• 제목/요약/키워드: cost-effective ratio

검색결과 412건 처리시간 0.027초

Cost-Effectiveness Analysis for National Dyslipidemia Screening Program in Korea: Results of Best Case Scenario Analysis Using a Markov Model

  • Kim, Jae-Hyun;Park, Eun-Cheol;Kim, Tae-Hyun;Nam, Chung-Mo;Chun, Sung-Youn;Lee, Tae-Hoon;Park, Sohee
    • 보건행정학회지
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    • 제29권3호
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    • pp.357-367
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    • 2019
  • Background: This study evaluated the cost-effectiveness of 21 different national dyslipidemia screening strategies according to total cholesterol (TC) cutoff and screening interval among 40 years or more for the primary prevention of coronary heart disease over a lifetime in Korea, from a societal perspective. Methods: A decision tree was used to estimate disease detection with the 21 different screening strategies, while a Markov model was used to model disease progression until death, quality-adjusted life years (QALYs) and costs from a Korea societal perspective. Results: The results showed that the strategy with TC 200 mg/dL and 4-year interval cost \4,625,446 for 16.65105 QALYs per person and strategy with TC 200 mg/dL and 3-year interval cost \4,691,771 for 16.65164 QALYs compared with \3,061,371 for 16.59877 QALYs for strategy with no screening. The incremental cost-effectiveness ratio of strategy with TC 200 mg/dL and 4-year interval versus strategy with no screening was \29,916,271/QALY. At a Korea willingness-to-pay threshold of \30,500,000/QALY, strategy with TC 200 mg/dL and 4-year interval is cost-effective compared with strategy with no screening. Sensitivity analyses showed that results were robust to reasonable variations in model parameters. Conclusion: In this study, revised national dyslipidemia screening strategy with TC 200 mg/dL and 4-year interval could be a cost-effective option. A better understanding of the Korean dyslipidemia population may be necessary to aid in future efforts to improve dyslipidemia diagnosis and management.

Effects of Asset Diversification and Human Capital Efficiency on Bank Performance: Evidence from Asian Countries

  • BAWONO, Suryaning;SANUSI, Anwar;SUPRIADI, Bambang;TRIATMANTO, Boge;WIDARNI, Eny Lestari
    • The Journal of Asian Finance, Economics and Business
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    • 제10권1호
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    • pp.123-132
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    • 2023
  • This study seeks to determine if the efficiency of bank human resources, as played by human capital, impacts the performance and diversification of banks. This study uses secondary data from data obtained from 385 commercial banks in 33 countries in Asia during the 2010-2020 period with the diversification analysis method. We use the Z-score to measure the amount of standard deviation that must be from earnings (ROAA). We examined it using the Tobit regression technique. According to the regression estimation results, human capital has a significant role in the performance and effective diversification of Asian banks. The human capital efficiency coefficient (HCE) is significantly negative with the cost-to-income ratio (CTIR) and significantly positive with Profitability, Financial Stability, and cost efficiency score. The level of efficiency of human resources has an effective role in increasing human capital which has an impact on bank diversification and performance. The development of human resources in a human capital framework plays an important role in the diversification and improvement of bank performance. Human capital has a significant role in the performance and effective diversification of Asian banks. The level of efficiency of human resources has an effective role in increasing human capital which has an impact on bank diversification and performance.

The National Cancer Screening Program for Breast Cancer in the Republic of Korea: Is it Cost-Effective?

