• Title/Summary/Keyword: Costs-effectiveness analysis

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VE Alternative Verification Method Using KANO Model (카노모델을 활용한 VE대안 검증방법)

  • Liu, Jun-Nan;Qiao, Le;Park, Jin-Young;Kim, Byung-Soo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.6
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    • pp.923-932
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    • 2019
  • VE is used as a powerful tool to add value to facilities by improving functionality and reducing costs. By identifying the client's requirements in the VE process and reflecting them in the quality model, the developed alternatives meet the client's requirements. However, there is no process to verify how the developed alternatives reflect the needs of the client through functional analysis, idea generation and evaluation. The purpose of this study was to develop, verify, and prove the effectiveness of a methodology for evaluating client satisfaction with alternatives developed during the VE Job Plan. The KANO model, which can identify the satisfaction and dissatisfaction of requirements in product planning, was set as a methodology for alternative verification procedures of VE, and was improved and applied to the purpose of this study. As a result, the alternative evaluation method developed in this study was found to be useful. It is expected that the KANO model will be used to evaluate the satisfaction of VE alternatives in the VE Job Plan analysis.

Pharmacoeconomic Analysis of Tafluprost compared with Latanoprost on the Treatment of Primary open Angle Glaucoma or Ocular Hypertension in Korea (녹내장치료에 있어서 Tafluprost와 Latanoprost의 경제성평가)

  • Kang, Suk-Hyun;Song, Hyun-Jin;Heo, Ji-Heong;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.278-287
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    • 2010
  • The main objective of this study is to evaluate the cost-effectiveness of tafluprost compared with latanoprost in primry open Angle Glaucoma (POAG) or ocular hypertension OH patients in Korea. A decision analytic model was developed from a societal perspective to estimate clinical outcome, drug cost and glaucoma related cost. The model assumes branch like following: successful treatment, switching to other drug, adding other drug, laser or surgery. Treatment success rate is defined as the percentage of patients with elevated IOP achieving <20% reduction, and discontinuation rate is the percentage of patients who were withdrawn due to severe adverse events. A model that is comprised of 1 month cycle length has 1 year. Treatment success rate and discontinuation rate were obtained from published literatures searched in database. Resource utilizations and costs were calculated with national health insurance data and clinical expert opinions. Sensitivity analyses were performed on crucial parameters. Tafluprost is less costly than latanoprost, $609.0 vs $651.2 expected cost. Thus tafluprost was shown to be dominant compared with latanoprost. The results of sensitivity analysis revealed stable across most of the included parameters. According to this study, tafluprost shows more clinical outcome for 1 year than latanoprost. In addition, first-line treatment of tafluprost is a more cost-minimizing strategy associated with POAG or OH compared with latanoprost.

Design and Effectiveness Analysis of prefabricated Storage-type infiltration facility (조립식 저류형 침투시설의 설계 및 공간적용 효과분석)

  • Lee, Tae-Goo
    • KIEAE Journal
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    • v.16 no.6
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    • pp.103-108
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    • 2016
  • Purpose: This study has developed economical and environmentally friendly storage type infiltration facilities that securing storage space inside the infiltration facility. It focused on preventing flooding rainfall as well as securing more groundwater through rainwater infiltration that is valuable for the dry season. In addition, this study compares the installation cost of the storage-type infiltration facility to the cost of the conventional rainwater management facilities to demonstrate the economic efficiency of the storage-based infiltration facility. Method: Unit infiltration of this facility is calculated and when it was applied to a certain capacity, the amount of countermeasures are proposed in case study. Result: Unit infiltration of it is $0.2541m^3/hr$ and un it Temporary storage of it is $1.054m^3/m$. As a result, the infiltration effect of this facility is $1.306m^3/hr$. The cost was approximately 30% reduction in time to apply the storage type infiltration facility as compared with the case to apply the existing penetration of the facilities. Since the penetration of the existing facilities is smaller than that and it has much securing volume to process the same the amount of countermeasures. Therefore, it is determined that the cost significantly increases in material cost part. On the other hand, storage type infiltration facility is installed a small quantity because Unit Temporary storage and infiltration are bigger than that. So, it occurred to reduce material and installation costs.

Design of longitudinal prestress of precast decks in twin-girder continuous composite bridges (2거더 연속강합성 교량의 프리캐스트 바닥판 종방향 프리스트레스 설계)

  • Shim, Chang Su;Kim, Hyun Ho;Ha, Tae Yul;Jeon, Seung Min
    • Journal of Korean Society of Steel Construction
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    • v.18 no.5
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    • pp.633-642
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    • 2006
  • Serviceability design is required to control the cracking at the joint of precast decks with longitudinal prestress in continuous composite bridges. Details of twin-girder bridges are especially complex not only due to their main reinforcements and transverse prestresses for the design of long-span concrete slabs, but also due to the shear pockets for obtaining the composite action. This paper suggests the design guidelines for the magnitude of the effective prestress and for the selection of filling materials and their requirements that would allow for the use of precast decks for twin-girder continuous composite bridges. The necessary initial prestress was also evaluated through long-term behavior analysis. From the analysis, existing design examples were revised and their effectiveness was estimated. When a filling material with a bonding strength higher than the requirement is used in the region of a high negative moment, a uniform configuration of the longitudinal prestressing steels along thewhole span length of continuous composite bridges can be achieved, which would result in the simplification of the details and the reduction of the construction costs.

