• Korean Journal of Clinical Pharmacy
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• v.20 no.1
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• pp.30-38
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• 2010

This study was conducted to analyze cost-effectiveness of neoadjuvant chemotherapy for locally advanced head and neck cancer in Korean healthcare setting. We constructed a decision analytical model to estimate total costs and outcomes of paclitaxel+cisplatin (PC) or docetaxel+cisplatin+5-FU (DCF) for 2 years time horizon in 100 patient cohort with locally advanced head and neck cancer. Base analysis showed that cost savings of PC regimen were 379 million Korean Won and 231 million Korean Won in societal and payer's perspectives, respectively, compared to DCF regimen, and life saved was 0.18. PC regimen as a dominant strategy was found to be robust through sensitivity analyses.

• Journal of Preventive Medicine and Public Health
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• v.25 no.4 s.40
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• pp.333-342
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• 1992

The purpose of this study is to estimate the minimum optimal scale(MOS) of the self-employed health insurance associations. Considering the high proportion of operating expenses, the author have selected 254 regional health insurance associations eon the 1990 Finance Report of the self-employed health insurance programs. Both a quadratic function and a hyperbolic function were chosen for the analysis. The dependent variables are the average maintenance cost per insured person and per household, and the independent variables are the number of insured members and of household The minimum optimal scale was obtained from the differentiation of the quadratic function. Major findings are summarized as follows: 1. The M.O.S. was calculated as 166,174 members (27,442 households) for the rural self-employed health insurance associations and 258,462 members (75,446 households) for the urban. Providing that both the rural and urban health insurance associations would be integrated, the M.O.S. be found to become 231,687 members (68,101 households) 2. Compared with the optimal minimum scale, the magnitude of the current health insurance association found to be much smaller, less than half of the optimal scale. 3. In order to reduce the operating cost, it is necessary to enlarge the operational scale of self-employed health insurance associations.

• Journal of Preventive Medicine and Public Health
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• v.42 no.4
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• pp.251-260
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• 2009

Objectives : To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods : We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients and caregivers productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. Results : A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. The total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. The per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. The total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. Conclusions : Stroke is a leading public health problem in Korea in terms of the economic burden. The indirect costs were identified as the largest component of the overall cost.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.16 no.2
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• pp.23-40
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• 2013

The natural environment restoration industry has been newly included in the environment area of engineering technology. Accordingly, the enactment of a standard of estimate for determining the 'Cost plus Fixed Fee' method has become necessary for the implementation and vitalization of natural environment restoration projects. The purpose of this study is to determine the standards for which the prices for engineering projects are calculated with respect to the enactment of an engineering project standard of estimate in the natural environment restoration field. These include the scope of the technological work, standard area, manpower requirements by technical grade that are necessary for carrying out the technological tasks. Relevant laws and regulations, systems and precedent case studies were investigated and analyzed to establish a price calculation standard. The overall results of the analysis were used and applied to questionnaires, public hearings, and expert delphi techniques. The study showed the following results： The scope of the technological work was categorized into 'Biotopes', 'Eco-corridors' and 'Ecological restoration'. The standard area was set up as $1,000m^2$ for 'Biotopes' and $5,000m^2$ for 'Eco-corridors' and 'Ecological restoration'. The manpower requirements by technical grade that are necessary for carrying out the technological tasks were determined. The suitability of the costs, standard area, manpower requirements by technical grade of ordered engineering projects that are determined by applying the standard of estimate for natural environment restoration that may be enacted pursuant to this study may be effectively investigated and analyzed. Moreover, further studies on the calculation of standard prices that can ensure the stability of natural environment restoration projects will be necessary.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2008.11a
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• pp.212-215
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• 2008

When managers predict exact construction cost at early stage and design phase, they can reduce construction cost in a more efficient way than to predict at construction stage. But present of public construction cost estimation and management almost after the construction documents design phase. Therefore, construction cost management in the early stage and schematic design phase to generally use approximate estimating is not correct. Accordingly, this study analyze problem of current cost estimating method and a concrete cost plans make using case information of actual cost to analyze in schematic design phase. Possible to check going on the suitable design, this study conducts the preliminary research for the development of cost estimating model.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.4
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• pp.1547-1551
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• 2012

