• 대한전자공학회논문지TC
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• 제48권6호
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• pp.22-27
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• 2011

본 논문은 직접 대역 확산(Direct sequence spread spectrum : DS-SS) 시스템에서 적응형 임계값을 적용하여 초기 동기 성능을 향상 시키는 알고리즘을 제안한다. 제안된 알고리즘은 탐색 모드(search mode) 이전에 프리덤프 모드(pre-dump mode)를 추가하고, 상관 에너지를 이용해 탐색 모드와 확인 모드(verification mode)의 임계값을 결정한다. 이를 통해 확인 모드뿐만 아니라 탐색 모드에서까지 거부 성능(rejection performance)을 향상시킬 수 있다. 제안된 방법은 기존 기술과 비교할 때 하드웨어 증가 없이 평균 코드 획득 시간(mean code acquisition time)을 약 40% 단축시킬 수 있다.

• Tuberculosis and Respiratory Diseases
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• 제85권2호
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• pp.165-174
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• 2022

Background: One goal of the End tuberculosis (TB) Strategy is to see no TB-affected households experiencing catastrophic costs. Therefore, it is crucial for TB-elimination programs to identify catastrophic costs and their main drivers in order to establish appropriate health and social measures. This study aimed to measure the percent of catastrophic costs experienced by Egyptian TB patients and to identify its determinants. Methods: We conducted a prospective cohort study with 151 Egyptian TB patients recruited from two chest dispensaries from the Cairo governate from May 2019 to May 2020. We used a validated World Health Organization TB patient-cost tool to collect data on patients' demographic information, household income, and direct and indirect expense of seeking TB treatment. We considered catastrophic TB costs to be total costs exceeding 20% of the household's annual income. Results: Of the patients, 33% experienced catastrophic costs. The highest proportion of the total came in the pre-treatment stage. Being the main breadwinner, experiencing job loss, selling property, and the occurrence of early coronavirus disease 2019 lockdown were independent determinants of the incidence of catastrophic costs. Borrowing money and selling property were the most-often reported coping strategies adopted. Conclusion: Despite the availability of free TB care under the Egyptian National TB Program, nearly a third of the TB patients incurred catastrophic costs. Job loss and being the main breadwinner were among the significant predictors of catastrophic costs. Social protection mechanisms, including cash assistance and insurance coverage, are necessary to achieve the goal of the End TB Strategy.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.293-299
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• 2013

Objectives: The purposes of this study were to evaluate the prevalence of epilepsy and to estimate the cost of epilepsy in Korea, 2010. Methods: This study used a prevalence based approach to calculate the cost of epilepsy. Claims data from the Korean national health insurance and data from the Korea health panel, the Korea National Statistical Office's records of causes of death, and labor statistics were used to estimate the cost of epilepsy. Patients were defined as those who were hospitalized or visited an outpatient clinic during 2010 with a diagnosis of epilepsy (International Classification of Diseases 10th revision codes G40-G41). Total costs of epilepsy included direct medical costs, direct non-medical cost and indirect costs. Results: The annual prevalence of treated epilepsy was 228 per 100 000 population, and higher in men. The age-specific prevalence was highest for teenagers. The total economic burden of epilepsy was 536 billion Korean won (KW). Indirect cost (304 billion KW) was 1.3 times greater than direct cost (232 billion KW). By gender, the male (347 billion KW) were more burdened than the female (189 billion KW). The estimated cost in young age younger than 20 years old was 24.5% of the total burden of epilepsy. Conclusions: A significant portion of the economic burden of epilepsy is borne by people in young age. To reduce the economic burden of epilepsy, effective prevention and treatment strategies are needed.

