• 한국산학기술학회논문지
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• 제10권10호
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• pp.2803-2809
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• 2009

국내 건설업계는 자체 엔지니어링 기술 확보 및 높은 수준의 건설사업 관리기술의 보유와 더불어 사업초기 단계에서 해당 프로젝트의 경제적 타당성 평가를 수행할 수 있는 능력이 절실히 요구되어진다. 시설물의 설계 및 시공 기술은 최근의 국제 시장에서 수주를 위해서는 반드시 필요한 부분이며 수익을 창출할 수 있는 사업수행을 위해서는 사업초기단계부터 사후유지관리까지의 연속적인 건설사업 관리기술이 요구되어진다. 건설사업 관리기술은 프로젝트 시작단계에서부터 운영 유지관리 단계까지 단계별로 발생하는 비용에 대해 얼마나 경제적이고 효율적으로 관리하느냐에 따라 프로젝트의 성공여부를 결정짓는 역할을 한다. 이러한 단계별 비용항목의 체계적인 분석을 위해 본 연구에서는 국내 하수처리장을 대상으로 프로젝트 전반에 걸친 비용흐름 및 요소를 조사하였다. 특히 국내 하수처리시설의 유지관리비 DB를 조사하여 데이터 모델링을 수행하였고, 실적 DB의 불확실성을 고려하여 불확실성 해소를 위해 몬테카를로 시뮬레이션 방법을 이용하여 타당성 평가를 위한 평가 목적별(처리공법, 운영 주체 등) 유지관리비 예측 추세선을 제시하고자 하였다.

• 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.

• 산업경영시스템학회지
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• 제40권1호
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• pp.165-172
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• 2017

Machines are physically or chemically degenerated by continuous usage. One of the results of this degeneration is the process mean shift. Under the process mean shift, production cost, failure cost and quality loss function cost are increasing continuously. Therefore a periodic preventive resetting the process is necessary. We suppose that the wear level is observable. In this case, process mean shift problem has similar characteristics to the maintenance policy model. In the previous studies, process mean shift problem has been studied in several fields such as 'Tool wear limit', 'Canning Process' and 'Quality Loss Function' separately or partially integrated form. This paper proposes an integrated cost model which involves production cost by the material, failure cost by the nonconforming items, quality loss function cost by the deviation between the quality characteristics from the target value and resetting the process cost. We expand this process mean shift problem a little more by dealing the process variance as a function, not a constant value. We suggested a multiplier function model to the process variance according to the analysis result with practical data. We adopted two-side specification to our model. The initial process mean is generally set somewhat above the lower specification. The objective function is total integrated costs per unit wear and independent variables are wear limit and initial setting process mean. The optimum is derived from numerical analysis because the integral form of the objective function is not possible. A numerical example is presented.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8265-8270
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• 2016

Purpose: A cost-utility analysis was performed to assess the cost-utility of neoadjuvant chemotherapy regimens containing doxorubicin and cyclophosphamide (AC) versus paclitaxel and gemcitabine (PG) for locally advanced breast cancer patients in Iran. Materials and Methods: This cross-sectional study in Namazi hospital in Shiraz, in the south of Iran covered 64 breast cancer patients. According to the random numbers, the patients were divided into two groups, 32 receiving AC and 32 PG. Costs were identified and measured from a community perspective. These items included medical and non-medical direct and indirect costs. In this study, a data collection form was used. To assess the utility of the two regimens, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core30 (EORTC QLQ-C30) was applied. Using a decision tree, we calculated the expected costs and quality adjusted life years (QALYs) for both methods; also, the incremental cost-effectiveness ratio was assessed. Results: The results of the decision tree showed that in the AC arm, the expected cost was 39,170 US$ and the expected QALY was 3.39 and in the PG arm, the expected cost was 43,336 dollars and the expected QALY was 2.64. Sensitivity analysis showed the cost effectiveness of the AC and ICER=-5535 US$. Conclusions: Overall, the results showed that AC to be superior to PG in treatment of patients with breast cancer, being less costly and more effective.

