• 제목/요약/키워드: marginal benefit

검색결과 66건 처리시간 0.022초

풍진 예방접종사업의 비용-편익분석 (Cost-Benefit Analysis on Rubella Vaccination Policy)

  • 신영전;최보율;박항배;문옥륜;윤배중
    • Journal of Preventive Medicine and Public Health
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    • 제27권2호
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    • pp.337-365
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    • 1994
  • Rubella is a viral disease with mild constitutional symptoms and generalized rashes. In childhood, it is an inconsequential illness, but when it occurs during early pregnant period, there are significant risks of heart defects, cataract, mental retardation to the fetus. The series of congenital defects induced by rubella is called 'congenital rubella syndrome'. Many research have been performed to find out more effective prevention program on rubella. The objectives of this study are, first, to calculate the incidence rate of acute rubella infection and congenital rubella syndrome in Korea, second, to evaluate economic efficiency of several rubella vaccination policies and to offer data for the most reasonable decision on vaccination policy. Study populations are 663,312 children of one year-old in 1992. The author has performed cost-benefit analyses according to the three vaccination policies-U.S.A.'s. U.K.'s and Sweden's. In this Study, the author got the incidence rate of acute rubella infection using the catalytic model. In the meantime, the author used 50 per 100,000 live births as the incidence rate of congenital rubella syndrome. The discount rate used in this study was 5 percent per annum. The sensitivity analyses were done with different discount rates (4%, 7%) and different incidence rate of congenital rubella syndrome (10,100 per 100,000 live births) : The study results are as follows: 1. Without vaccination, lifetime expenditures per patient for acute rubella infeciton amount to 14,822 won and the total expenditures to about 3.1 billion won. Meanwhile, lifetime expenditures per patient for congenital rubella syndrome amount to about 91 million won and the total expenditures to about 16.3 billion won without vaccination. 2. The cost of vaccination for a child of one year old was 2,322 won and the total cost for the one year old children was about 1.5 billion won (American style). The cost for vaccination of female children at fifteen was about 339 million won (Birtish style). And the cost of vaccination at one for both sex and female children at fifteen was about 1.9 billion won (Swedish style). 3. The benefit to cost ratios of vaccination of female children at fifteen that is the british mode of rubella vaccination, was 60.0 at the level of 80% population coverage and 48.6 at 100% coverage. It shows much higher benefit to cost ratio than those of the other two vaccination policies. 4. Both net benefits of vaccination at one (American style) and that of vaccinations at one and fifteen (Swedish style) range from about 17.0 billion to 17.8 billion won, those were larger than that of vaccinations of female children at fifteen (Birtish style, about 16.0 billion). 5. In marginal cost-benefit analysis of only additional program of revaccination, the benefit to cost ratios were 3.6 (80% coverage rate) or 0.6 (100% coverage rate). It implies that additional program was less efficient or inefficient. 6. In sensitivity analysis with different discount rates(4% or 7%) and different incidence rates of congenital rubella syndrome (10 or 100 per 100,000 live births), the benefit to cost ratios has fluctuated in wide range. However, all the ratios of vaccination of female children at fifteen were higher than those of the others. Even under the most conservative assumption, the benefit to cost ratios of all the rubella vaccination policies were higher than 3.3. In conclusion, all the rubella vaccination policies found to be cost-effective and particularly the vaccination of female children at fifteen was strongly recommended.

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Influence of Different Treatment Regimes of Phytoecdysteroid on Silkworm, Bombyx mori L.

  • Kumar S. Nirmal;Nair K. Sashindran;Mondal Sumana
    • International Journal of Industrial Entomology and Biomaterials
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    • 제14권1호
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    • pp.63-68
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    • 2007
  • The response of silkworm, Bombyx mori L. to phytoecdysteroid (PE) when administered at different ages of $5^{th}$ instar was studied in the popular bivoltine ($CSR2{\times}CSR4$) and multi${\times}$bivoltine ($PM{\times}CSR2$) silkworm hybrids, reared on the Victory-1 variety of mulberry leaves. PE was administered to $5^{th}$ instar silkworm per os at a rate of $250{\mu}g$ per 100 larvae to different batches of silkworm at 0, 24, 48, 72, 96, 120, 144 hrs and at the onset of cocoon spinning when a few larvae were ripe. The larval and mounting duration, cocoon yield and cocoon characters were influenced by PE. The intensity of influence was dependent on the time of application. The larvae treated at the beginning of the instar, improved the economic traits significantly with a marginal increase in larval duration. In the larvae treated at the middle of the instar, larval duration was shortened remarkably but the economic traits were adversely affected. This particular treatment can become a good management strategy in the case of mulberry leaf shortage or disease incidence. In the larvae treated at the onset of cocoon spinning, the mounting duration was substantially reduced without much effect on the cocoon traits which would be a big benefit in commercial sericulture. The physiological significance of varied response of silkworm to PE administration is discussed.