Background: Lung cancer is the leading cause of cancer morbidity and mortality. Its management has a significant economic impact on society. Despite a high incidence of cancer, so far, there is no national register for this disease in Morocco. The main goal of this report was to estimate the medical costs of lung cancer in our country. Methods: We first estimated the number of annual new cases according to stage of the disease on the basis of the Grand-Casablanca-Region Cancer Registry data. For each sub-group, the protocol of treatment was described taking into account the international guidelines, and an evaluation of individual costs during the first year following diagnosis was made. Extrapolation of the results to the whole country was used to calculate the total annual cost of treatments for lung cancer in Morocco. Results: Overall approximately 3,500 new cases of lung cancer occur each year in the country. Stages I and II account for only 4% of cases, while 96% are diagnosed at locally advanced or metastatic stages III and IV. The total medical cost of lung cancer in Morocco is estimated to be around USD 12 million. This cost represents approximately 1% of the global budget of the Health Department. According to AROME Guidelines, about 86% of the newly diagnosed lung cancer cases needed palliative treatment while 14% required curative intent therapy. The total cost of early and advanced stages lung cancer management during the first year were estimated to be 4,600 and 3,420 USD, respectively. Conclusion: This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco. A substantial proportion of the burden of lung cancer could be prevented through the application of existing cancer control knowledge and by implementing tobacco control programs.

• Health Policy and Management
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• v.17 no.1
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• pp.1-27
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• 2007

This study is designed to estimate an appropriate level of patient's cost-sharing for oriental medical services in the Korean National Health Insurance. The findings of this study can be summarized as follows: 1) The current co-payment system for oriental medical services does not reflect its cost structure in clinical practice due to inconsistency of cost-sharing plan in the NHI. 2) Both oriental medical institutions and their patients, as a result, are at a relative disadvantage in financial burden, compared with other services. 3) The substantial proportion of patients' cost-sharing depends on the amount of co-payment and the range of medical cost that a flat rate is applied to. 4) The extension of the range doesn't make any substantial decrease in patient's cost-sharing. 5) The fixed amount of co-payment is more sensitive than a range to total variations of patient's cost-sharing. Based on the above, the budget impacts of a new co-payment system were estimated for each co-insurance rate, according to given scenarios. The results range from -59 billion Won (-8.5%) to 16 billion Won(2.3%).

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.29 no.12
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• pp.663-672
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• 2017

Building information modeling (BIM) technology based on 3D modeling has been applied to the entire domestic construction industry since 2010. It can calculate quantity take-off considering construction productivity at design phase. Based on this, it is possible to improve the reliability of construction cost prediction of design phase in the process of cost estimation. However, Building Information Level (BIL) defined by Ministry of Land, Infrastructure and Transport and Public Procurement Service does not seem to offer doable environment due to the lack of detailed application items. By calculating construction cost that meets Construction Cost Estimate Accuracy by American Association of Cost Engineers (AACE) through quantity take-off and cost estimation based on 3D modeling of BIM technology, a BIL improvement proposal at design phase for Mechanical Contracts and Construction is provided here. Results showed that properties including outline and minimum specification of the main equipment, internal main piping, and internal main duct should be defined from the intermediate design phase to have reliable cost estimation.

• Korean Journal of Construction Engineering and Management
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• v.13 no.1
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• pp.44-52
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• 2012

In the cost management of public construction projects, it is an important issue to develop an adequate cost data for estimating the predetermined amount by various methods. For a long time, a standard of estimation in korea is used as a basis for estimating the predetermined amount of public construction. However, they did not have a reasonable cost data based on a labor and equipment productivity analysis. For this reason, it is difficult to make a reasonable and efficient estimation of the costs, and this situation presents an urgent need for more accurate cost data to use in an early phase. This study analyzed the productivity of form work by the CYCLONE model, and presented the model on the number of optimal labor through sensitivity analysis. This CYCLONE model can be useful in analyzing productivity on the various sizes of form. Also, the regression model to estimate the daily output can be used in predicting the amount of labor. Considering the work duration in the regression model is expected to make the daily output estimation much more accurate.

• Korean Journal of Organic Agriculture
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• v.31 no.4
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• pp.259-289
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• 2023

This study analyzed farmers' and experts' perceptions of the Agricultural Income Survey (AIS) conducted by the Rural Development Administration and estimated its socioeconomic value. The research surveyed 104 farmers in Gyeongsangbuk-do and Jeollanam-do. To estimate the AIS's socioeconomic value, this study examined public information projects in the field of agriculture and public information, proposing an estimation methodology based on prior research. The socioeconomic value of the AIS was calculated in three stages (information generation, collection and analysis, and utilization) using the replacement cost and contingent valuation methods. In 2020, the estimated socioeconomic value of the AIS ranged from a minimum of KRW 631.2 billion to a maximum of KRW 799.1 billion per year. To improve the socioeconomic value of the AIS, it is important to booster awareness, expand sample sizes for more reliable data, increase manpower and budget, refine survey questions, and enhance analyzing capabilities. And it's crucial to foster cooperation with surveyed farms, promote collaboration among investigative agencies, improve investigator skills, and strengthen management capabilities to facilitate information dissemination.