  • Kang, Moon Hae;Park, Eun-Cheol;Choi, Kui Son;Suh, MiNa;Jun, Jae Kwan;Cho, Eun
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.2059-2065
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    • 2013
  • This goal of this research was to evaluate the cost-effectiveness of the National Cancer Screening Program (NCSP) for breast cancer in the Republic of Korea from a government expenditure perspective. In 2002-2003 (baseline), a total of 8,724,860 women aged 40 years or over were invited to attend breast cancer screening by the NCSP. Those who attended were identified using the NCSP database, and women were divided into two groups, women who attended screening at baseline (screened group) and those who did not (non-screened group). Breast cancer diagnosis in both groups at baseline, and during 5-year follow-up was identified using the Korean Central Cancer Registry. The effectiveness of the NCSP for breast cancer was estimated by comparing 5-year survival and life years saved (LYS) between the screened and the unscreened groups, measured using mortality data from the Korean National Health Insurance Corporation and the National Health Statistical Office. Direct screening costs, indirect screening costs, and productivity costs were considered in different combinations in the model. When all three of these costs were considered together, the incremental cost to save one life year of a breast cancer patient was 42,305,000 Korean Won (KW) (1 USD=1,088 KW) for the screened group compared to the non-screened group. In sensitivity analyses, reducing the false-positive rate of the screening program by half was the most cost-effective (incremental cost-effectiveness ratio, ICER=30,110,852 KW/LYS) strategy. When the upper age limit for screening was set at 70 years, it became more cost-effective (ICER=39,641,823 KW/LYS) than when no upper age limit was set. The NCSP for breast cancer in Korea seems to be accepted as cost-effective as ICER estimates were around the Gross Domestic Product. However, cost-effectiveness could be further improved by increasing the sensitivity of breast cancer screening and by setting appropriate age limits.

국민건강보험공단 진료비 자료를 활용한 65세 이상 방문건강관리사업 대상자의 비용-편익분석 (A Cost Benefit Analysis of Visiting Health Care for People 65 Years and Over Using Total Medical Expense from Health Insurance Claims Data)

  • 김진현;고영;권현정;임은실
    • 근관절건강학회지
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    • 제27권3호
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    • pp.238-246
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    • 2020
  • Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people. Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants' social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical. Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.

오일 열화 진행에 따른 오일의 색채 특성 변화 (Change in Chromatic Characteristics with the Oil Degradation)

  • 공호성;오씨아빅터;한흥구;류보브마르코바
    • Tribology and Lubricants
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    • 제24권1호
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    • pp.7-13
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    • 2008
  • In this work, a simple and low cost sensor technique is proposed to test oil color in real time using in-line sensor. It is presented to use a ratio of intensity in red wavelength range to intensities of green and blue wavelength ranges (defined as a 'chromatic ratio') in order to estimate the oil color change. The proposed sensor technique is realized by irradiating a white LED as light source and a RGB color sensor as photoreceiver, and the chromatic ratio of various types of used oils are measured. The results show that chromatic ratio generally reflects chemical deterioration of oil, including oil oxidation and thermal degradation. It is concluded that the proposed sensor could be used for an effective oil monitoring technology.

유효 및 총불투수율의 산정과 유역관리에서의 활용방안 (Measurement of Effective and Total Impervious Ratio and Its Usage for Watershed Management)

  • 최지용;고은주
    • 환경정책연구
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    • 제7권3호
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    • pp.121-140
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    • 2008
  • 불투수면 비율은 유역의 건전성 정도를 나타내는 중요한 척도로 활용되고 있으며 특히 유역의 수환경 특성을 파악하는 모델에서 이용되어 왔다. 불투수면은 총불투수면과 유효불투수면의 두 가지 있으며, 이들은 각 유역의 토지이용 특성에 따라 그 구성이 다양하다. 이중 총 불투수면은 기존의 토지이용도나 토지피복도를 사용하여 손쉽게 구할 수 있는 반면 유효불투수면은 물 흐름을 필지별로 파악하여야 하기 때문에 산정에 많은 노력과 비용이 소요된다. 본 연구에서는 우리나라 사례지역에 대해 총불투수면과 유효불투수면을 산정하여 그 특성을 상호 비교해 보고 유역관리에 있어 유효 및 총 불투수면 비율의 적용방안을 모색하고자 하였다. 사례지역 분석결과 유효불투수면 면적은 39.7%로 총 불투수면 면적 43%에 비해 약 3%적었다. 불투수면이 수환경에 미치는 영향을 분석하기 위한 기초 자료로 활용하기 위함임을 고려할 때 비용과 시간적 측면에서 볼 때 총불투수면을 유역의 대표적인 불투수면 비율로 사용할 수 있을 것으로 판단된다.

