• Title/Summary/Keyword: Cost-Effective

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Economic Evaluation of Eastern, Western and Collaborative Treatments for Patients with Frozen Shoulder Pain (견비통의 한${\cdot}$양방 진료 및 협진의 경제성 평가)

  • Jang, Hye-Jung;Hong, Sang-Min;Park, You-Seon;Nam, Dong-Woo;Lim, Doo-Ik;Lee, Jae-Dong;Lee, Yun-Ho;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.72-86
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    • 2007
  • Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

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Evaluation of Cost-Effectiveness of Medical Nutrition Therapy : Meta-Analysis (메타분석을 이용한 임상영양서비스의 비용-효과성 평가)

  • 김현아;양일선;이해영;이영은;박은철;남정모
    • Journal of Nutrition and Health
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    • v.36 no.5
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    • pp.515-527
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    • 2003
  • Objectives: A meta-analysis of the literatures was conducted to evaluate the cost-effectiveness of medical nutrition therapy by dietitians. Methods : The 30 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and the PQD database until May, 2002 and a review of reference lists. The main search terms were“dietitian”,“dietary intervention”,“nutrition intervention”, “cost”,“cost-effectiveness”and“cost-benefit analysis”. The subgroup analysis was performed by publication year, study design, intervention provider, type of patient (in/out-patient) and type of cost (total cost/direct cost). Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. Results : The 30 studies were identified using the electric database search and bibliographies. The 17 trials were eligible for inclusion criteria, then the systematic review and a meta-analysis were conducted on effectiveness and cost-effectiveness of medical nutrition therapy. The quality of the studies was evaluated using the quality assessment tool for observational studies. The quality score was 0.515 $\pm$ 0.121 (range : 0.279-0.711, median : 0.466). The meta-analysis of 17 studies based on the random effect model showed that medical nutrition therapy was highly effective in treating the diseases (effect size 0.3092 : 95% confidence interval 0.2282-0.3303). The vote-counting method, one of meta-analysis methods, was applied to evaluate the cost-effectiveness of medical nutrition therapy conducted by dietitians. Two criteria (method 1, method 2) for voting were used. The calculated p-values for method 1 (more conservative method) and method 2 (less conservative method) were 0.1250 and 0.0106, respectively. Medical nutrition therapy by dietitians was significantly cost-effective in the method 2. Conclusion. This meta-analysis showed that the effectiveness of medical nutrition therapy was statistically significant in treating disease (effect size 0.3092), and that the cost-effectiveness of medical nutrition therapy was statistically significant in the method 2 (less conservative method) of vote counting. (Korean J Nutrition 36(5): 515~527, 2003)

The study on Analysis of Influence factors on Items in Apartment House Maintenance Cost (공동주택 관리비 항목별 영향요인 분석 연구)

  • Lim, Nam-gi;Park, Chan-jeong;Jung, Sang-jin
    • Journal of the Korea Institute of Building Construction
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    • v.2 no.1
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    • pp.155-162
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    • 2002
  • In this research, I finally came to a conclusion analyzing the connection among managing of each items in management expenses, the size of each complex and stories, and the term of using. (1) In the managing cost regarding to the management manner, although the managing cost of self-governing management is less imposed than the one of commission management, there is slight difference between those Costs. And it is more important to consider the effectiveness of management than to emphasize reduction of management cost. (2) The higher the stories, the higher the managing cost of elevator per the unit area. It Is caused by the fact that the father the distance of the elevator operating, the higher the electric charges. (3) The third of one of total management cost goes to pay the personnel expenses. So I found that the effective management of the expenses is available to reduce management cost. (4) The higher the stones, the lower the cost of personnel expenses including the cleaner cost. (5) The sum of costs assigned in repairment and management increases in proportion to the term of using. The costs assigned in special repairment and management are interacting to each other. (6) To reduce the management cost, we have to cut down the personnel in security guard that occupies one third of total management cost with application to the joint security system and operation of the self-governing guard. Through this process, it will be easy to accomplish the rationalization of contract with an outside order. Because the improvement of management service is not only the responsibility of owner but also the one of dwellers. And it Is imperative to realize the importance of cooperation and trust between the owner and dwellers. And the establishment of effective managing system which has convenience and rationality must be settled without delay.

A Study on Application of Activity Based Cost Accounting System for loss-making railroad lines (적자 노선의 활동별 원가계산 적용에 관한 연구 - 경원선 통근열차 운행구간을 중심으로)

  • Lee, Jae-Seoung
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1674-1682
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    • 2007
  • This paper presents an criterion of revenue and cost allotment on the basis of the activity based costing system for a loss-making railroad lines, and presents some ways for effective cost reductions focused on expensive resources and consumption

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Cost Normalization Procedure for Phase-Based Performance Measurement

  • Choi, Jiyong;Yun, Sungmin;Oliveira, Daniel;Mulva, Stephen;Kang, Youngcheol
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.72-76
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    • 2015
  • Capital project benchmarking requires an effective cost normalization process to compare cost performance of projects accomplished in different time and location. Existing cost normalization approaches have been established based on the assumption that all required information for cost normalization is fully identified once a project is completed. Cost normalization, however, is sometimes required to evaluate phase-level outcomes of an ongoing project where the required information is not fully available. This paper aims to provide a cost normalization procedure for phase-based performance assessment. The procedure consists of three normalization steps: currency conversion, location adjustment, and time adjustment considering various scenarios where the required information is not fully identified. This paper also presents how the cost normalization procedure has been applied to the 10-10 Performance Assessment Program, which is a phase-based performance assessment system developed by the Construction Industry Institute (CII). Both researchers and industrial professionals can apply the cost normalization procedure to studies and practices regarding to cost estimation, feasibility analysis, and performance assessment.

