• 한국산학기술학회논문지
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• 제22권4호
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• pp.345-352
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• 2021

육군은 교육훈련 효과를 향상시키기 위해 노력을 경주하고 있다. 그러나 실제 훈련 시 많은 제한사항으로 인해 실전적인 교육훈련이 제한된다. 이러한 제한사항을 극복하기 위해 가상현실 기술을 활용하고 있다. 가상현실 기술은 다양한 유형으로 발전하고 있으며, 육군은 비용 대 교육효과를 고려하여 가상현실 훈련체계를 도입할 필요가 있다. 육군은 실제 장비와 유사하게 제작된 고비용의 시뮬레이터형을 주로 사용하고 있다. 최근에는 HMD(Head Mounted Display, 이하 HMD)를 착용한 저비용의 몰입형 가상현실 훈련체계도 사용 중이다. 본 연구는 육군 방공학교에서 운영중인 시뮬레이터형과 몰입형 가상현실 훈련체계에 대한 비용 대 교육효과를 분석한다. 연구 방법은 첫 번째, 계층적 분석기법(AHP : Analytic Hierarchy Process, 이하 AHP)으로 교육효과를 분석한다. 두 번째, 비용은 가상현실 훈련체계의 제작 비용을 적용하여 비용 대 교육효과를 분석한다. 분석결과, 비용 대 교육효과는 몰입형이 시뮬레이터형보다 3.4배 높은 것으로 확인되었다. 이번 연구결과를 통해 가상현실 훈련체계의 비용 대 교육효과 분석을 위한 기초자료로 활용이 가능 할 것이다.

• 한국군사과학기술학회지
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• 제12권5호
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• pp.557-562
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• 2009

Weapon system currently considers the research about effect analysis including cost effectiveness methodology for a budget management and an achievement of the military strategy goal. So that, this study considers the theoretical background, strength and weakness of several Multi-Criteria Decision Making, and an effect analysis of weapon system. And AHP(Analytic Hierarchy Process) is selected for the best effect analysis methodology of weapon system. Therefore, we applied AHP to the case study of the new generation Multiple Launcher Rocket System, performing the analysis of cost effectiveness methodology. Using AHP and cost effectiveness methodology, we propose the actual and proper decision making result.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2008년도 하계학술발표대회 논문집
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• pp.243-248
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• 2008

The purpose of this study is to introduce alternative cost-effectiveness analysis method of DSM investment programs. This alternative method is Value Test method which consider the effects of DSM investment program on customer value. And this method was applied for actual DSM investment program in natural gas domain. By utilize this method to evaluate cost-effectiveness of DSM investment programs, it is expected to make right decision to enforce and complement those programs.

• 한국군사과학기술학회지
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• 제13권1호
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• pp.84-90
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• 2010

Korean army currently considers the development of the new generation MLRS(Multiple Launcher Rocket System) as a new alternative, which responses on the renovation of the artillery and future battlefield environment. This study suggests that it presents cost-effectiveness of MLRS based on the Analytic Hierarchy Process and Parametric Estimating(PRICE H). According to this study, the cost-effectiveness of new generation MLRS presented that alternative A is 2.30 times and alternative B is 1.70 times, which are better than currently operating M270A1. Therefore, The best acquisition is alternative A that launcher is carried on currently operating 10ton standard truck but final acquisition alternative should be politically decided to consider viability of operator, performance and the latest of equipment.

• The Korean Journal of Pain
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• 제31권1호
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• pp.27-38
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• 2018

Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

• 디지털융복합연구
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• 제13권11호
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• pp.7-14
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• 2015

