• 대한안전경영과학회지
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• 제13권2호
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• pp.185-193
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• 2011

The successful and sustainable growth of SMEs depends on their ability of strengthen their competitiveness in quality and cost and service more than anything else as a fundamental of operation. Among these key competitive factors of SMEs, quality is the most critical factor in manufacturing business fields. There are many different ways to improve the quality performance but it needs proper management decision to choose the best way what can maximize outputs with minimum inputs. And it needs effective measurement methods and some indicators to analysis the quality performance properly. The quality cost is one of the simplest key indicators to measure the quality performance and the effectiveness of quality related management decisions. In this study, through survey on local SMEs, we found that their average annual quality cost ratio versus turnover - total amount of annual quality cost divided by annual turnover - is around 3.69% excluded some SME's performances what have different quality control measures with others. And we found some results what corresponded with the early studies on the correlations between those categorized quality costs factors and some discrepancies between some of the literature model and the early case study results as follows. There were negative correlations between the Prevention costs and the External failure costs, and the Appraisal costs and the External failure costs, and there was positive correlation between the Appraisal costs and Internal failure costs same as early studies. But, we couldn't found any strong negative correlations between the Cost of control - Prevention costs & Appraisal costs - and the Cost of Failure of control - Internal & External failure costs -.

• 수산해양기술연구
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• 제48권4호
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• pp.346-351
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• 2012

The fuel cost of fishing lights for squid jigging fishing vessels takes about 30% of total fishing costs and over 65% of total fuel costs, which indicates the necessity of development of cost-reducing and high efficient fishing light system. This study aimed to analyze the economic effectiveness of LED fishing light systems in combination with metal halide lamp for the squid jigging fishery. Analytical results showed that the level of fishing profits of vessels using LED lights could be different with those of vessels using metal halide lights. That is, when a fuel cost could be reduced by 30%, fishing profits of vessels using LED lights might be the same as those of vessels using metal halide lights, and fishing profits of vessels using LED lights could be higher than those of vessels using metal halide lights when a fuel cost could be reduced by 50%.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 추계학술대회 논문집
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• pp.1158-1164
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• 2007

Recently, the demand on the practical application of life-cycle cost effectiveness for design and rehabilitation of civil infrastructure is rapidly growing unprecedentedly in civil engineering practice. Accordingly, it is expected that the life-cycle cost in the 21st century will become a new paradigm for all engineering decision problems in practice. However, in spite of impressive progress in the researches on the LCC, so far, most researches in Koreahave only focused on roadway bridges, which are not applicable to railway bridges. Thus, this paper presents the formulation models and methods for uncertainty-based LCCA for railroad bridges consideringboth objective statistical data available in the agency database of railroad bridges management and subjective data obtained form interviews with experts of the railway agency, which are used to anew uncertainty-based expected maintenance/repair costs including lifetime indirect costs. For reliable assessment of the life-cycle maintenance/repair costs, statistical analysis considering maintenance history data and survey data including the subjective judgments of railway experts on maintenance/management of railroad bridges, are performed to categorize critical maintenance items and associated expected costs and uncertainty-based deterioration models are developed. Finally, the formulation for simulation-based LCC analysis of railway bridges with uncertainty-based deterioration models are applied to the design-decision problem, which is to select an optimal bridge type having minimum Life-Cycle cost among various railway bridges types such as steel plate girder bridge, and prestressed concrete girder bridge in the basic design phase.

• 한국공간정보시스템학회 논문지
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• 제2권2호
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• pp.59-74
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• 2000

투자의 효율성제시가 불명확한 1단계 국가GIS사업(1995-2000)에 대한 대책으로, 최근 GIS예산 집행의 타당성에 대한 분석이 요구되고 있다. 특히 국가GIS사업의 많은 비중을 차지하는 지자제GIS사업에서 효율적인 투자는 성공적인 사업추진을 위해 매우 중요하다. 그러나 GIS투자의 타당성을 판단하기 위해서는 투자비용의 산정과 함께 그로 인한 편익 내지 효과를 측정할 수 있어야 한다. 또 측정할 수 있다면 얼마나 측정할 수 있고 얼마나 설득력있는 편익을 측정하여 정책결정이나 정치적, 재정적 지지를 얻는 데에 활용할 수 있는가가 핵심적인 주요사안으로 받아들여지고 있다. 따라서 본 연구는 지자체에서 합리적인 의사결정의 자료로 활용될 수 있도록 기존의 다양한 GIS비용효과 분석에 대한 이론적 고찰을 실시하고, 지자제GIS의 특성을 고려한 GIS비용효과분석방안을 고찰하였다. 이를 위해 지자체 GIS 발전단계에 따르는 효과 및 지자체 응용시스템별의 활용효과에 대한 국내외사례를 종합, 국내 지자체 GIS비용효과분석에 적용될 수 있는 비용과 효과의 정량적 정성적 평가항목을 구성하였다. 아울러 편익비용비, 순현재가치, 내부수익률의 평가기법에 따라 다양한 대안선정을 위한 민감도분석과 불확실성분석에 대해서도 살펴봄으로써, 지자제 GIS사업의 투자타당성확보 및 합리적인 의사결정 및 대안선택방향을 모색하였다.

