• 제목/요약/키워드: Benefit/Cost Ratio

검색결과 292건 처리시간 0.023초

한국에서의 단풍당뇨증, 호모시스틴뇨증, 갈락토스혈증, 선천성 부신과형성증에 대한 신생아 선별검사의 경제성 분석 (A Cost-Benefit Analysis of Neonatal Screening Tests for Maple Syrup Urine Disease, Homocystinuria, Galactosemia, and Congenital Adrenal Hyperplasia)

  • 박신영;김동일;이동환
    • Journal of Genetic Medicine
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    • 제5권2호
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    • pp.111-118
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    • 2008
  • 목 적: 신생아 선별검사는 선천성 대사이상 질환을 조기에 진단하여 심각한 발달 지연이나 급성 질환, 심지어는 사망을 예방할 수 있어 점차 확산되고 있다. 본 연구에서는 우리나라에서 신생아 선별검사에 들어가는 비용과 시행하지 않을 때의 비용을 서로 비교하여 경제성 여부를 알아보고자 하였다. 대상 및 방법: 2005년 1월부터 2007년 12월까지 국내에서 단풍당뇨증, 호모시스틴뇨증, 갈락토스혈증 및 선천성 부신과형성증에 대한 신생아 선별검사를 받은 1,259,220명의 신생아를 대상으로 신생아 선별검사를 시행한 경우와 시행하지 않은 경우에 들어가는 비용을 비교하여 단풍당뇨증, 호모시스틴뇨증, 갈락토스혈증 및 선천성 부신과형성증에 대한 신생아 선별검사의 경제성 여부를 알아보고자 하였다. 결 과: 각 질환별로 신생아 선별 검사를 시행할 때와 시행하지 않을 때의 비용의 비를 분석해보면 단풍당뇨증이 1:0.5, 호모시스틴뇨증이 1:0.6로 낮은 유병률로 인해 검사를 시행하는 것이 손해였으며, 갈락토스혈증이 1:4.1, 선천성 부신과형성증이 1:2.9로 이득을 보여 전체적으로는 신생아 선별검사를 시행했을 때 총 2.0배의 이득이 있었다. 결 론: 단풍당뇨증, 호모시스틴뇨증, 갈락토스혈증, 선천성 부신과형성증에 대한 신생아 선별검사는 경제적 효용성 뿐만 아니라 개인의 삶의 질 향상을 위해서도 시행해야 하며 앞으로 윌슨병 등의 다른 유전성 대사질환에 대해서도 신생아 선별검사 시행을 고려해야 할 것이다.

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외국학술지지원센터 운영 사업의 비용편익분석 (Cost Benefit Analysis of Foreign Research Information Centers)

  • 김광석;오동근;여지숙
    • 한국도서관정보학회지
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    • 제43권1호
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    • pp.287-301
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    • 2012
  • 이 연구는 2011년 현재 운영중인 7개 외국학술지지원센터의 운영효과를 점검하기 위해 그 비용과 편익을 분석하였다. 사업개시부터 30년 경과시점을 기준으로 한 투자타당성 분석 결과, 비용편익 비율(BCR)은 0.99, 내부수익률(IRR)은 5.49%, 누적순현재가치(NPV)는 -507백만원으로 나타났다. 다만 민감도분석에서는 저널 이용건수와 사회적 할인율, 중복구독 중단 등의 항목의 변화에 따라 비용편익비율이 변화할 수 있음을 제시하였다.

