• Title/Summary/Keyword: Cost- Effectiveness Analysis

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The Relationship between Marketable Permit System and the Existing Atmospheric Regulations (배출권거래제와 기존 대기규제들과의 조화방안)

  • Cho, Seung Kuk;Kwak, Seung Jun
    • Environmental and Resource Economics Review
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    • v.9 no.4
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    • pp.597-619
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    • 2000
  • Marketable permit system (MPS) is a economic incentive instrument that allows polluters to achieve static and dynamic efficiency, However, Korea's atmospheric regulations are primarily based upon command and control (CAC) system and partly upon economic incentive instruments, which fail to realize its relative effectiveness, Accordingly, an introduction of MPS has been recommended with the cost effectiveness analysis in numerous studies, The literature, however, did not consider the relationship between MPS and the existing regulations, which is a key factor for the successful introduction of MPS, This paper provides a set of principles to judge how the existing regulations are reconciled with the introduction of MPS, In addition, authors execute an empirical study to show MPS's cost effectiveness when regulators apply MPS in Ulsan area for the abatement of sulfur dioxide, The results suggest that the regulations such as fuel regulation should be excluded when implementing MPS, and a flexibility in legal and regulatory system is to be required in order to secure a successful implementation of MPS.

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Systematic Review for the Development of the Clinical Study with Economical Assessment Protocol on Atopic Dermatitis (아토피 피부염의 임상연구병행 경제성평가 프로토콜 개발을 위한 체계적 문헌고찰연구)

  • Gwon, Ji-Yae;Seon, Ji-Hye;Yun, Hwa-Jeong;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.1
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    • pp.17-28
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    • 2017
  • Objectives : The aim of this study is reviewing the literature to extracting the key parameter and finding the calibration parameter for the clinical study with economical assessment protocol on atopic dermatitis. Methods : Literature search is performed using PUBMED for literature published from Janurary 2000 to December 2016. We included randomized controlled trials(RCTs) with economic assessment in which human participants. Results : Among the articles published from January 2000 to December 2016, The 1464 articles were found. After reviewing the title, abstract and full text, the five articles were selected. Selected articles are classified 3 CEA(cost effective analysis)study, 1 CMA(cost minimizing analysis)study and 1 cost analysis study. Conclusions : We found highly reliable key parameters and calibration parameters, which might be necessary factors for developing research protocol of economic evaluation alongside clinical trial about atopic dermatitis patients.

Cost-Utility of "Doxorubicin and Cyclophosphamide" versus "Gemcitabine and Paclitaxel" for Treatment of Patients with Breast Cancer in Iran

  • Hatam, Nahid;Askarian, Mehrdad;Javan-Noghabi, Javad;Ahmadloo, Niloofar;Mohammadianpanah, Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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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.

Development of Regression Model to evaluate the indirect costs of Life-Cycle Costs (생애주기비용의 간접비용 산출을 위한 Regression Model의 개발)

  • 조효남;이종순;김충완;박경훈
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.10a
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    • pp.150-156
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    • 2004
  • Though the concept of Life-Cycle Cost (LCC) itself is not new, its effectiveness for planning, design, rehabilitation and maintenance/management of civil infrastructures is becoming increasingly recognized. For the decision problems as in the case of the LCC of plant facilities, equipments, bridge decks, pavements, etc., the Life-Cycle Cost Analysis (LCCA) is relatively simple, and thus its practical implementation is rather straightforward. However, when it comes to major infrastructures such as bridge, tunnels, underground facilities, etc., the LCCA problem becomes extremely complex because lack of cost data associated with various direct and indirect losses, and the absence of uncertainty data available for the assessment as well. As a result, the LCC studies have been largely limited only to those relatively simple LCCA problems of planning or conceptual design for making decisions. Accordingly, in the recent years, the researchers have pursued extensive studies on the LCC effectiveness mostly related to LCC models and frameworks for civil infrastructures. Moreover, recently the demand on the practical application of LCC effective decisions in design and maintenance is rapidly growing unprecedently in civil engineering practice. Indirction cost is very important on LCC formulation. But that is very difficult and complicate the estimation every LCC. The objective of this paper is to suggest efficient regression model for the estimation of indirect cost approach to the practical application of LCC for the design and rehabilitation of civil. infrastructures considering traffic, traffic network, detour condition, and workzone condition. In this paper, it performed the sensitivity analysis and correlation analysis of parameter for development of regression model of inflection cost.

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The significance of removing shear walls in existing low-rise RC frame buildings - Sustainable approach

  • Keihani, Reza;Bahadori-Jahromi, Ali;Goodchild, Charles
    • Structural Engineering and Mechanics
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    • v.71 no.5
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    • pp.563-576
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    • 2019
  • According to The Concrete Centre, in the UK shear walls have become an inseparable part of almost every reinforced concrete frame building. Recently, the construction industry has questioned the need for shear walls in low to mid-rise RC frame buildings. This study tried to address the issue in two stages: The first stage, the feasibility of removing shear walls in an existing design for a residential building where ETABS and CONCEPT software were used to investigate the structural performance and cost-effectiveness respectively. The second stage, the same structure was examined in various locations in the UK to investigate regional effects. This study demonstrated that the building without shear wall could provide adequate serviceability and strength within the safe range defined by Eurocodes. As a result, construction time, overall cost and required concrete volume are reduced which in turn enhance the sustainability of concrete construction.