비시장재의 가치평가 : WTP의 추정과 부분-전체 편의의 검토 (Valuation of Nonmarketed Goods: WTP and Part-Whole Bias in CV Studies)

  • 박용치
    • 한국조사연구학회지:조사연구
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    • 제3권1호
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    • pp.1-24
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    • 2002
  • CV 연구에서는 연구대상에 대한 지불 용의액을 계산하는 것 못지 않게 연구과정에서 나타나는 여러 가지 편의 즉, 부분전체편의, 출발전 편의 등이 문제된다. 본 논문에서는 우리나라에 있는 4대강의 수질을 수영이 가능한 수질을 개선시킨다는 전제 아래 시민들은 얼마를 지불할 용의가 있는지를 추정하고, 이 과정에서 나타날 수 있는 부분-전체 편의의 문제를 검토하였다. 추정 결과 한강모델의 경우는 WTP가 5,435.69원이었고, 4대강 모델의 경우는 WTP가 7,182.68이었으며, 이 과정에서 부분-전체 편의는 존재하는 것으로 생각되며 그 원인으로는 대체효과와 순편의 효과로 설명된다.

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병원의 규모와 범위의 경제 (Economies of Scale and Scope in Hospitals)

  • 함유상
    • 보건행정학회지
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    • 제18권1호
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    • pp.21-42
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    • 2008
  • This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

신선 과일과 채소의 보관에 사용된 옹기의 저장성 향상 효과 (Effect of Korean Earthenware Container (Onggi) on Preservation of Fresh Fruits and Vegetables)

  • 정미진;김남용;안덕순;이동선
    • 한국포장학회지
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    • 제16권2_3호
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    • pp.35-42
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    • 2010
  • 바나나, 단감, 딸기, 방울 토마토, 팽이버섯의 저장에서 보관용기의 효과를 살펴보았다. 플라스틱 용기와 유약 처리 옹기와 함께 유약을 바르지 않은 옹기와 자기(혹은 유리 용기)를 사용하였다. 유약처리옹기가 바나나, 단감, 방울토마토의 신선도 유지에 효과적이었고, 딸기와 팽이버섯에 대해서는 일부 약간의 긍정적인 효과를 보이거나 미미한 영향을 나타내었다. 긍정적인 효과를 갖는 품목은 에틸렌에 대해 민감한 품목으로서 옹기의 에틸렌 흡착이 신선도 유지에 관계되는 것으로 추정되며, 이에 대해서는 추가적인 규명이 필요하다.

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Economics of the Plant Species Used in Homestead Agroforestry of Southern Bangladesh

  • Rana, Md. Parvez;Akhter, Sayma;Sohel, Md. Shawkat Islam
    • Journal of Forest and Environmental Science
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    • 제25권1호
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    • pp.35-41
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    • 2009
  • Agroforestry combines agriculture and forestry technologies to create more integrated, diverse, productive, profitable, healthy and sustainable land-use systems. This study was performed in three union of Chhagalnaiya Upazila (Sub-district; administrative entity) under Feni district, Southern Bangladesh with a view to identify the tree resources, utilization pattern and economic return of major fruit and timber tree species. Information collected from a total of 45 households ranging from marginal, small, medium and large categories. Number of plant species increased with the increase of homestead area. A total of 39 plant species were recorded from the homegarden, of which 23 were fruit and 16 were timber tree species. Considerable number of vegetables was also planted under the shade of the homestead trees. The investment analysis showed that average benefit-cost ratios were greater than one, net present values were positive and internal rate of returns were more than 10%. Long term investment on horticulture and timber tree species is highly profitable if species like Swietenia mahagoni and Tectona grandis, Spondias pinnata, Syzygium cumini and Areca catechu were planted.