밭 비점오염저감을 위한 잔디초생대 적용 비용 및 활용성 평가 (Estimation of Application Cost and Utilization of Turf Grass VFS for Reduction of Uplands NPS Pollution)

  • 이슬기;장정렬;최경숙
    • 한국농공학회논문집
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    • 제57권2호
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    • pp.75-83
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    • 2015
  • This study was aimed to estimate the total application cost and utilization of Turf grass VFS application through the field experiment. The experimental plots were constructed in an upland field of Iksan city within the Saemangeum watershed. Turf grass was transplanted at the down-slope edge of the pollution source area in each of the treated plots. Three rainfall events were monitored during the experiment period, and the rainfall-runoff relationships and NPS pollution reduction effects of the VFS systems were assessed. As results, the reduction ratio of runoff volume ranged 14.1~64.0 %, while the NPS pollution reduction ratio ranged 9.8~73.9 % for SS, 24.0~84.2 % for T-N, 31.6~80.9 % for T-P respectively. The total cost of VFS application was estimated by considering purchase cost of Turf grass sods and construction and maintenance costs of VFS system as well as the loss caused by giving up crop cultivation for the area needed to construct the VFS. The total cost of the VFS was estimated to be approximately \3,379,000/ha/year for the first year of application, and this cost could be decreased to \1,899,000/ha/year from the second year as the construction cost of VFS could no longer need to be counted afterwards. Apart from the NPS pollution reduction effects, the possible utilization of VFS was examined by detaching Turf grass within 40 % of VFS area for sale during spring time when the VFS systems fully covered. The benefit of selling the detached Turf grass sods was estimated as \1,260,000/ha/year, and also found that the VFS area successfully recovered by the time of the summer period. This benefit could attract farmers to adopt the VFS technique to manage agricultural NPS pollution.

비용편익분석을 위한 조건부가치측정법에서의 총편익 산정: 소득효과 및 거리-소멸 효과를 중심으로 (Calculation of Total Benefit by the Contingent Valuation Method for Cost-Benefit Analysis: Focusing on Income and Distance-Decay Effects)

  • 이종연
    • KDI Journal of Economic Policy
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    • 제36권1호
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    • pp.43-80
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    • 2014
  • 본고는 조건부가치측정법을 비용편익분석에 이용하기 위하여 공공시설의 신설에 따른 총편익의 산정을 보다 엄밀히 수행하는 방법을 제시한다. 즉, 설문을 통해 가구당 지불의사액을 추정하는 경우, 응답자의 소득 및 응답자의 거주지와 해당 공공시설 사업지 간의 거리가 지불의사액에 영향을 미치는지를 확인하고자 한다. 구조적 효용격차모형을 이용한 사례분석 결과 지불의사액에 대한 소득효과 및 거리-소멸 효과가 존재함을 확인하였으며, 총편익의 산정 시 이들을 고려하지 않는 경우 산정된 총편익의 값이 크게 달라질 수 있음을 보였다. 이에 본고는 조건부가치측정법을 비용편익분석에 이용하는 경우 총편익의 산정에 있어 주의를 기울여야 함을 강조한다. 비용편익분석에 있어 총비용의 추정이 정확히 이루어진다 하더라도 가구당 지불의사액의 추정 및 이들을 합산하여 총편익을 산정하는 방식이 옳지 못할 경우 편익/비용(B/C) 비율이 크게 달라질 수 있기 때문이다. 한편, 효용격차 구조모형을 따르지 않고 임의적으로 유사한 추정을 수행한 결과는 구조모형의 추정치와 매우 큰 차이를 보임을 알 수 있었다. 따라서 총편익의 산정은 구조모형의 설정을 따르는 것이 바람직할 것이다. 마지막으로 시뮬레이션을 통해 모형의 적합성을 검증하였으며, 소득효과와 거리-소멸 효과를 고려하지 않는 경우 지역균형발전의 관점에서 바람직하지 못한 총편익의 추정 결과를 얻음을 밝혔다.

