• Title/Summary/Keyword: Non-benefit

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HPV Vaccination for Cervical Cancer Prevention is not Cost-Effective in Japan

  • Isshiki, Takahiro
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.6177-6180
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    • 2014
  • Background: Our study objectives were to evaluate the medical economics of cervical cancer prevention and thereby contribute to cancer care policy decisions in Japan. Methods: Model creation: we created presence-absence models for prevention by designating human papillomavirus (HPV) vaccination for primary prevention of cervical cancer. Cost classification and cost estimates: we divided the costs of cancer care into seven categories (prevention, mass-screening, curative treatment, palliative care, indirect, non-medical, and psychosocial cost) and estimated costs for each model. Cost-benefit analyses: we performed cost-benefit analyses for Japan as a whole. Results: HPV vaccination was estimated to cost $291.5 million, cervical cancer screening $76.0 million and curative treatment $12.0 million. The loss due to death was $251.0 million and the net benefit was -$128.5 million (negative). Conclusion: Cervical cancer prevention was not found to be cost-effective in Japan. While few cost-benefit analyses have been reported in the field of cancer care, these would be essential for Japanese policy determination.

Calculating the Benefit of Distributed Combined Heat Power Generators from Avoiding a Transmission Expansion Cost by Solving a Mixed Integer Linear Programming (혼합 정수 선형 계획법 기반의 최적 경제 급전을 활용한 분산형 열병합 발전원의 송전선로 건설비용 회피 편익계산)

  • Kwon, Wook Hyun;Park, Yong-Gi;Roh, Jae Hyung;Park, Jong-Bae;Lee, Duehee
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.68 no.4
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    • pp.513-522
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    • 2019
  • We calculate the benefit of distributed combined heat power generators from avoiding a transmission expansion cost by building distributed generators near electricity demand centers. We determine a transmission expansion plan by solving a mixed integer linear problem, where we modify capacities of existing transmission lines and build new transmission lines. We calculate the benefit by comparing the sum of generation and transmission expansion costs with or without distributed generators through two simulation frames. In the first frame, for the current demand, we substitute existing distributed generators for non-distributed generators and measure an additional cost to balance the generation and demand. In the second frame, for increased future demand, we compare the cost to invest only in distributed generators to the cost to invest only in non-distributed generators. As a result, we show that the distributed generators have at least 5.8 won/kWh of the benefit from avoiding the transmission expansion cost.

Exploratory Analysis of High School Students' Expectation on the Benefits of Higher Education in China (중국 고등학생의 고등교육수익에 대한 기대에 관한 탐색적 분석)

  • Jiang, Jiali;Rah, Minjoo
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.638-650
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    • 2016
  • The purpose of this study was to do an exploratory analysis on the expectation of Chinese high-school students on the benefits of higher education. Higher education benefits were categorized into monetary-investment benefit, non monetary-investment benefit and consumptive benefit. The differences in expectation according to independent student factors and family background were analyzed. The survey data on every high school's 300 students and 300 their parents total 1200 in 2 high schools in YanTai was put into the analysis. The differences among groups and items were analyzed using Cross tabulation, ANOVA, etc with SPSS. The major findings are as follows. First, Chinese high-school students' overall expectation on higher education benefits was high. Second, Expectation on higher education benefits differed according to independent student factors, such as gender, academic year, grade, etc. Third, expectation on higher education benefits differed according to factors of family background. Fourth, level of expectation on higher education benefits between parents and students differed. In the future, the government should consider such various expectations and differences when dealing with higher education policies and university operation.

Long-Term Survival Benefit of the Bronchial Arterial Embolization for Patients Presenting with Non-Traumatic Hemoptysis in a District Emergency Center (권역 응급의료센터에 내원한 비외상성 객혈 환자에서 기관지 동맥 색전술의 장기 생존 효과)

  • Chon, Song Bin;Jung, Sung Koo;Kwak, Young Ho;Suh, Gil Joon;You, Eun Young;Shin, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.148-159
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    • 2004
  • Background : This study was conducted to evaluate the survival benefit of the bronchial arterial embolization (BAE) for patients presenting with non-traumatic hemoptysis. Methods : The clinical data were retrospectively collected from the medical records and the Order Communicating Systems (OCS). The information dealing with death was collected from national death certificates. After enrolled patients were divided with two group such as BAE group (patients who were managed with BAE) and non-BAE group (patients who were managed with conservative modality), the survival benefit of BAE was estimated during the observational period of 24 months through using the Kaplan-Meier survival graph and the Cox-proportional hazard regression analysis. Results : The number of total cases was 272. Of these, BAE group involved 63 and non-BAE group involved 209. 69 cases had the malignant pulmonary lesions, 149 cases had non-malignant chronic lung lesion such as the mycobacteria infection, fungus ball, or bronchiectasis (BE), and 54 cases had the other pathologic conditions. For each sub-groups such as 'malignant lung lesion' group, 'non-malignant chronic lung lesion' group as well as about all cases, the adjusted hazard ratios (HRs) of BAE for death was not significantly different compared to the conservative management. But the adjusted HRs as to underlying causes such as 'malignant lung lesion' group and 'the other conditions' group increased significantly compared to 'non-malignant chronic lung lesion' group. Conclusion : There was no significant survival benefit by BAE procedure on survival in patients presenting with non-traumatic hemoptysis.

