• Title/Summary/Keyword: Indirect cost allocation

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Direct and Indirect Costs of Chronic Obstructive Pulmonary Disease in Korea

  • Kim, Changhwan;Kim, Younhee;Yang, Dong-Wook;Rhee, Chin Kook;Kim, Sung Kyoung;Hwang, Yong-Il;Park, Yong Bum;Lee, Young Mok;Jin, Seonglim;Park, Jinkyeong;Hahm, Cho-Rom;Park, Chang-Han;Park, So Yeon;Jung, Cheol Kweon;Kim, Yu-Il;Lee, Sang Haak;Yoon, Hyoung Kyu;Lee, Jin Hwa;Lim, Seong Yong;Yoo, Kwang Ha
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.1
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    • pp.27-34
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    • 2019
  • Background: Understanding the burden of disease is important to establish cost-effective treatment strategies and to allocate healthcare resources appropriately. However, little reliable information is available regarding the overall economic burden imposed by chronic obstructive pulmonary disease (COPD) in Korea. Methods: This study is a multicenter observational research on the COPD burden in Korea. Total COPD costs were comprised of three categories: direct medical, direct non-medical, and indirect costs. For direct medical costs, institutional investigation was performed at 13 medical facilities mainly based on the claims data. For direct non-medical and indirect costs, site-based surveys were administered to the COPD patients during routine visits. Total costs were estimated using the COPD population defined in the recent report. Results: The estimated total costs were approximately 1,245 million US dollar (1,408 billion Korean won). Direct medical costs comprised approximately 20% of the total estimated costs. Of these, formal medical costs held more than 80%. As direct non-medical costs, nursing costs made up the largest percentage (39%) of the total estimated costs. Costs for COPD-related loss of productivity formed four fifths of indirect costs, and accounted for up to 33% of the total costs. Conclusion: This study shows for the first time the direct and indirect costs of COPD in Korea. The total costs were enormous, and the costs of nursing and lost productivity comprised approximately 70% of total costs. The results provide insight for an effective allocation of healthcare resources and to inform establishment of strategies to reduce national burden of COPD.

Environment R&D Incentives with Emission Banking and Borrowing in a Cournot Model (쿠르노 경쟁하의 배출권 이월 및 차입과 감축기술개발투자)

  • Jeong, Kyonghwa;Shim, Sunghee
    • Journal of Environmental Policy
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    • v.14 no.4
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    • pp.63-101
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    • 2015
  • Banking and borrowing under the ETS may affect the low carbon technology investment level. If the indirect implementation measures are allowed, firms can gradually adjust their carbon reduction costs between implementation periods based on their carbon reduction costs and emission price forecasts. This implies that banking and borrowing may reduce or increase the level of low carbon technology R&D investment. In an oligopoly market, the effects of the measures are quite different from the ones in a perfectly competitive market. This is because the indirect implementation measures can shift market competition in Cournot competition model. The effects of banking and borrowing on the carbon reduction R&D investments depend on emission reduction costs, marginal production costs, discount rate, initial free allocation, and the cost reduction effects of R&D investment.

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Influence Analysis of Determinants on Member's Payment in Urban Renewal Project (도시정비사업에서 조합원 입주부담금 결정요인의 영향력 분석)

  • Kim, Seong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7690-7697
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    • 2015
  • This study is to reveal structural causal relationship of individual factors influencing association member's substantive payment in the economic view which is a critical factor of project implementation and identify its influence through simulation and actual proof analysis. As the results of analysis, the first, association member's substantive payment is decided to allow for the difference between special price for association members and general price and the profit arising between the time of approval of disposal plan and moving in. The second, on analysis of sensitivity of individual factors influencing association member's substantive payment, floor area ratio applied to project has the biggest influence. Association member's payment is also greatly influenced by the subject of cost allocation for establishing infrastructure in project area. The third, this study set up a structure model based on causal relationship among the factors deciding association member's payment and empirically examined influence and path of influence which the individual factors exercise. The result indicates that control elements and regional characteristic elements influence association member's payment through the medium of plan elements.