• 한국건설관리학회논문집
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• 제11권6호
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• pp.3-13
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• 2010

개산견적 모델은 예측의 정밀성뿐만 아니라 설계대안 변화에 대한 유연성, 사용자 중심의 효율성을 고려해야 한다. 본 연구에서는 이를 구현하기 위해 건축물을 구성하는 여러 포함시설을 건축양상에 맞게 주요 용도별로 분류하여 공사비 영향변수로 설정한 다음, 통계적 분석을 통해 용도별 시설단가 관계함수를 도출하여 공사비를 예측하는 용도별 분류에 의한 공사비 산정개념을 제안하였다. 그리고 대표적 군사시설인 육군 병영생활관을 대상으로 용도별 공사비 산정 개념을 모델화하고 신규사례를 대상으로 모델의 신뢰성을 검증하였다. 용도별 공사비는 견적의 정밀성을 향상시켰을 뿐만 아니라, 발주자 니즈(Needs)를 반영한 용도별 조합과 그 규모에 따른 맞춤형 공간을 계획할 수 있고 다양한 설계 대안에 대한 비용비교가 가능하다.

• 가정간호학회지
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• 제10권1호
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• pp.52-57
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• 2003

The purpose of this study was to evaluate appropriateness of home health care travel cost. For the evaluation, investigated the operating costs of vehicles used by home care nurses and then were components of home care nurses's annual salaries. Travel costs were then calculated based on actual travel expenses of home health care service. Actual data of 23 hospital-based home care agencies between July, 2002 to December, 2002 were collected for the analysis of the travel costs. The results of this study are : 1) For home visit, 65% of home care agencies turned out to be using only hospital owned cars, and 17.1% be depending purely on home care nurses' cars. On average, 1.9 cars used for home visit. 2) Out of 89 agencies, 23 agencies responded to the travel cost survey. Total maintenance cost of a car per month was 381,457 won. 3) Average per visit personal expenses of home care nurses during travel time turned out to be 7,124won assuming 8 working hours per day, 4 visits per day, and 30 minuets of travel time for each visit. 4) Total home health care travel cost per visit was 12,069 won, which was the sum of actually paid travel cost of 4,945 won and personal expenses during travel time of 7,124. In conclusion. we reckon that current compensation price of home care nurses' travel is inappropriate because total home health care travel costs of 12,069 won per visit turned out to be 2.1 times of currently prevailing standard compensation price of 5,830 per visit.

• 한국건축시공학회지
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• 제13권4호
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• pp.321-332
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• 2013

건축물의 생애주기비용은 시행과정 전 단계에서 상호 연관되어 비용이 발생하며 각 단계마다 서로 간에 영향력이 존재한다. 하지만 건축 프로젝트의 각 단계별 CBS가 서로 상이하여 합리적인 공사비를 산정하는데 문제점이 발생한다. 따라서 본 연구에서는 기존에 연구되었던 LCCBS를 바탕으로 건축 프로젝트 각 단계 간에 경계조건을 분석하였다. 또한 분석된 경계조건을 바탕으로 분절요인을 분석하고 이에 따른 연계방안을 모색하였다. 연계방안의 유효성 검증을 위해 실제 건축프로젝트를 바탕으로 사례적용을 실시하였다. 분석결과 누락되는 항목이 97.2%이상을 개선하였고 평균 6시간 빠르게 업무를 수행할 수 있음을 확인할 수 있었다. 향후, LCC 시스템에 적용함으로써 LCC의 효율적인 산정 및 LCC 절감을 계획할 수 있을 것으로 사료다.