The Effects and Variances of the Critical Pathway of Laparoscopic Colon Resection in Colon Cancer Patients (일 병원의 대장절제술 환자를 위한 표준진료지침의 임상적용 효과와 변이분석)

  • Jung, Hye-Jeong;Choi, Mo-Na;Kim, So-Sun;Kim, Nam-Kyu;Lee, Kang-Young
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.204-212
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    • 2012
  • Purpose: To investigate the effectiveness and variance of a critical pathway (CP) for laparoscopic colon resection in colon cancer patients, and nurses'satisfaction with the CP. Methods: A CP for laparoscopic colon resection was applied to the CP-group that included 50 patients, who underwent elective colon resection between March and May, 2011. The non-CP group included 51 patients who had the same operation without the CP applied from March to May, 2010. Results: The means of length of hospital stay were 11.7 and 7.3 days (p<.001) and the lengths of postoperative hospital stay were 8.6 and 5.1 days (p<.001) in the non-CP group and CP group, respectively. There was no significant difference between two groups for total healthcare costs, pain score, complications, or emergency room visits within 30 days after discharge. By examining variances of the CP, there were 162 variances and the most frequent cause was patient's condition. Nurses'satisfaction with the use of CP was favorable and the mean score of satisfaction was 3.76 on the 5 point Likert scale. Conclusion: There are clear benefits to use of CP, resulting in standardized and effective patient care. In conclusion, analysis of variance data can assist in evaluating and revising CP for optimal care and reducing variances.

Development of a Numerical Analysis Method for the Outage Cost Assessment at Load Points (부하지점별 공급지장비추정을 위한 수치해석적 방법의 개발)

  • Choi, Jae-Seok;Kim, Hong-Sik;Moon, Seung-Pil;Kang, Jin-Jong;Kim, Ho-Yong;Park, Dong-Wook
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.49 no.11
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    • pp.549-557
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    • 2000
  • This study proposes a new numerical analysis method for assessing the outage cost of the composite power system with considering transmission system at load points. The proposed method comes from combination of the expected energy not served curve(EENSC) with the marginal outage cost function obtained at load points. Uncertainty of the outages of the generation and transmission systems was also included in this study. This study can be categorized into three processing parts as like as follows. Firstly, EENSC at load points was developed newly from the composite power system effective load duration curve which has been proposed by the authors. Secondly, this study proposes a new technical method for determining the coefficients of the marginal outage cost functions at load points in the composite power system(Generation and Transmission systems). It is a main key point that the mathematical expression for the marginal outage cost function at a load point is formulated and evaluated using relations between the GNP (or GDP) and the electrical energy demand at the load pint. Finally, the outage cost was calculated in this paper by combining the proposed EENSC with the marginal outage cost function evaluated at each load point. It is another important feature that the average costs for future at load points can be forescasted using the proposed approach. The effectiveness of the proposed new approach is demonstrated by the case studies with the IEEE-RTS.

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Reduction Method for the Risk of the Chemical Facilities by KS-RBI Program Supporting the Quantitative Cause Analysis (정량적 원인분석이 가능한 위험기반검사(KS-RBI)에 의한 화학설비의 위험도 경감방안)

  • Kim, Tae-Ok;Lee, Hern-Chang;Jo, Ji-Hoon;Kim, Kyu-Jung;Kwon, Hyuck-Myun
    • Journal of the Korean Institute of Gas
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    • v.12 no.2
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    • pp.110-117
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    • 2008
  • The risks of the chemical facilities were estimated by the KS-RBI(Ver. 3.0) program supporting the quantitative cause analysis, and reduction method for the risks of the facilities was investigated. As a result, we could find that the risks of the facilities decrease with reducing the likelihood of failure (LOF) affected by demage mechanism, inspection number and effectiveness of inspection, and with reducing the consequence of failure (COF) affected by the ratings of the detection, isolation, and mitigation systems. Furthermore, high risks of the facilities would be decreased by reduction of the LOF and the COF simultaneously. Accordingly, the applied plant would be able to achieve the decrease of inspection and labor costs because of the decrease of consequences and inspection intervals through the reduction of risks.