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농업용수리시설의 유지관리체제일원화에 관한 연구 - 충남지역 수리계 운영실태조사결과를 중심으로 - (A Study on the Unified Operation and Maintenance System of Irrigation Facilities in Korea - With Reference to the Survey Results on the Activities of Irrigation Fraternities in Chungnam Province -)

  • 김성민;임재환
    • 농업과학연구
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    • 제31권1호
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    • pp.53-75
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    • 2004
  • This study is aimed at identifying the national economic value of the irrigation facilities by reviewing the existing papers on economic values of the irrigation facilities and presenting current status of dual O & M problems of the irrigation facilities. This study suggested the unified O & M system rather than continuing the existing dual O & M system of irrigation facilities based on the surveyed results of the activities of irrigation fraternities in Chungnam Province. The findings and proposals for the successful unified and mono O & M system of the irrigation facilities are as follows: (1) Total number of irrigation facilities in the nation accounts for 67,582, while the total length of irrigation and drainage canals amounted to about 174,259km. On account of the total length of structural canals was estimated at 31%, much losses of water and much O & M costs have been inevitable for the full irrigation rice culture. In spite of the past heavy investment for irrigation facilities, the ratio of rain-fed and partially irrigated paddy fields accounts for 23% in 2003. Both Korea Agricultural and Rural Infrastructure Corporation (KARICO) and the city and Gun Governments have managed the irrigation facilities separately by irrigation fraternities. The KARICO have commanded 59% of irrigation paddy area with 18% of the total irrigation facilities, while the city and Gun governments covered 41% of irrigation paddy area with 82% of the existing number of irrigation facilities representing small and medium scale. (2) The 1999 demand prices of irrigation water per ton expressed in 2000 constant market price was estimated at 388 won, the supply price was amounted to 184 won per ton. Considering the supply and demand curve of the irrigation water, the existing irrigation facilities could not satisfy the demand of irrigation water. (3) In 1999, total present added value of the irrigation facilities during the economic life accounted for 48 trillion won, while total supply cost was 44.7 trillion won. The marginal benefit and cost ratio of irrigation water was 1.08. (4) The total O & M cost per year amounting to 681.1 billion won have been required to maintain and repair the existing irrigation facilities in Korea. For the successful unified O & M of irrigation facilities covering whole irrigated paddy field in Korea, 950 billion won of O & M costs are required to keep up the marginal benefit of irrigation water as 2,800 billion won per year. The total O & M cost as 950 billion won should be allocated 40%, 380 billion won for O & M costs of irrigation facilities and 60%, 570 billion won for improvement of irrigation facilities. (5) The study investigated and reviewed the present O & M status of the irrigation facilities by small and medium irrigation fraternities. Most of the farmers belong to the irrigation fraternities preferred not only unified O & M but also KARICO take-over of the whole O & M activities of the irrigation facilities. The prevailing O & M cost per 10a expended by the Corporation was amounted to 104,890 won, while that of city and Gun governments was only amounted to 4,600 won per 10a. regarding the small amount of O & M cost expended by city and Gun governments, it is evident that the existing irrigation system have been managed ineffectively and deteriorated the facilities comparing that of KARICO. In conclusion, the Government could not satisfied the demand of irrigation water by suppling water with existing irrigation facilities. Therefore new additional investment and financial support for irrigation water development should be made to convert rain-fed and partially irrigated paddy fields into fully irrigated ones. The operation and maintenance cost should be supported to keep the marginal values of rice production of existing irrigation facilities in the national economy and to modernize the obsolete irrigation facilities. By unifying the existing dual O & M systems, all the farmers belong to the irrigated paddy fields have to be equally benefited and could be increased their farm income and be stabilized their rural lives.

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공업용수의 수종별 경제적 가치 추정 (Economic Value of Industrial Water Use)