Potential Role of Electrochemotherapy as Anticancer Treatment for Cutaneous and Subcutaneous Lesions

  • Zygogianni, Anna;Kyrgias, George;Scarlatos, John;Koukourakis, Michael;Souliotis, Kyriakos;Kouvaris, John;Kelekis, Nikolaos;Kouloulias, Vassilis
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3753-3757
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    • 2016
  • Background: The aim of this study was to investigate whether electrochemotherapy is a clinically and cost-effective treatment option against skin tumors. Materials and Methods: We performed an analysis of the current literature based on database searches in PubMed/MEDLINE and we included articles till July 2012. Terms used for the search were 'electrochemotherapy', 'skin cancer', 'recurrence', and 'cutaneous and subcutaneous tumors'. Only papers published in English were included. In addition, we performed an analysis of the cost effectiveness of the method. Results: The combination of physics and chemistry is the foundation for electrochemotherapy and its efficacy, independent of the tumor histology. Clinical data showed that ECT is well tolerated and can be used in difficult cases without other available treatment options. The analysis also showed that the treatment is feasible and cost-effective. Conclusions: Electrochemotherapy is a clinically efficient safe and cost-effective treatment and clinicians should not hesitate to use it as alternative therapeutic modality or as palliative treatment.

Economic Evaluation of Prostate Cancer Screening Test as a National Cancer Screening Program in South Korea

  • Shin, Sangjin;Kim, Youn Hee;Hwang, Jin Sub;Lee, Yoon Jae;Lee, Sang Moo;Ahn, Jeonghoon
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3383-3389
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    • 2014
  • Background: Prostate cancer is rapidly increasing in Korea and professional societies have requested adding prostate specific antigen (PSA) testing to the National Cancer Screening Program (NCSP), but this started a controversy in Korea and neutral evidence on this issue is required more than ever. The purpose of this study was to provide economic evidence to the decision makers of the NCSP. Materials and Methods: A cost-utility analysis was performed on the adoption of PSA screening program among men aged 50-74-years in Korea from the healthcare system perspective. Several data sources were used for the cost-utility analysis, including general health screening data, the Korea Central Cancer Registry, national insurance claims data, and cause of mortality from the National Statistical Office. To solicit the utility index of prostate cancer, a face-to-face interview for typical men aged 40 to 69 was conducted using a Time-Trade Off method. Results: As a result, the increase of effectiveness was estimated to be very low, when adopting PSA screening, and the incremental cost effectiveness ratio (ICER) was analyzed as about 94 million KRW. Sensitivity analyses were performed on the incidence rate, screening rate, cancer stage distribution, utility index, and treatment costs but the results were consistent with the base analysis. Conclusions: Under Korean circumstances with a relatively low incidence rate of prostate cancer, PSA screening is not cost-effective. Therefore, we conclude that adopting national prostate cancer screening would not be beneficial until further evidence is provided in the future.

A Comparative Analysis on cost-effectiveness of Manual and On-line Bibliographic Searching (문헌탐색에 있어서 수작업방법과 온라인방법과의 비용.효과분석)

  • 홍승연;사공철
    • Journal of the Korean Society for information Management
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    • v.6 no.2
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    • pp.69-85
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    • 1989
  • This study aims at reviewing the manual searching and the on-line Searching one of literature at the library or the information center, based on the comparative cost-effectiveness analysis. For this purpose, the two literature searching modes, the MEDLINE database and the corresponding Index Medicos one were used at the Medical school library of the‘s’university under same conditions of using six requests.

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Development on the Computerizing Assessment System Model for DSM Investment Programs (수요관리투자사업 평가용 전산화 모델개발)

  • Lee, Sang-Seol;Lee, Chan-Seob;Cho, Sung-Hwan;Park, Sang-Yong
    • Proceedings of the SAREK Conference
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    • 2008.06a
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    • pp.249-255
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    • 2008
  • This paper developed the computerizing assessment system modeling of the natural gas and district heating DSM programs. It constructed as each project in accordance with the business investment plans & assessment DB, related M&V data DB and cost-effectiveness analysis data DB. It is composed of total 58 tables which are 22 tables which are used in the plan and the assessment, 16 tables which are used in the cost-effectiveness analysis, 18 tables which are used in the M&V, table which is used in qualitative evaluation, as by each programs. This computer programs can contributed to DSM business investment system construction as implementing for algorithm development and an estimation by each programs.

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Burden of GI Cancer and Its Control Strategies in Korea

  • Kwang-Sig Lee;Eun-Cheol Park
    • Journal of Digestive Cancer Research
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    • v.1 no.2
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    • pp.73-77
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    • 2013
  • Gastrointestinal (GI) cancers are top priorities for cancer control in Korea. In terms of epidemiological, population-health and economic burden, GI cancers such as stomach, liver and colorectal cancers have been top four cancers in the nation during the past decade and this trend is likely to continue in the near future. In order to reduce the great burden of GI cancer in Korea, the nation might need the following strategies: (1) to put more focus on primary prevention on infection/diet and related research; (2) to improve screening rates for colorectal and stomach cancers, and conduct more cost-effectiveness analysis of these screening programs, e.g., Fecal Occult Blood Test vs. colonoscopy; (3) to establish a more consistent and integrative cost-effectiveness analysis system for new cancer treatments and anticancer drugs; and (4) to place more emphasis on hospice and other palliative care of GI cancer, as well as on the etiology, staging and treatment of pancreas cancer with its poor survival rate.

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