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Cost-benefit Analysis of Sodium Intake Reduction Policy in Korea (나트륨 섭취량 감소 정책의 비용편익 분석)

  • Lee, Chul-Hee;Kim, Dae-il;Hong, Jeong-Lim;Koh, Eun-Mi;Kang, Baeg-Won;Kim, Jong-Wook;Park, Hye-Kyung;Kim, Cho-Il
    • Korean Journal of Community Nutrition
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    • v.17 no.3
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    • pp.341-352
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    • 2012
  • It is well established that excessive sodium intake is related to a higher incidence of chronic diseases such as hypertension, stroke, coronary heart disease, cardiovascular disease and gastric cancer. Although the upper limit of the current sodium intake guideline by WHO is set at 2,000 mg/day for adults, sodium intake of Koreans is well over 4,700 mg/capita/day implying an urgent need to develop and implement sodium intake reduction policy at the national level. This study investigated the cost-effectiveness of the sodium intake reduction policy, for the first time, in Korea. Analyses were performed using most recent and representative data on national health insurance statistics, healthcare utilization, employment information, disease morbidity/mortality, etc. The socioeconomic benefits of the policy, resulting from reduced morbidity of those relevant diseases, included lower medical expenditures, transportation costs, caregiver cost for inpatients and income losses. The socioeconomic benefits from diminished mortality included reductions in earning losses and welfare losses caused by early deaths. It is estimated that the amount of total benefits of reducing sodium intake from 4.7 g to 3.0 g is 12.6 trillion Korean Won; and the size of its cost is 149 billion Won. Assuming that the effect of sodium intake reduction would become gradually evident over a 5-year period, the implied rate of average return to the sodium reduction policy is 7,790% for the following 25 years, suggesting a very high cost-effectiveness. Accordingly, development and implementation of a mid-to-long term plan for a consistent sodium intake reduction policy is extremely beneficial and well warranted.

A Study on Analysis Method of Asphalt Plug Joint using FEM (유한요소 해석을 통한 Asphalt Plug Joint의 분석 방법에 대한 연구)

  • Moon, Kyoung-Tae;Park, Philip;Park, Sang-Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.2D
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    • pp.237-245
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    • 2011
  • Asphalt Plug Joint(APJ) is a new type of expansion joint that it's application are increased in USA as well as several European countries. APJ's' advantages are cheap construction and maintenance costs, and simple construction and securing of excellent flatness. However, APJ's usability is hindered because it showed a problem of premature failure. Research for solving this problem has been progressed, and FEM analysis among existing researches was peformed. However, the behavior of APJ was insufficiently analyzed and the reliability of the analysis was much low, since the material showing complicated behavior was oversimplified, Therefore, a material model was proposed and its effectiveness was confirmed by comparing it with actual behavior in order to improve the reliability of FEM analysis in this paper. ABAQUS program was used for FEM analysis, and an elasto-plastic model and a viscous-plastic model as the material model of APJ were suggested on the base of experiment results of APJ material performed by Bramel et al. The elasto-plastic model was defined by time-independent analysis since it didn't consider time and strain rate, and the viscous-plastic model was defined by time-dependent analysis since it considered. Influence of various elements affecting the behavior of APJ was investigated, and it was confirmed that the time-dependent analysis showed better result closed to actual behavior than the time-independent analysis.

A Comparative Study of Economical Efficiency in Apartment Security System: Focused on a Enhancing the Effectiveness of Senior Employment Programs (아파트 유·무인 경비시스템의 경제성 비교 연구: 노인일자리 사업의 효용성 제고를 중심으로)

  • Ha, Jai-Ryong;Lee, Kwang-Won
    • Korean Security Journal
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    • no.41
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    • pp.7-36
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    • 2014
  • Recently the Korean government announced that minimum wage policy would be applied even to apartment security staffs by 2015 who had been waived from the policy enforcement for their unique work conditions. This caused apartment management to introduce unmanned security system instead of employing security staffs because of fearing possible hike of management fees. People recklessly tend to believe unmaned system is cheaper than maned system if minimum wage guideline is applied. This study examines the economic feasibility of two different apartment security systems by utilizing cost-benefit analysis: maned and unmaned security systems. The authors estimate the costs and the benefits of each security system for 5 years(2014-2018) with application of social discount rate(5.5%). Thirty six apartment complexes at 8 different areas(meons and dongs) in Asan, Chungcheongnam-do province were surveyed. And to attain the exact costs of unmaned system establishment and operation, the authors interviewed persons working for the unmaned security corporations. The benefit-cost(B/C) ratio for unmanned security system is 1.66% at minimum and 1.30% at maximum. while B/C ratio for manned security system is 1.42% and 1.66% respectively. This results mean that people's belief is not correct, that is, transferring from maned system to unmaned is not always economically efficient. Benefits of maned security system is more diverse than unmaned system. The former provides living conveniences(parking helps and keeping parcels) and social benefits(employing aged worker and giving them opportunities to enjoy happier lives) as well as security benefits like crime prevention. The latter provides security benefits only, but that effect is also doubtable. Taking into account these diverse benefits maned system provides, the B/C ratio of maned system is equitable or higher than unmaned system.

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