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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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농업기상재해 위험 관리를 위한 농장별 조기경보서비스의 비용편익 분석 (Cost-benefit Analysis of a Farmstead-specific Early Warning Service for Agrometeorological Disaster Risk Management)

  • 심교문;정학균;임영아;신용순;김용석;최인태;정명표;김호정
    • 한국농림기상학회지
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    • 제19권3호
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    • pp.195-202
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    • 2017
  • 본 연구에서는 농업기상재해 조기경보시스템의 전국 확대 구축을 위한 기초자료를 제시하고자, 조기경보서비스를 활용하는 농가를 대상으로 만족도를 조사하였고, 시범사업 추진에 따른 비용편익을 분석하였다. 설문에 참가한 농가는 조기경보서비스에 대해서 대체로 만족하였고 농사에 잘 활용한다고 응답하였다. 그리고 조기경보서비스에 대한 월간 지불의사금액은 평균 8,833원으로 조사되었다. 조기경보서비스가 전국으로 확대되어 시 군 농가의 50%가 6개월간 이용한다고 가정하면, 편익대비 비용의 비가 2.2로 분석되어 전국 확대를 위한 사업추진의 타당성이 높은 것으로 평가되었다.

여행비용접근법(TCM)에 의한 관광효과 추정 - 대호농어촌관광휴양단지를 중심으로 - (An Economic Estimation of Tourism Effects by Travel Cost Method -Application for Daeho Rural Tourism & Leisure Complex-)

  • 유영희;임재환;구승모
    • 농업과학연구
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    • 제31권2호
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    • pp.123-134
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    • 2004
  • Since 1989, 9 major complex have been invested with government funds, for the purpose of developing agricultural tourism to increase agricultural income and job opportunity, as well as providing urban population leisure opportunity. However, systematic and comprehensive approaches were rarely done in analyzing its economic impacts. This study, therefore, focuses on analyzing tourism effect and its economic value and implication for a representative rural tourism site,"Daeho rural tourism complex". To analyze travel pattern, expenditure pattern, and degree of satisfaction from travel to Daeho complex, Travel Cost Method(TCM) was employed based on survey method. Results from linear model with statistical significance implies that tourism benefit for each visitor is 28,373 won and total annual benefit for the Daeho site is 7 billion won. Considering annual benefit stream, the present value of total benefits are 132.9 billion won and 70 billion won at 5% and 10% of discounting rate, respectively. Using the values of benefit estimated from this study and investment cost, B/C ratio, IRR, and NPV were calculated to be 1.01, 1.67 billion won, and 5.19% at 5% of discounting rate. These results could be directly compared with the previous analyses.

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대학병원 급식업무 개선 사례 연구 (Case Study on Job Flow Improvement of Foodservice at a University Hospital)

  • 김형미;양일선;박은철;임현숙
    • 한국의료질향상학회지
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    • 제7권2호
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    • pp.244-261
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    • 2000
  • Background : In order to cope with changes in the management environment at hospitals, increased interests are drawn in patient foodservice system on Continuous Quality Improvement Activity as the method of approaching a quality food service and effective management. Thus, as a part of this activity, this study was conducted to evaluate job flow improvement that was already performed and the results of that process at the dietetic department of a university hospital, focusing on improving management. Method : On February 15 of 1998. the dietetic department formed a job flow-improvement to decide on the priority of job flow improvement, and prepared specific action strategies and schedule of the priority: after a 5 month process period, job improvement achieved on June 15. 1998. Also, economic achievement of the task was evaluated through labor productivity analysis and cost-benefit analysis. Results : The patient food service system which was managed decentralized at the present hospital was centralized, some steps of the food service process were integrated, and quality of patient food was improved. Also, as a solution of the problems expected when conducting job flow improvement was made on food service equipments and utensils. The result of evaluating the job flow improvement that labor productivity improved by 18.2% compared to before the improvement and the result of the analysis of cost-benefit showed that Benefit-Cost (B/C) ratio was 2.22. showing financial merit on the investment. Conclusions : Continuous Quality Improvement Activity needs to be initiated and conducted in the future in various areas of hospital foodservice system in order to actively adopt to ever changing hospital management environment. In order to achieve this goal, many researches and more efforts need to be put in by people in charge of hospital food service management, and interests and support are needed from hospital policy makers.