Linking of Egoistic, Altruistic, and Biospheric Values to Green Loyalty: The Role of Green Functional Benefit, Green Monetary Cost and Green Satisfaction

  • IMANINGSIH, Erna S.;TJIPTOHERIJANTO, Prijono;HERUWASTO, Ignatius;ARUAN, Daniel Tumpal H.
    • The Journal of Asian Finance, Economics and Business
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    • v.6 no.2
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    • pp.277-286
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    • 2019
  • The study aims to analyze the influence of egoistic, altruistic and biospheric value on green functional benefit, green monetary cost, green satisfaction and green loyalty. The study analyzes the effect of green functional benefit and green monetary cost on green satisfaction and green loyalty, as well as green satisfaction on green loyalty. The study employs quantitative methods with customers who have green brand purchase experience in Indonesia. Non-probability sampling was conducted using purposive sampling method based on predetermined criteria, which are customers who have already purchase and use green brand products. A total of 402 samples were analyzed using Structural Equation Modelling. The result shows that the data support hypotheses on egoistic and biospheric value, hypotheses on green functional benefit effect to green satisfaction and green loyalty, as well as green monetary cost effect to green loyalty. The other hypotheses are not supported by data. As a conclusion, it is egoistic and biospheric value that has positive effect on green loyalty, while green functional benefit and green monetary cost act as mediation between the value orientation and green loyalty. As managerial implication, green brand marketing strategy should incorporate egoistic and biospheric values in messages in advertising and promotion.

Consumer Attitude toward the Retail Sales : More than Price Benefits (점포세일에 대한 소비자태도)

  • 박경애;허순임
    • Journal of the Korean Society of Clothing and Textiles
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    • v.27 no.6
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    • pp.635-642
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    • 2003
  • The purposes of this study were to explore the consumer attitude toward the retail sales, to examine the relationships between the sale attitude and the price-related variables(i.e., price consciousness, sales proneness, and value consciousness), and to examine the effects of the sale attitude and the price-related variables on the perceived price value during the retail sales. Data were collected from 790 undergraduate students using the two types of questionnaires representing the sale and non-sale situations, and 776 responses were analyzed. Factor analysis of the sale attitude extracted five dimensions including price benefit, limited product assortment, impulse buying, low service quality, and disordered store atmosphere. The price benefit and the impulse buying factors were related with all the 3 price-related variables, and all the sale attitude factors were related with the value consciousness. The price benefit and the impulse buying factors positively affected the perceived price value under the sale situation.

Korean and Japanese EFL Learners' AV Benefit for the Perception of the Liquid Contrast in English (한국인 및 일본인 영어학습자의 유음 차이 지각에 미치는 시각/청각 효과)

  • Chung, Hyun-Song
    • MALSORI
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    • no.60
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    • pp.1-11
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    • 2006
  • This paper investigated AV benefit of Korean and Japanese EFL learners' perception of the liquid contrast in English. In a perception experiment, the two English consonants /l/ and /r/ were embedded in initial and medial position in nonsense words in the context of the vowels /i, a, u/. Singletons and clusters were included in the speech material. Audio and video recordings were made using a total of 108 items. The items were presented to Korean and Japanese learners of English in three conditions: audio-alone (A), visual-alone (V) and audio-visual presentation (AV). The results showed that there was no evidence of AV benefit for the perception of the /l/-/r/ contrast for either Korean or Japanese learners of English. The results suggest that increasing auditory proficiency in identifying a non-native contrast is linked with an increasing proficiency in using visual cues to the contrast.

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Healthcare Utilization and Expenditure Depending on the Types of Private Health Insurance in Korea (민간의료보험 가입 및 가입유형별 의료이용 특성 분석)

  • Lee, Jung Chan;Park, Jae San;Kim, Han Nah;Kim, Kye Hyun
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.57-68
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    • 2014
  • Since the introduction of National Health Insurance(NHI) in 1977, it has grown rapidly and contributed to extend patient's access to the health care services. However, limited coverage for health care services of NHI has been ongoing challenge and private health insurance(PHI) has been rising as an alternative source of enhancing coverage and saving out-of-pocket(OOP) expenditure for patients. In this study, after controlling for socio-demographic, economic, health related variables, we identified the patients' healthcare utilization and subsequent OOP expenditure depending on their PHI enrollment and their enrollment types(fixed benefit, indemnity, fixed benefit plus indemnity). Data were collected from the 2010 Korean Health Panel. The unit of analysis was a member of household(n=13,324). Of the 13,324 cases, 70.7% of patients held PHI, in detail, fixed benefit(47.0%), indemnity(3.6%), fixed benefit plus indemnity(20.1%). Major findings showd that patients who enrolled in PHI used more outpatient services(outpatient visit, number of physician visit, number of examination) and spent more OOP expenditure than non-PHI patients. There were also differences of healthcare utilization and OOP expenditure among the types of PHI. In addition, PHI patients used more inpatient services(inpatient use, number of hospitalization, LOS), but there was no significant difference between PHI and non-PHI patients with regard to the OOP expenditure. Thus, we could not find any distinct relationship between the types of PHI and patients' tertiary hospital use. Policy-makers should need careful political deliberation for monitoring the effect of PHI on health care utilization and subsequent expenditure not only to improve patients' coverage but also to save their OOP expenditures.