  • 이주석;박선영;류문현;유승훈
    • 한국수자원학회논문집
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    • 제45권4호
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    • pp.373-381
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    • 2012
  • 공업용수의 경제적 가치에 대한 정보는 학술적 연구 분야뿐만 아니라 정책평가 영역에서도 광범위하게 요구되고 있다. 이에 본 연구에서는 경제이론에 근거하여 수종별 공업용수의 경제적 가치를 추정하고자 한다. 이를 위해 본 연구에서는 전국 국가산업단지 및 지방산업단지 등에 위치한제조업체 1,017개를 대상으로 한 설문조사를 통해 수집한 자료를 이용하여 공업용수의 경제적 가치를 추정을 시도하되 원수 침전수 정수 등 수종별로 구분된 경제적 가치를 도출하고자 하였다. 분석결과, 2010년 말 기준 공업용수의 수종별 한계생산가치는 정수가 1,861.95(원/$m^3$), 침전수가 896.76(원/$m^3$), 원수가 769.24(원/$m^3$)로 추정되었다. 이러한 분석결과는 한국개발연구원이 수자원부문사업의 예비타당성조사 표준지침 수정 보완 연구(제4판)의 보완을 위한 공업용수 공급편익 산정요령 가이드라인(2011)에서 2003년 산업총조사 자료를 이용하여 분석한 결과로 제시한 공업용수 침전수의 한계생산가치885.1원/$m^3$(침전수, 2010년 말기준)과 비교할 때 별 차이가 없다. 이러한 점은 현재 한국개발연구원에서 현재 적용하고 있는 공업용수 침전수의 공급편익 원단위가 적절함을 시사한다.

동북아 에너지협력을 위한 전력계통 연구 : 러시아와의 전력계통 연계를 중심으로 (A Study on the Power Interconnection in the Northeast Asian Region)

  • 김현제;노동석;조성한
    • 자원ㆍ환경경제연구
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    • 제17권3호
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    • pp.167-199
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    • 2008
  • 세계 각지에서 전력망 연계를 통한 전력부문의 협력과 전력시장의 통합이 추진되어 가시적인 성과를 거두고 있다. 동북아 지역은 상당한 경제적 편익이 기대됨에도 불구하고 역내 국가들의 다양한 이해관계와 현실적 제약요인 등으로 인해 전력협력의 성과가 제대로 나타나지 않고 있다. 미국 에너지부 산하의 아르곤연구소(Argonne National Laboratory)에서 개발한 발전 및 송전을 모의하는 프로그램인 GTMax를 통하여 러시아로부터 값 싼 전력이 국내에 수입되는 경우를 분석하였다. 러시아로부터의 수전량이 2,000MW(2017년의 국내 설비용량은 약 90,000MW 이상으로 2,000MW는 2%에 해당)일 경우 절대량이 미미하여 국내 전력시장에 미치는 영향이 거의 없다. 전력망 연계에 의해 큰 폭의 비용 절감을 도모하기 위해서는 수전량이 전체의 10% 수준이 될 정도로 커질 필요가 있음을 보여주고 있다. 또한 경인지역으로 직접 연계되는 것이 비용절감을 크게 하며, 영동지역과 연계되는 경우 영동-경인 간 선로용량의 증설이 불가능하다면 수전전력은 중부지역의 발전량을 대체하게 되어 수전의 상대적 이득이 감소하는 것으로 나타났다.

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The Kuala Lumpur Qigong Trial for Women in the Cancer Survivorship Phase-Efficacy of a Three-Arm RCT to Improve QOL

  • Loh, Siew Yim;Lee, Shing Yee;Murray, Liam
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8127-8134
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    • 2014
  • Background: Qigong is highly favoured among Asian breast cancer survivors for enhancing health. This study examined the hypothesis that quality of life (QoL) in the Qigong group is better than the placebo (aerobic) or usual care group. Materials and Methods: A total of 197 participants were randomly assigned to either the 8-week Kuala Lumpur Qigong Trial or control groups in 2010-2011. Measurement taken at baseline and post-intervention included QoL, distress and fatigue. Analysis of covariance (ANCOVA) and Kruskal Wallis were used to examine for differences between groups in the measurements. Results: There were 95 consenting participants in this 8week trial. The adherence rates were 63% for Qigong and 65% for the placebo group. The Qigong group showed significant marginal improvement in Quality of life scores compared to placebo (mean difference=7.3 unit; p=0.036), compared to usual care (mean difference=6.7 unit; p=0.048) on Functional Assessment Cancer Therapy-Breast measure. There were no significant changes between the placebo and usual care groups in fatigue or distress at post intervention (8-week). Conclusions: Cancer survivors who participated in the Qigong intervention showed slightly better QOL. Follow up studies are greatly needed to evaluate which subgroups may best benefit from Qigong. With a steep rise of cancer survivors, there is an urgent need to explore and engage more cultural means of physical activity to fight side effects of treatment and for cancer control in developing countries.