• 자원ㆍ환경경제연구
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• 제19권4호
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• pp.753-769
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• 2010

본 연구에서는 LNG 수입가격과 환율 등 복수의 가격변동 위험이 존재하는 경우 헤징효율성 측면에서 분리헤징과 복합헤징의 비교우위를 실증적으로 분석하였다. 사전적 분석기법을 활용한 실증분석결과에 따르면, 헤징을 하지 않은 경우에 비해 헤징형태에 관계없이 헤징을 통해 조달비용의 평균을 감소시킬 수 있다. 또한 헤징을 통해 표준편차를 감소시킴으로써 보다 안정적인 수익흐름을 확보할 수 있다. 중요한 사실은 분리헤징 형태에 비해 복합헤징 형태로 헤징할 경우 특정 헤징기간에 대해서는 조달비용의 표준편차를 더욱 감소시킬 수 있다는 점이다. 이로써 상품가격과 환율의 위험요소들 사이에 존재하는 분산-공분산 관계를 충분히 활용하는 것이 헤징효과를 향상시키는 데 도움이 될 수 있다는 사실을 확인할 수 있다.

• 한국의료질향상학회지
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• 제30권1호
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• pp.120-131
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• 2024

Purpose: This study aimed to evaluate the impact of implementing a clinical pathways (CPs) on the clinical outcomes and costs of patients undergoing breast cancer surgery. Methods: This retrospective cohort study included patients who were newly diagnosed with primary breast cancer at the Samsung Medical Center between 2014 and 2019 (N=8482; 2931 patients in the pre-path and 5551 patients in the post-path). Clinical outcomes included reoperation during hospitalization, readmission, and emergency room visits within 30 days of discharge. The cost data for each unit were obtained from an activity-based management accounting system. We performed an interrupted time series analysis. Results: The post-path period showed a significantly shorter hospital length of stay (LOS) than the pre-path period (6.3 days in pre-path vs. 5.0 days in post-path; -1.3 days' difference; p=.001), and fewer reoperations during hospitalization and within 30 days after discharge than the pre-path period. After adjusting for inflation rates and relative value scores, the model demonstrated savings of $146 per patient in the post-path for total costs, and $537 per patient for patient out-of-pocket costs (p=.001). Conclusion: CPs can help reduce costs without compromising the quality of care by reducing the number of reoperations, readmissions, and complications.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7701-7706
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• 2013

Background: In a prospective cohort study of antiemetic therapy conducted in Malaysia, a total of 94 patients received low emetogenic chemotherapy (LEC) with or without granisetron injections as the primary prophylaxis for chemotherapy-induced nausea and vomiting (CINV). This study is a retrospective cost analysis of two antiemetic regimens from the payer perspective. Materials and Methods: This cost evaluation refers to 2011, the year in which the observation was conducted. Direct costs incurred by hospitals including the drug acquisition, materials and time spent for clinical activities from prescribing to dispensing of home medications were evaluated (MYR 1=$0.32 USD). As reported to be significantly different between two regimens (96.1% vs 81.0%; p=0.017), the complete response rate of acute emesis which was defined as a patient successfully treated without any emesis episode within 24 hours after LEC was used as the main indicator for effectiveness. Results: Antiemetic drug acquisition cost per patient was 40.7 times higher for the granisetron-based regimen than for the standard regimen (MYR 64.3 vs 1.58). When both the costs for materials and clinical activities were included, the total cost per patient was 8.68 times higher for the granisetron-based regimen (MYR 73.5 vs 8.47). Considering the complete response rates, the mean cost per successfully treated patient in granisetron group was 7.31 times higher (MYR 76.5 vs 10.5). The incremental cost-effectiveness ratio (ICER) with granisetron-based regimen, relative to the standard regimen, was MYR 430.7. It was found to be most sensitive to the change of antiemetic effects of granisetron-based regimen. Conclusions: While providing a better efficacy in acute emesis control, the low incidence of acute emesis and high ICER makes use of granisetron as primary prophylaxis in LEC controversial.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.2059-2065
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• 2013