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기업의 환경경영이 지속가능한 발전에 미치는 실증분석 (An Empirical Study on Relationship between Environmental Management and Sustainable Development)

  • 장기윤
    • 환경정책연구
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    • 제8권3호
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    • pp.81-113
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    • 2009
  • 본 논문은 기업의 환경경영활동과 지속가능한 발전과의 상관관계를 분석하는 것을 목적으로 하였다. 이를 위해 기업의 환경경영활동을 지속가능성 측면에서 평가할 수 있도록 경제, 환경, 그리고 사회적 지표를 선정하여 평가모형(SDEM)을 구축하였다. 평가모형은 델-파이, 계층적 분석방법(AHP)을 활용하여 자료의 선정과 가중치를 결정하였다. 그리고 우리나라 기업 58개사를 대상으로 실증분석을 수행하였다. 분석결과에 따르면 환경경영 도입 단계가 높을수록, 기업규모가 클수록, 환경경영을 실천한지 오래될수록, 그리고 공기업일수록 지속가능한 발전에 미친 성과가 높은 것으로 분석되었다. 또한 경제적 성과와 환경적 성과와의 상관관계가 높은 것으로 나타났다. 또한 공기업이 민간기업에 비해 보다 높은 성과를 보이는 것으로 분석되었다.

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국내 크롬 및 그 화합물의 노출실태 및 노출기준 개정 제안 (Proposals to Revise the Occupational Exposure Limits for Aluminum in Korea)

  • 김승원;피영규;백용준;정태진;한정희
    • 한국산업보건학회지
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    • 제34권2호
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    • pp.166-178
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    • 2024
  • Objectives: The 12 occupational exposure limits(OELs) for chromium and its compounds in Korea were set by applying the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs). However, this is significantly different from the TLVs after the existing TLVs were integrated and withdrawn in 2018, so it is necessary to review the revision. Methods: Various documents related to chromium OELs were reviewed, including the ACGIH TLV Documentations for chromium and its compounds. A field survey was conducted targeting workplaces handling chromium and its compounds. Based on this, a revised OELs were proposed and a socio-economic evaluation was conducted. Results: The OELs for chromium compounds in Korea was first enacted in 2002, and in 2007, the OELs for chromium (hexavalent) compounds (insoluble) was lowered from 0.05 mg/m3 to 0.01 mg/m3. In 2008, the OELs for strontium chromate was newly established as 0.0005 mg/m3, and in 2018, the OELs for calcium chromate was newly established as 0.001 mg/m3. Total chromium and hexavalent chromium were measured for each of 6 samples at 2 welding sites, 4 plating sites, and 2 spray coating sites. When omparing the average of the results measured by ICP, a total chromium analysis method, and the analysis results by IC, a hexavalent chromium analysis method, only workplace 4 was the same, and total chromium was evaluated more, and total chromium was evaluated at 0.0004 to 0.0027 mg/m3. And hexavalent chromium was evaluated as non-detection ~ 0.0014 mg/m3. Amendment ①: The exposure standard for hexavalent chromium is not divided into water soluble, insoluble, chromium ore processing, and other hexavalent chromium compounds, and is integrated into 0.01 mg/m3, which is the level of chromium (hexavalent) compound (insoluble)., OELs for chromium (metal) and chromium (trivalent) compounds are integrated into chromium (trivalent) compounds, and the exposure level is maintained. Amendment ②: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.005 mg/m3, which is the OELs of OSHA, and there is a grace period of 4 years. Amendment ③: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.0002 mg/m3, which is the exposure standard of ACGIH, and there is a grace period of 5 years. Conclusions: Amendment ①: The change in the OELs is insignificant, so the cost required is small, and the benefit/cost ratio is greater than 1, so there is no problem in applying the amendment. Amendment ②: In all scenarios except chromium 6(insoluble), the benefit/cost ratio is greater than 1, so it is thought that there will be no major problem in applying the amendment. Amendment ③: Since the benefit/cost ratio is less than 1 in all scenarios, it is thought that the total social benefit that can be obtained when applying the amendment is not large.