• Journal of Preventive Medicine and Public Health
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• 제37권4호
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• pp.353-358
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• 2004

Objective : To determine the quality of life and cost consequences for deaf adults who received a cochlear implant. Methods : The data from 11 patients, post-lingual deaf adults who received cochlear implants from 1990 to 2002, underwent cost-utility analysis. The average age of the participants was 49.6 years. The main outcomes were direct cost per quality-adjusted life-year (QALY) using the visual analog scale (VAS), health utility index (HUI), EuroQol (EQ-5D), and quality well-being (QWB), with costs and utilities being discounted 3% annually. Results : Recipients had an average of 5.6 years of implant use. Mean VAS scores increased by 0.33, from 0.27 before implantation to 0.60 at survey. HUI scores increased by 0.36, from 0.29 to 0.65, EQ-5D scores increased by 0.26, from 0.52 to 0.78, and QWB scores increased by 0.16, from 0.45 to 0.61. Discounted direct costs were $22,320, yielding $19,223/QALY using VAS, $17,387/QALY using HUI, $24,604/QALY using EQ-5D, and $40,474/QALY using QWB. Cost-utility ratios using VAS, HUI, and EQ-5D were all below $25,000 per QALY, except using QWB. Conclusion : Cochlear implants in post-lingual deaf adult have a positive effect on quality of life at reasonable direct costs and appear to produce a net saving to society.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.5-11
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• 2009

Objectives : This study was conducted to estimate the socioeconomic cost of injuries in South Korea. Methods : We matched claims data from national health insurance, automobile insurance and industrial accident compensation insurance(IACI), and mortality data obtained from the national statistical office from 2001 to 2003 by patients unique identifier. Socioeconomic cost included both direct cost and indirect cost: the direct cost was injury-related medical expenditure and the indirect cost included loss of productivity due to healthcare utilization and premature death. Results : The socioeconomic cost of injuries in Korea was approximately 1.9% of the GDP from 2001 to 2003. That is, 12.1 trillion KRW(Korean Won) in 2001, 12.3 trillion KRW in 2002, and 13.7 trillion KRW in 2003. In 2003, direct medical costs were 24.6%(3.4 trillion KRW), the costs for loss of productivity by healthcare utilization were 13.0%(1.8 trillion KRW), and the costs for loss of productivity by premature death were 62.4%(8.6 trillion KRW). Conclusions : In this study, the socioeconomic cost of injuries in Korea between 2001 and 2003 was estimated by using not only health insurance claims data, but also automobile insurance, IACI claims and mortality data. We conclude that social efforts are required to reduce the socioeconomic cost of injuries in Korea, which represented approximately 1.9% of the GDP for the time period specified.

• 한국건설관리학회논문집
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• 제23권3호
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• pp.25-35
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• 2022

본 연구의 목적은 활주로 건설공사에서 수집된 공사비 내역서, 설계변경 자료 등을 근거로 발생된 위험사건(위험항목)으로 인하여 변동된 공사금액을 산정하고 위험사건이 발생하게 된 원인에 따라 사업참여기관별로 손실비용을 분석하는 것이다. 본 연구를 수행한 결과, 위험사건은 12건이며, 증액된 총 공사금액은 726백만원으로 발주기관이 부담하여야 하는 금액은 약 52.57%, 건설사는 약 47.43%로 산정되었다. 또한, 계약금액의 직접공사비 149억원 대비 증액된 공사금액은 약 4.86%이며, 토공사로 분류된 위험사건에 따라 증액된 공사금액은 토공사의 직접공사비 대비 약 5.29% 그리고 건축공사로 분류된 위험사건에 따라 증액된 공사금액은 건축공사의 직접공사비 대비 약 4.04%에 해당하는 것으로 도출되었다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권10호
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• pp.4729-4733
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• 2016

Objectives: Lung cancer is a major public health problem and one of the most costly illnesses. The study aimed to estimate the economic burden of lung cancer in Iran in 2014. Methods: A cross-sectional study was conducted to estimate the direct and indirect costs for patients with lung cancer using a prevalence-based approach. A human capital approach was employed to estimate the indirect costs. Data were obtained from several sources such as through patient interview using structured questionnaire, medical records, the GLOBOCAN databases, the Iranian Statistical Center, the Iranian Ministry of Cooperation, Labor and Social Welfare, and the Institute for Health Metrics and Evaluation (IHME). Results: The economic burden of lung cancer in Iran in the year 2014 was 3,225,998,555,090 IR. The main components of the cost were associated with mortality (81.9 %) and hospitalization (7.6 %). The costs of direct medical care, non-medical aspects, patient time, and mortality accounted for 10.8%, 2.7%, 4.5%, and 81.5% of the total cost, respectively. Conclusion: Findings from this study indicated that the economic burden of lung cancer is substantial both to Iran's health system and to society as a whole. Early diagnosis, strengthening cancer prevention, implementing new cancer therapy and medical technology, and effective smoking-cessation interventions could offset some of the costs associated with lung cancer in Iran.

