• 한국직업건강간호학회지
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• 제4권호
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• pp.5-29
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• 1995

Occupational health services in Korea have been operated as dual types : one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job performance shape and efficiency, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area ; 154 places (39.4%) managed by designated health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares that have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation and B/C ratio using SPSS PC program. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. Most of the expense for environmental control of all health care services expenditures shows that there is almost no fundamental improvement because more expenses are needed for procuring personal protective equipment and measuring work environment instead of environmental improvement. 3. It is investigated how much the cost of occupational health care services needs per worker, and calculated how much the cost needs per service hour per worker. The results from this show that the cost of occupational health services at workplaces with their own managers used less than the cost of health care agencies, eventually the former gives better services with less cost than the latter. 4. Benefit/Cost ratio is also produced by total benefit/total cost. The result from the above way reads 4.57 as a whole, while their own manager having workplaces reads 4.82 and the agencies do l.56. Even if their own manager performing workplaces spent more cost, this system produces more benefit than the agencies management. 5. The B/C ratio for medical organization such as local clinic, health care center and pharmacy shows more than or equal to at the workplaces controlled by the agencies. It is inferred that benefit would be much less than the cost used, with so being inefficient. 6. It is assumed that the efficiency ratio of health education is equal to reduction rate of workers medical organization visit. Estimated reduction rate 5%, 10%, 15%, show that the efficiency ratio of health education have an effect on producing benefits. It is estimated that more benefit can be produced if more qualitative education will be provided for enhancing health care efficiency. 7. Results of this study cannot be generalized because there are large scale of deviation in case of workplaces with less than 300 full time workers, but B/C ratio reads 2.69 as a whole and 3.25 at workplaces with their own health care manager are higher than 1.63 at the workplaces manged by the agencies. Finally, all the benefit concerning health care services could not be quantified, measured and shown on the value of money. This is a reason that a considerable part of benefits are so underestimated. This is also thought that measurement tools should be developed for measuring benefits of health care services with a comprehensive quantification. in the future. It is also expected that efficiency of occupational health care services should be investigated using cost-effectiveness analysis.

• 한국지리정보학회지
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• 제6권4호
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• pp.1-15
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• 2003

최근 도시정보시스템(urban information system, UIS)이 구축되고 실질적인 활용도가 높아 감에 따라 UIS는 지자체 정보화의 핵심수단으로서 보편화되어 가고 있다. 그러나 지하매설물관리를 중심으로 도시정보화가 추진되고 행정조직 내부수요만을 중심으로 운영해 갈 경우 UIS의 비용편익구조는 취약해질 수 있다. 이 연구에서는 국가 GIS팀이 도시정보화의 시범도시로 선정한 청주시의 UIS를 대상으로 비용과 편익을 분석하였다. 청주시 UIS의 경우, 초기에는 도시계획종합정보시스템을 구축하여 비용부담이 그리 크지 않았다. 1993년 GIS의 구축을 시작하여 2002년에는 UIS의 완성을 이루기까지 10년 만에 플러스 순편익을 발생하여 비교적 건전한 비용편익구조를 갖는 효율적인 UIS모델이었다. 그러나 1998년부터 중앙정부의 재정지원으로 지하시설물 수치지도화 사업을 추가하면서 UIS의 비용편익구조가 취약해져 2015년에야 긍정적인 순편익이 발생하는 것으로 나타났다. 이에 대하여 이 연구는 비용편익비율의 분석, 할인율 모바일 GIS 등을 적용한 민감성 분석을 실시하고 있다.

• 대한임상독성학회지
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• 제14권2호
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• pp.92-99
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• 2016

Purpose: The use of flumazenil administration in the emergency department is still controversial because of concerns about adverse effects. The present study was conducted to re-evaluate the risk-benefit ratio associated with flumazenil administration to patients suspected of having acute hypnotics and sedatives poisoning in the emergency department. Methods: A retrospective chart review study was conducted for patients whose final diagnoses were "poisoning" and "benzodiazepine" or "sedatives-hypnotics" from Mar. 2006 to Feb. 2015. The basal characteristics of the patients, including past medical history, ingredients and dose of ingested drug and co-ingested drugs were investigated. For patients administered flumazenil, responsiveness and time from admission to flumazenil administration were investigated with supplement. All collected data were analyzed in aspect terms of risk/benefit. Results: A total of 678 patients were included in our study. Benzodiazepine was the most common sedative/hypnotic drug prescribed, and the frequency of prescription continuously increased. The proportion of TCA as co-ingestion decreased from 13.1% to 3.9% in patients with acute sedative/hypnotic poisoning. Flumazenil was administered to 55 patients (8.1%), of which 29 patients (52.7%) were applied to contraindications. Fifty-three patients (96.4%) showed positive responsiveness, including partial responsiveness after flumazenil administration. No severe adverse events were identified. Conclusion: Based on the current trends in prescription patterns for sedative/hypnotic drugs, increased use of non-TCA antidepressants, and responsiveness to administration of flumazenil, benefit seemed weighted more in this study, although the observed benefits were based on limited results. Further prospective multicenter studies will be needed to optimize benefit-risk ratio.