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사업장 내 간호사 활동의 경제성 분석: 간호사와 대기환경관리기사 비교를 통하여 (Economic Evaluation of a Workplace Occupational Health Nursing Service: Based on Comparison with Atmospheric Environment Managing Engineer)

  • 정혜선;이복임
    • 대한간호학회지
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    • 제43권4호
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    • pp.507-516
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    • 2013
  • Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

재고보유단위로 관리되는 제품의 재고관리 방법에 관한 연구 (A Study on Inventory Control Method for an Item with Stockkeeping Units)

  • 윤승철
    • 산업경영시스템학회지
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    • 제38권1호
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    • pp.124-130
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    • 2015
  • In many inventory situations, items for sales are generally stocked in a multiple of variations called stockkeeping units, such as size, color, style, and so on. For better management performance on sales items, proper and effective management is necessary for the stockkeeping units. In dealing with many items and those stockkeeping units, individual inventory analysis for each stockkeeping unit needs large amount of time or cost. Also the individual approach in inventory planning increases the demand variation of an item as the result by combining of demand variations of all stockkeeping units, accordingly the inventory turnover ratio and profitability are dropped down. This research suggests an effective method of systematic control of total stockkeeping units by generating from the total item basis, and shows how to reduce the safety stock and the average inventory with attaining a planned customer fill rate of the item and each stockkeeping units.

원위치 관입시험을 이용한 비배수 점토의 유효응력 산정 (Estimation of Effective Stress for Undrained Clays using In-situ Penetration test)

  • 조성환;서경범;이준환
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2010년도 추계 학술발표회
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    • pp.990-996
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    • 2010
  • In this study, a method for estimating the effective stress of clays using in-situ penetration test(PCPT) result is proposed. The proposed method is based on a correlation between the PCPT results and strength increment ratio. According to proposed method, no additional testing procedure for collecting undisturbed soil sample is required, which can reduce overall testing cost. To verify this method, for analysis, various analytical solutions were adopted and used. Measured and predicted effective stress are compared on the test results. The verification sites consist of a variety of soil condition. From comparison, it is seen that predicted value of effective stress using the propose method match well those from measured results.

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LTE 네트워크에서 비용효과적인 위치 및 서비스 관리 기법의 성능분석 (Performance Analysis of Cost-Effective Location and Service Management Schemes in LTE Networks)

  • 이준희;정종필
    • 한국인터넷방송통신학회논문지
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    • 제12권6호
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    • pp.1-16
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    • 2012
  • LTE네트워크에서 사용자별 비용효과적인 위치 및 서비스 관리에 대하여 모바일 사용자와 해당 사용자와 연계된 모든 클라이언트-서버 어플리케이션의 게이트웨이역할을 하는 서비스 프록시를 생성하는 기법을 제안한다. 서비스 프록시는 항상 모바일 사용자의 위치 데이터베이스와 함께 위치하게 되는데 위치 핸드오프가 발생할 때 모바일 사용자의 위치 데이터베이스도 같이 옮겨지며 그때마다 서비스 프록시가 위치 데이터베이스와 함께 위치하기 위한 서비스 핸드오프가 연속하여 일어나게 된다. 이것은 서비스가 전달될 때 네트워크 비용을 줄이기 위해 프록시를 통하여 사용자 위치정보를 알 수 있게 한다. 네 가지의 기법에 대해 분석한 결과, 중앙 관리형 기법은 모바일 사용자의 SMR(service to mobility ratio)이 낮고 ${\upsilon}$(session to mobility ratio)가 높을 때 좋은 성능을 보이고, 분산 기법은 SMR과 ${\upsilon}$가 모두 높은 경우에 좋은 성능을 나타낸다. 서비스 내용에 대한 전송비용이 높을 때는 정적 앵커 기법이 가장 좋은 성능을 보이지만, 이 경우를 제외하고 거의 모든 조건에서는 동적 앵커 기법이 가장 좋은 성능을 나타낸다. 결과적으로 각기 다른 이동성과 서비스 패턴들을 갖고 있는 사용자들에게 시스템 성능을 최적화하기 위해서는 그 상황에 맞는 차별화된 비용효과적인 위치 및 서비스 관리 기법을 적용해야 한다는 것을 보여준다.