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Disparities in High-cost Outpatient Imaging Test Utilization between Private Health Insurance Subscribers and Non-subscribers: Changes Following the National Health Insurance Benefit Expansion Policy (민간의료보험 가입자와 미가입자 간 외래 고가영상검사 이용의 격차: 건강보험 보장성 강화 정책에 따른 변화)

  • Yukyung Shin;Young Kyung Do
    • Health Policy and Management
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    • v.33 no.3
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    • pp.325-337
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    • 2023
  • Background: While there are many studies estimating the effects of private health insurance on various types of health care utilization, few have examined how such effects change in conjunction with important policy reforms in national health insurance (NHI). This study examined how the effect of private health insurance (supplemental and fixed cash benefit) on high-cost outpatient imaging test utilization changed following the expansion of magnetic resonance imaging (MRI) coverage in 2018, which is a key example of the NHI benefit expansion policy in recent years. Methods: Data from the 2017 and 2019 Korea Health Panel Survey, which contained information about healthcare utilization before and after the expansion of MRI coverage in 2018, were used. The incremental effect of private health insurance on high-cost outpatient imaging test utilization for each period were quantified and compared, with special attention given to the type of private health insurance. Results: While people with supplemental private health insurance were more likely to use high-cost outpatient imaging tests than those without, both before and after the expansion of MRI coverage, the incremental effect increased from 1.6% points in 2017 to 2.5% points in 2019. Conclusion: Benefit expansion in NHI does not necessarily reduce disparities in the use of health care between private health insurance subscribers and non-subscribers. The results of our study also suggest that the path through which private health insurance affects healthcare utilization may not be limited to the price mechanism alone but can be more complex.

An Extended Benefit-Cost Analysis of Land Consolidation and On-farm Development Project -With Respect to Jigok Land Consolidation and On-farm Development Project in Seosan, Chungnam Province, Korea- (경지정리사업의 확장편익-비용분석 - 충남서산시 지곡지구를 중심으로 -)

  • Lim, Jae-Hwan;Lee, Min-Soo
    • Korean Journal of Agricultural Science
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    • v.29 no.1
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    • pp.66-83
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    • 2002
  • The economic feasibility analysis including benefit-cost ratio and internal rate of return of a land consolidation and on-farm development project was mainly depended upon the direct benefits and costs arising during project life. Therefore the projects were neglected in allocating the government's financial funds and loans on account of the low economic rate of return of the project. Accordingly the extended benefit-cost analysis method should be introduced and adapted to cover not only the benefit s such as non-market values of environmental and food security fun ct ions of the project but also market values of the project outputs. The main purposes of this study are (1) to prepare a guide line for economic feasibility analysis based on the IBRD and ADB guidelines, (2) to estimate the benefits from productivity increase, labor saving, savings of O&M cost of farm mechanization and project facilities, savings of farmer's burden for their public health, increasing environmental and public functional value of paddy fields, improving food security condition and formation of peaceful and uncontroversial rural society by implementing the land consolidation and on-farm development, (3) to introduce the newly adapted analytical method as the extended benefit cost analysis which could make possible to be included the values of non-market goods such as the food security and the environmental public function of paddy fields. To carry out this study, the existing publications on the guidelines for economic agricultural projects were reviewed and consultation was made with a For the post evaluation study of the land consolidation and on-farm development project, field survey in Jigok and other comparative area were made to get available information. According to the project completion report, Jigok land consolidation and on-farm development project has 55ha of benefit area out of 69ha of gross area. The project was started in November 11th, 2000 and completed october 30th, 2001. The total project costs were amounted to 2,548 million won and the annual project benefits were estimated at 335million won evaluated by domestic market prices. The ERR(Economic Rate of Return) and SRR(Social Rate of Return) of the project based on the shadow pricing system were estimated at 4.4% and 16% respectively. On the other hand, the ERR and SRR based on the domestic market value system were amounted to 6.37% and 14.62%. In conclusion, Korean land consolidation and on-farm development projects have not carried out from the view point of economic rate of return under shadow pricing system but from the view point of domestic pricing system. For the future feasibility studies on land consolidation projects have to be carried out including the non-market values as environmental and food security function of the projects.

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