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A Study on the Urban Transit Vehicle Reliability Improvement Method using Quality Control Technique (품질관리기법을 이용한 도시철도차량 신뢰도 향상방안 연구)

  • Park, Kee-Jun
    • Proceedings of the KSR Conference
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    • 2011.05a
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    • pp.860-869
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    • 2011
  • It is very important that reduce the maintenance cost and extend life time of the urban transit EMU through effective maintenance method research. The maintenance cost of the urban transit EMU shares 60%~70% of it's life cycle cost. It means that the maintenance cost is bigger than the introduction cost of the urban transit EMU. In this study, I introduces a quality control technique to improve the urban transit vehicle reliability. I suggest the control chart using quality control technique. And the control charts apply to the Static Inverter of EMU.

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Numerical Analysis Method for Nodal Probabilistic Production Cost Simulation (각 부하지점별 확률론적 발전비용 산정을 위한 수치해석적 방법)

  • Kim, Hong-Sik;Moon, Seung-Pil;Choi, Jae-Seok;Rho, Dae-Seok
    • Proceedings of the KIEE Conference
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    • 2001.05a
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    • pp.112-115
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    • 2001
  • This paper illustrates a new nodal effective load model for nodal probabilistic production cost simulation of the load point in a composite power system. The new effective load model includes capacities and uncertainties of generators as well as transmission lines. The CMELDC based on the new effective load model at HLII has been developed also. The CMELDC can be obtain from convolution integral processing of the outage capacity probabilistic distribution function of the fictitious generator and the original load duration curve given at the load point. It is expected that the new model for the CMELDC proposed. In this study will provide some solutions to many problems based on nodal and decentralized operation and control of an electric power systems under competition environment in future. The CMELDC based on the new model at HLII will extend the application areas of nodal probabilistic production cost simulation, outage cost assessment and reliability evaluation etc. at load points. The characteristics and effectiveness of this new model are illustrated by a case study of a test system.

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A Cost-Effective Pigsty Monitoring System Based on a Video Sensor

  • Chung, Yongwha;Kim, Haelyeon;Lee, Hansung;Park, Daihee;Jeon, Taewoong;Chang, Hong-Hee
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.4
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    • pp.1481-1498
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    • 2014
  • Automated activity monitoring has become important in many applications. In particular, automated monitoring is an important issue in large-scale management of group-housed livestock because it can save a significant part of farm workers' time or minimize the damage caused by livestock problems. In this paper, we propose an automated solution for measuring the daily-life activities of pigs by using video data in order to manage the group-housed pigs. Especially, we focus on the circadian rhythm of group-housed pigs under windowless and 24-hour light-on conditions. Also, we derive a cost-effective solution within the acceptable range of quality for the activity monitoring application. From the experimental results with the video monitoring data obtained from two pig farms, we believe our method based on circadian rhythm can be applied for detecting management problems of group-housed pigs in a cost-effective way.

Analysis of Life-Cycle Cost for Urban Transit System using RAM (RAM을 고려한 도시철도시스템의 수명주기비용 분석)

  • Han, Seok-Youn;Hong, Soon-Ki;Ha, Chen-Soo
    • IE interfaces
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    • v.18 no.4
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    • pp.477-484
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    • 2005
  • This paper is concerned with the life-cycle cost(LCC) of the urban transit system which was developed by KRRI and is now under test in Gyeongsan, Korea. Its reliability, availability and maintainability(RAM) were analyzed. LCC is the core part of analyzing the total cost of acquisition and ownership of a system. LCC analysis of a system is the most effective when it is applied in the it's early design phase. In this paper, we present IEC 60300-3-3(Life Cycle Costing) in detail and propose how to apply LCC in assessing the urban transit system according to RAM process. This case study demonstrates that reliability management system is very effective in reducing the operating cost of subway corporations in Korea.

A Study on the Periodic Inspection Policy and Its Improvement (정기검사정책과 개선에 관한 연구)

  • Im, Pyoung-Soon;Suh, Yong-Sung;Park, Young-Taek
    • Journal of Korean Society for Quality Management
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    • v.22 no.4
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    • pp.40-58
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    • 1994
  • Some systems such as early warning system should be inspected occasionally in order to detect failures. If the system is inspected too frequently, inspection cost increases. On the other hand, if the number of inspections is reduced too much, the undetected system downtime cost increases. Thus, it is of interest to find effective inspection schedule, which minimizes the sum of inspection and downtime costs. When the system has increasing failure rate, inspection intervals get shorter as time goes on. But a common practice is to inspect the system at predetermined periodic intervals. In this paper, periodic inspection policy and a modified periodic inspection policy are considered. The modified policy is easily applicable and cost-effective. Some numerical examples are included in order to explain the modified inspection ploicy and its cost performance.

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