• 경영정보학연구
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• 제8권1호
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• pp.265-285
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• 2006

본 연구는 IT프로젝트 사전타당성 평가항목을 도출하고, 각 평가항목의 가중치를 AHP 기법에 의하여 산출하였으며, 3개 IT프로젝트 유형에 따른 평가항목별 가중치 차이를 통계적으로 검증하였다. 국내 민간기업 및 공공조직에서 제안된 79개 IT프로젝트에 대한 AHP 조사에서 7개 평가항목의 가중치는 재무적 효과 25.14%, 전략적 가치 22.34%, 직접비용 14.44%, 리스크 12.05%, 기술적 필요성 11.50%, 정치적 고려 8.26%, 간접비용 6.41%로 나타났다. 예상대로 재무적 효과, 전략적 가치, 직접비용의 가중치가 높게 나타난 반면, 최근의 TCO 모델이나 이론적 연구에서 중시되고 있는 간접비용이 실무현장에서는 그다지 중요하게 고려되지 않는 것으로 나타났다. 특히 대부분 신규 IT투자에서 실질적으로 가장 민감하게 영향을 미치고 있다고 간주되는 CEO 관심, 현업부서장의 추진의지 등과 같은 정치적 고려항목이 낮게 나타난 것은 의외의 현상이며, 그 원인에 대한 체계적 분석을 향후 연구과제로 제안한다. 그리고 ANOVA 분석 결과 거래처리형, 정보제공형, 인프라형 3개 프로젝트 유형별로 평가항목 가중치가 다른 것으로 분석되었다.

• 가정∙방문간호학회지
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• 제6권
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• pp.19-32
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• 1999

The purpose of this study was to develop of home nursing care classification and home health care costs of the free-standing home nursing care agency. This study was done through 3 steps The First stage, home nursing care classification was identified and classified by literature, review-committee and expert meeting. The second stage, cost elements for home nursing care visit were identified and accounted. That were divided into direct nursing care cost, indirect nursing care cost, management cost and transportation cost. Third stage, total cost of per visit was produced. Data were collected from 810 visits of 120 patients received home dare and from January. 1999 to November, 1999, and analysed with EXCEL program. The obtained results are as follows : 1. Home nursing care classification was consisted of 6 high level classification domain and 10 low level classification domain and 163 home nursing care behavior. 2. The cost of home nursing care per visit was 30,638 won which were direct and indirect nursing care cost(16.305won), management cost(5,255won) and transportation cost (9,098won). In conclusion. Home nursing behavior care classification developed in this study would be used as home health care standard. And the home nursing care costs can be used as a fundamental data for the further development of home health care costs in Korea.

• Journal of Preventive Medicine and Public Health
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• 제47권2호
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• pp.84-93
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• 2014

Objectives: The incidence and survival rate of colorectal cancer in Korea are increasing because of improved screening, treatment technologies, and lifestyle changes. In this aging population, increases in economic cost result. This study was conducted to estimate the economic burden of colorectal cancer utilizing claims data from the Health Insurance Review and Assessment Service. Methods: Economic burdens of colorectal cancer were estimated using prevalence data and patients were defined as those who received ambulatory treatment from medical institutions or who had been hospitalized due to colorectal cancer under the International Classification of Disease 10th revision codes from C18-C21. The economic burdens of colorectal cancer were calculated as direct costs and indirect costs. Results: The prevalence rate (per 100 000 people) of those who were treated for colorectal cancer during 2010 was 165.48. The economic burdens of colorectal cancer in 2010 were 3 trillion and 100 billion Korean won (KRW), respectively. Direct costs included 1 trillion and 960 billion KRW (62.85%), respectively and indirect costs were 1 trillion and 160 billion (37.15%), respectively. Conclusions: Colorectal cancer has a large economic burden. Efforts should be made to reduce the economic burden of the disease through primary and secondary prevention.