This goal of this research was to evaluate the cost-effectiveness of the National Cancer Screening Program (NCSP) for breast cancer in the Republic of Korea from a government expenditure perspective. In 2002-2003 (baseline), a total of 8,724,860 women aged 40 years or over were invited to attend breast cancer screening by the NCSP. Those who attended were identified using the NCSP database, and women were divided into two groups, women who attended screening at baseline (screened group) and those who did not (non-screened group). Breast cancer diagnosis in both groups at baseline, and during 5-year follow-up was identified using the Korean Central Cancer Registry. The effectiveness of the NCSP for breast cancer was estimated by comparing 5-year survival and life years saved (LYS) between the screened and the unscreened groups, measured using mortality data from the Korean National Health Insurance Corporation and the National Health Statistical Office. Direct screening costs, indirect screening costs, and productivity costs were considered in different combinations in the model. When all three of these costs were considered together, the incremental cost to save one life year of a breast cancer patient was 42,305,000 Korean Won (KW) (1 USD=1,088 KW) for the screened group compared to the non-screened group. In sensitivity analyses, reducing the false-positive rate of the screening program by half was the most cost-effective (incremental cost-effectiveness ratio, ICER=30,110,852 KW/LYS) strategy. When the upper age limit for screening was set at 70 years, it became more cost-effective (ICER=39,641,823 KW/LYS) than when no upper age limit was set. The NCSP for breast cancer in Korea seems to be accepted as cost-effective as ICER estimates were around the Gross Domestic Product. However, cost-effectiveness could be further improved by increasing the sensitivity of breast cancer screening and by setting appropriate age limits.

• 한방안이비인후피부과학회지
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• 제23권1호
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• pp.260-269
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• 2010

Background : Bojungikgitang(BJT) and Banhabaekchulchonmatang(BBT) are known to treat the tinnitus patients, which were registered Korean National Health Insurance coverage lists. Objective : Few studies have evaluated economic benefits of both herbal medicines. This research is to investigate the cost-effectiveness of Bojungikgitang(BJT) and Banhabaekchulchonmatang(BBT) in chronic tinnitus patients over nineteen years old. Method : We built the decision tree model of chronic tinnitus and executed the deterministic analysis and threshold sensitivity analysis based on randomized clinical trial. Effectiveness was measured in quality-adjusted life-years(QALYs), and costs were in 2009 KRW(South Korean Currency). The perspective is societal, time horizon is 10 weeks, and Korean willingness to pay threshold is assumed to 20,000,000KRW. Results : In the base case analysis, BJT treatment resulted is better outcomes as low cost, so BJT is dominant medicine and BBT is dominated. But both cost per QALYs (BJT is 3,120,339KWN per QALY, BBT is 3,505,780KWN per QALY) are lower than the threshold, that could be covered by Korean National Health Insurance(KNHI). Conclusion : This study results showed that BJT was more cost-effective than BBT treating tinnitus patients for 10 weeks, and the cost per QALYs of both alternatives were lower than Korean national threshold.

• Industrial Engineering and Management Systems
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• 제12권1호
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• pp.30-35
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• 2013

Motivated by the emergency scheduling in a transportation network, this paper considers a transportation problem, in which, the truck times and transportation costs are assumed as uncertain variables. To meet the demand in the practical applications, two optimization objectives are considered, one is the total costs and another is the completion times. And then, a multi-objective optimization model is developed according to the situation in applications. Because there are commensurability and conflicting between the two objectives commonly, a solution does not necessarily exist that is best with respective to the two objectives. Therefore, the problem is reduced to a single objective model, which is an uncertain programming with a chance-constrain. After some analysis, its equivalent deterministic form is obtained, which is a nonlinear programming. Based on a stepwise optimization strategy, a solution method is developed to solve the problem. Finally, the computational results are provided to demonstrate the effectiveness of our model and algorithm.