen
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5133-5136
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    • 2014
  • Objective: To use health economics methodology to assess the screening program on gastric cancer in Zhuanghe, China, so as to provide the basis for health decision on expanding the program of early detection and treatment. Materials and Methods: The expense of an early detection and treatment program for gastric cancer in patients found by screening, and also costs of traditional treatment in a hospital of Zhuanghe were assessed. Three major techniques of medical economics, namely cost-effective analysis (CEA), cost-benefit analysis (CBA) and cost-utility analysis (CUA), were used to assess the screening program. Results: Results from CEA showed that investing every 25, 235 Yuan on screening program in Zhuanghe area, one gastric cancer patient could be saved. Data from CUA showed that it was cost 1, 370 Yuan per QALY saved. Results from CBA showed that: the total cost was 1,945,206 Yuan with a benefit as 8,669,709 Yuan and an CBR of 4.46. Conclusions: The early detection and treatment program of gastric cancer appears economic and society-beneficial. We suggest that it should be carry out in more high risk areas for gastric cancer.

Reassessment on the Four Major Rivers Restoration Project and the Weirs Management (4대강 살리기사업의 재평가와 보의 운용방안)

  • Lee, Jong Ho
    • Journal of Environmental Impact Assessment
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    • v.30 no.4
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    • pp.225-236
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    • 2021
  • The master plan for the Four Rivers Restoration Project (June 2009) was devised, the procedure of pre-environmental review (June 2009) and environmental impact assessment (Nov. 2009), and post-environmental impact survey were implemented, and 4 times audits also inspected. and finally the Ministry of Environment's Four Rivers Investigation and Evaluation Planning Committee proposed the dismantling or partial dismantling of the five weirs of the Geum River and Yeongsan River. But controversies and conflicts are still ongoing. Therefore, this study intend to reestablish the management plan for the four major rivers by reviewing and analyzing the process so far. The results are as follows. First, a cost-benefit analysis should be performed by comparing the water quality impact of weir operation and weir opening. Therefore, it is inevitably difficult to conduct cost-benefit analysis. Second, according to the results of cost-benefit analysis on the dismantling of the Geum River and the Yeongsan River, the dismantling of the weir and the regular sluice gate opening was decided. However, there is a problem in the validity of the decision to dismantle the weir because the cost-benefit analysis for maintaining the weir is not carried out. Third, looking at the change in water quality of 16 weirs before and after the Four Major Rivers Restoration Project, COD and Chl-a were generally deteriorated, and BOD, SS, T-N, and T-P improved. However, in the cost-benefit analysis related to water quality at the time of weir dismantling, only COD items were targeted. Therefore, the cost of BOD, SS, T-N, and T-P items improved after the project were not reflected in the cost-benefit analysis of dismantling weirs, so the water quality benefits were exaggerated. Fourth, in the case of Gongju weir and Juksan weir, most of them are movable weirs, so opening the weir alone can have the same effect as dismantling when the water quality deteriorates. Since the same effect can be expected, there is little need to dismantle the weirs. Fifth, in order to respond to frequent droughts and floods, it is desirable to secure the agricultural water supply capacity to the drought areas upstream of the four majorrivers by constructing a waterway connected to the weir. At present it is necessary to keep weirs rather than dismantling them.

Economic Valuation for Nursery-Phase Production - Focusing on the tidal flat Oyster - (해면 중간육성 생산방식의 경제성 분석 - 갯벌 참굴 산업을 중심으로 -)

  • Choi, Jong-Du
    • The Journal of Fisheries Business Administration
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    • v.43 no.3
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    • pp.31-41
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    • 2012
  • This paper was conducted to study the economic valuation for Nursery-Phase production of the tidal flat oyster in Korea. Benefit-cost(B/C) model used to indicate the effects of economic valuation. Using discounting rates(i.e., 4.5%, 6.5% and 8.5%), the model compared revenues and costs that occur at different times from 2012 to 2018. This study also estimated various submodels, which are Benefit Cost Ratio(B/C ratio), Net Present Value(NPV), Internal Ration of Return(IRR), to compare profit of Nursery-Phase production styles and analyzed returns to evaluate the scenarios. Sensitivity analysis were conducted for various scenarios. The results suggest as follows. First, the oyster spat to the shell height of 3~5cm was more profit than the shell height of 1~3cm. Second, all of sensitivity analysis with submodels were economic valuation such that B/C ratio > 1, NPV > 0 and IRR > discounting rate. Third, the payback period was about 3years after installed Nursery-Phase production system.

The Economic Feasibility Analysis of Grow out Phase Production of Oyster Farming by Rising Water Temperature (기후변화로 인한 수온상승이 굴양식 본양성 생산방식의 경제성에 미치는 영향분석)

  • Choi, Jong Du;Choi, Young Jun
    • Ocean and Polar Research
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    • v.36 no.2
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    • pp.157-163
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    • 2014
  • This study analysed the economic feasibility per hectare of grow out phase production of Oyster farming by rising water temperature in Ocean. Elevated Water temperature by climate change had a bad influence for oyster production and economic feasibility. In the case of production units, the total output of oyster decreases from 213,840 to 205,594 units. Using cost-benefit analysis with discounting rates (5.5%), we estimated the net present value (NPV) and benefit cost ratio (BCR) until 2100 years. The model results showed that the NPV without water temperature rise was 1,565,619,893 won and the NPV with water temperature rise was 1,540,493,059 won. Also, BCR estimated that the former was 2.095 better than the latter was 2.077. To summarise, the economic effect per hectare of water temperature rise in ocean did the damage to the economic loss about 25,126,834 won.

Techno-Economic Optimization of a Grid-Connected Hybrid Energy System Considering Voltage Fluctuation

  • Saib, Samia;Gherbi, Ahmed;Kaabeche, Abdelhamid;Bayindir, Ramazan
    • Journal of Electrical Engineering and Technology
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    • v.13 no.2
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    • pp.659-668
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    • 2018
  • This paper proposes an optimization approach of a grid-connected photovoltaic and wind hybrid energy system including energy storage considering voltage fluctuation in the electricity grid. A techno-economic analysis is carried out in order to minimize the size of hybrid system by considering the benefit-cost. Lithium-ion battery type is used for both managing the electricity selling to the grid and reducing voltage fluctuation. A new technique is developed to limit the voltage perturbation caused by the solar irradiance and the wind speed through determining the state-of-charge of battery for every hour of a day. Improved particle swarm optimization (PSO) methods, referred to as FC-VACPSO which combines Fast Convergence Particle Swarm Optimization (FCPSO) method and Variable Acceleration Coefficient Based Particle Swarm Optimization (VACPSO) method are used to solve the optimization problem. A comparative study has been performed between standard PSO method and PSO based methods to extract the best size with the benefit cost. A sensitivity analysis has been studied for different kinds and costs of batteries, by considering variable and constant state-ofcharge of battery. The simulations, performed under Matlab environment, yield good results using the FC-VACPSO method regarding the convergence and the benefit cost of the hybrid system.