• 한국측량학회지
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• 제19권1호
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• pp.19-26
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• 2001

기술적인 프로젝트를 수행하는 기관들은 전문가들의 도움을 받는 것이 보편화되어가고 있다. 프로젝트를 사전 검토하는 전문가들은 정보화 기술과 측량 및 매핑의 변화된 기술과 함께 경제적인 방법에 대한 분야에 대한 전문적인 지식이 있어야 한다. 토털스테이션, GPS, 정사사진, 수치지도 및 위성 리모트센싱과 같은 새로운 측량 및 매핑 방법은 과거의 측량 개념을 송두리째 바꾸어버렸다. 또한 매핑에 대한 기술은 지난 50년 동안 기계식에서 해석적 그리고 수치적으로 크게 변화되었다. 이제 측량 및 매핑 방법들의 적절한 선택은 특정한 기술의 사용보다는 비용과 효과 측면에서의 결정사항이 되고 있다. 예를 들어 GPS측량기는 종래의 측량기기보다 더 비싸지만 비용효율적인 측면에서 장점을 제공하고 있다. 본 연구에서는 측량 및 매핑 프로젝트에서의 비용인자와 효과인자를 독립적으로 평가하였고, 비용/효과 비(B/C비)를 평가모델에 사용하여 각 측량방법의 비용 효과를 비교하였다. 측량 및 매핑 방법들의 비용 대 효과 모델은 전체 프로젝트에서 경제적인 결과를 얻을 수 있을 것이다.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.484-494
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• 2000

Objective : To evaluate the relative benefits and the costs associated with the introduction of the new pharmaceutical provision called 'Mandatory Prescription System' which separates the role of physicians from that of pharmacists with respect to the prescription and dispensation of from the perspective of consumers (i.e., patients). Methods : The costs of the system were measured by considering both direct and indirect costs. Direct costs included additional payments for ambulatory care and dispensing fees that occurred under the new system. indirect costs consisted of transportation expenses and costs related to time spent for physician consultation, waiting for the prescriptions to be filled, and extra traveling. Benefits identified in this study were the reduction of drug misuse and overuse, and the overall decrease in drug consumption among the Korean population. Sensitivity analysis was peformed for the inclusion of benefits for outpatients of hospitals, price elasticity, and increased fees for established patients. Results : The net benefit was estimated to be about minus 1,862 billion won and the benefit-cost ratio was 0.478. This indicates that the costs of 'Mandatory Prescription' outweigh its benefits, relative to the previous system. The sensitivity analysis results for all the variables considered in this study consistently showed the benefit-cost ratio to be less than 1. Conclusion : The results of this study suggest that implementing Mandatory Prescription System in Korea might be inefficient from the consumer's perspective. The results of this study do not coincide with the results of previous studies, presumably because of the differences in study design and in which items of costs and benefits were considered.

• 융합정보논문지
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• 제11권6호
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• pp.113-119
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• 2021

무기체계 획득사업은 막대한 예산을 투입하여 국가에 미치는 파급효과가 큰 특성이 있어 무기체계 획득사업을 추진하기 위한 기획연구 단계에서 경제적 타당성을 확보한 획득대안 분석이 요구되고 있다. 이러한 요구에 따라 획득연구 단계에서 획득대안에 대한 경제성 분석을 수행하고 있으나, 현재는 초기 단계로 경제적 분석에 따른 획득대안 분석에 대한 연구는 미비한 실정이다. 본 연구에서는 현재 획득대안에 대한 의사결정 방법인 효과분석의 제한점을 식별하고 추가로 비용편익분석 방법을 제시하여 획득대안에 대한 경제성 분석 방법을 제안한다. 비용편익 분석의 결과를 비용/편익비율(Benefit/Cost Ratio)로 제시하여 복수 대안뿐만 아니라 단일 대안에 대한 경제성 분석이 가능하고, 경제적 타당성을 확보한 보편적인 결과 제시가 가능하다. 제시 방법을 OO 유도로켓 사업 획득연구에 적용하여 각 대안에 대한 경제성 분석결과를 제시한다.