• 지질공학
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• 제25권4호
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• pp.459-472
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• 2015

최근 국내에서 프로텍터를 사용하여 터널의 확대 공사기간 동안 기존 교통흐름을 유지할 수 있는 교통류 보존형 터널 확대 시공기술이 개발되었다. 이 공법은 교통의 흐름을 그대로 유지하여 교통정체에 따른 통행자의 시간적, 비용적 손실과 환경적 피해 등의 사회적 손실을 최소화 할 수 있다는 장점이 있다. 반면에 프로텍터의 설치 등으로 공사기간의 연장 및 직접공사비의 증가가 발생된다. 본 논문은 교통류 보존형 터널 확대 시공기술의 직접공사비와 간접적 사회적 비용을 모두 고려하여 경제적 타당성을 분석하기 위한 방법을 제시하는 것을 목표로 하였다. 사회적 비용을 차량운행비용, 시간지연비용 및 환경오염비용으로 구분하여 간접비를 산정하는 방법을 제시하였다. 그리고 기존의 확대공법과 신공법간의 경제성을 비교하기 위하여 남산3호터널을 대상으로 제시된 방법을 적용하여 분석해 보았다.

• 상하수도학회지
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• 제13권1호
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• pp.95-112
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• 1999

In this research, it is proposed that optimization method is introduced and applied to the design of pipeline system in multi-regional water supply project, which has been constructed to settle the regional unbalance problems of available water resources. For the purpose, interface programs are developed to integrate linear programming model and KYPIPE model which is used for optimization and hydraulic analysis, respectively. The developed program is applied to the pipeline system design of multi-regional water supply project. The optimal diameters from the application of linear programming technique are compared with those from conventional method that is time-consuming and tedious trail and error process. Since the conventional design largely depends upon the experience of designers and the results of general hydraulic analysis, it can not be reasonable and consistent. The application of linear programming technique can make it possible to design pipeline system optimally by using same design factors of general hydraulic models. The model can select commercial discrete pipe diameter as optimal size by using pipe length as decision variables. The developed model is applied to Pohang multi-regional water supply system design with two different objective functions, which are initial construction cost and annual cost including electric cost. As results, it is calculated that the initial construction cost of 1,449,740 thousand won is saved and annual cost of 128,951 thousand won is saved for a year within study year. Also, the optimal site of pump station is selected on 5th pipe, which is located between the diverging junction to Kangdong(2) province and the diverging junction to Cheonbuk province. It is explained that pump cost is less than pipe cost in this application case study due to little pump station scale. In the case of water supply with large pump capacity, it is reasonal that the increase of pipe size is more efficient instead the increase of pump station capacity to save annual cost.

• 보건행정학회지
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• 제29권3호
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• pp.357-367
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• 2019

Background: This study evaluated the cost-effectiveness of 21 different national dyslipidemia screening strategies according to total cholesterol (TC) cutoff and screening interval among 40 years or more for the primary prevention of coronary heart disease over a lifetime in Korea, from a societal perspective. Methods: A decision tree was used to estimate disease detection with the 21 different screening strategies, while a Markov model was used to model disease progression until death, quality-adjusted life years (QALYs) and costs from a Korea societal perspective. Results: The results showed that the strategy with TC 200 mg/dL and 4-year interval cost \4,625,446 for 16.65105 QALYs per person and strategy with TC 200 mg/dL and 3-year interval cost \4,691,771 for 16.65164 QALYs compared with \3,061,371 for 16.59877 QALYs for strategy with no screening. The incremental cost-effectiveness ratio of strategy with TC 200 mg/dL and 4-year interval versus strategy with no screening was \29,916,271/QALY. At a Korea willingness-to-pay threshold of \30,500,000/QALY, strategy with TC 200 mg/dL and 4-year interval is cost-effective compared with strategy with no screening. Sensitivity analyses showed that results were robust to reasonable variations in model parameters. Conclusion: In this study, revised national dyslipidemia screening strategy with TC 200 mg/dL and 4-year interval could be a cost-effective option. A better understanding of the Korean dyslipidemia population may be necessary to aid in future efforts to improve dyslipidemia diagnosis and management.