• 한국지하수토양환경학회지:지하수토양환경
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• 제17권5호
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• pp.40-48
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• 2012

In this study, economic analysis of five desalination technologies for saline agricultural land was carried out. The analysis was comprehensively evaluated by calculating changes in crop production and benefit/cost (B/C) ratio. The analysis of crop production was in the order of tomato > cucumber > a (musk) melon > watermelon > cabbage, and economical efficiency for desalination technology was in the order of soil exchange > soil addition > electrokinetics > under-drainage > subsoil reversal. In cost benefit analysis, B/C ratio was in the order of under-drainage > soil exchange > electrokinetics > soil addition > subsoil reversal, and all desalination technologies used in this study have the ratio higher than 1, which means economical efficiency was high. Based on the net production considering B/C ratio, the general economic analysis was exactly order from that of crop production analysis. As a result, economical efficiency of soil exchange was highest, and economical efficiency of soil addition and electrokinetic was relatively higher than others.

• 보건교육건강증진학회지
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• 제29권5호
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• pp.37-48
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• 2012

Objectives: The economic evaluation of health promotion programs has increasingly become an imperative activity for securing public fund or budget. The purpose of this study is to conduct an economic evaluation for the healthy school canteen program using the contingent valuation method(CVM). Methods: To estimate the benefit from the healthy school canteen program, double-bounded dichotomous choice method as a sort of willingness to pay was employed. Four hundred parents who lived in Seoul and have students at middle or high schools, were administrated by semi-constructive questionnaire containing the necessary information for benefit estimation. Cost estimation of healthy school canteen program was made referring to three types of pilot programs. Finally, the benefit against the cost was worked out according to the three levels of estimated cost. Results: Cost estimate is 8,488 and 9,311 won depending on the two senarios about how to invest on the program, respectably. The results of benefit estimate shows that the average cost willingness to pay(WTP) for healthy school canteen program is 21,275 won(16,963-59,838 won, 95% CI) and total benefits turned out 14.7 billion won. According to the cost-benefit analysis, average benefit-cost ratio is from 2.3 to 3.6. Conclusions: Healthy school canteen program could be economically accepted, and government can take consideration of expanding beneficiaries of healthy school canteen program for health promotion.

• 한국직업건강간호학회지
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• 제12권2호
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• pp.99-109
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• 2003

Although occupational accidents caused by presses are found to be the highest in manufacturing industrial groups, there are no study regarding to annulment for periodical inspection of press. The purpose of this study was to evaluate the economic benefit of periodical inspection of press for preventing accidents. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. Study samples were 26 and years analysed were 1995, 1996, 1998 and 1999. Personal interviews with safety managers were held from October 7 to November 2, 2002. Costs of the periodical inspection program were compared with the benefit of accident that caused by presses. Costs and benefits were calculated at an discount rate of 5%. The benefit-cost ratio was 5.7. The sensitivity analysis for the discount rate, the number of press, and size of industry showed that every benefit-cost ratios were upper than one(1.0). The results of this study suggested that periodical inspection for press is important program for preventing accident and the regulation for periodical inspection program should be reenforced by government.

• 한국융합학회논문지
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• 제8권2호
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• pp.163-168
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• 2017

기존의 공공사업 타당성 평가는 경제성분석을 위주로 추진되었으나, 계층분석법(AHP: Analytic Hierarchy Process)을 도입하면서 정책성, 지역균형발전, 기술성 등의 항목이 추가로 평가되고 있다. 이 연구는 최근 3년간 건설사업과 연구개발사업의 예비타당성조사 데이터를 분석하고, 비용편익비(Cost-Benefit Ratio)와 계층분석의 가중치(weight) 간의 상관관계 분석을 통해 상호 관련성을 검증하고자 한다. 연구결과 비용편익비와 AHP 가중치의 상관관계가 건설사업의 경우 0.744, 연구개발사업의 경우 0.899로 나타났다. 즉, 사업시행 여부를 결정하는 AHP 결과가 비용편익분석 결과에 의해 크게 좌우됨으로, 경제성 위주의 평가를 보완하기 위해 도입된 AHP가 당초 기대와는 달리 종합적 분석의 역할을 충분히 수행하지 못하고 있다. 따라서 AHP 분석의 효과를 극대화 할 수 있는 다양한 연구설계가 지속적으로 논의될 필요가 있다.