본 연구 목적은 이러닝 콘텐츠 개발 대가 산정 가이드라인 활용 활성화 정책의 근거를 제시하는 것이다. 이를 위해 이러닝 콘텐츠 개발 대가 산정 가이드라인(대가기준과 혼용)의 실효성에 대한 산업계 임직원들에 대한 설문 등을 통해 조사하고 이를 통계적으로 분석하였다. 분석 결과, 콘텐츠 사업 수주후 손실을 본 경험 기업과 수주를 포기한 경험 기업 등이 대가기준의 실효성에 대해 상대적으로 부정적인 인식을 가지고 있다. 그런가 하면 콘텐츠 전문기업은 대가기준의 실효성에 대해 상대적으로 긍정적인 인식을 가지고 있다. 결론적으로, 본 연구는 이러닝 콘텐츠 개발대가 산정기준(가이드라인)이 권고, 제정 고시를 넘어 수발주 현장에 정착되고 나아가 이러닝 산업 발전에 큰 기여토록 하는 제도적 장치를 정부가 가능한 한 빨리 마련할 것을 권고하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8229-8237
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• 2014

Background: Organized cervical screening has decreased the incidence of cervical cancer. However, screening strategies vary in different countries. Objectives: We performed a systematic review to evaluate the economic aspects of different screening methods. Materials and Methods: We searched databases and then data were abstracted from each study. We evaluated articles based on different types of screening tests as well as screening age and intervals, and using incremental cost effectiveness ratio via calculating quality adjusted life years (QALY), or life years gained (LYG) per cost. We compared the incremental cost-effectiveness ratio (ICER) of each study using GDP per capita. Furthermore, we compared national guidelines with recommendations of cost-effectiveness studies in different countries. Results: A total of 21 articles met our criteria, of which 19 studies showed that HPV DNA testing, 13 suggested an age of 30 years or more, and 10 papers concluded that at least a 5-year or longer interval were the most cost-effective strategies. In some countries, the national guidelines did not match the recommendations of the cost-effectiveness studies. Conclusions: HPV testing, starting at age 30 years or older and repeated at 5-year or longer intervals, is the most cost-effective strategy in any setting. Closer collaboration with health economists is required during guideline development.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.415-423
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• 2022

Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.

• 한방안이비인후피부과학회지
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• 제29권2호
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• pp.1-11
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• 2016

Objective : The purpose of this study is to analyze research trends on the cost-effectiveness in acupuncture for patients with allergic rhinitis. Methods : The literature and research in allergic rhinitis was searched in electronic databases, such as National Health Service Economic Evaluation Database(NHS EED) and the Cochrane Database of Systematic Reviews(CDSR). The general characteristics and the results of each economic analysis such as incremental cost-effectiveness ratios(ICERs) were extracted. Results : In total, thirty seven studies were searched, and two studies were analyzed. They were cost-utility analysis(CUA)s that measured quality-adjusted life years(QALYs). One study showed that the ICER was €22,798 per QALY and was robust in sensitivity analysis. Another showed that the ICER was between €31,241 and €118,889 from society's perspective and between €20,807 and €74,585 from a third-party payer's perspective. Conclusions : Any generalization of these results needs to be made with caution given the specific effects of acupuncture and the difference of cost data in the various countries. Further studies are needed on this topic in order to demonstrate the cost-effectiveness clearly.

• Journal of Korean Medical Science
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• 제33권46호
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• pp.304.1-304.7
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• 2018

Background: The Republic of Korea has a very low prevalence of human immunodeficiency virus (HIV) infection, but the number of new HIV diagnoses has steadily risen, strongly indicating a large number of undetected HIV infections. Thus, it is important for Korean public health authorities to adopt and encourage cost-effective HIV detection tools, such as rapid HIV screening tests. In this study, we aimed to evaluate the cost-effectiveness of enzyme-linked immunosorbent assays (ELISA) and rapid tests in a public health center (PHC) setting. Methods: We developed a decision analytic model to assess the per-examinee cost and the cost-effectiveness of identifying HIV patients in a PHC setting using two HIV testing strategies: conventional HIV screening by ELISA versus rapid HIV testing. Analysis was performed in two scenarios: HIV testing in an average-risk population and in a high-risk population. Results: Compared to the ELISA, the rapid test was cost-saving and cost-effective. The per-examinee cost was USD 1.61 with rapid testing versus USD 3.38 with ELISA in an average-risk population, and USD 4.77 with rapid testing versus USD 7.62 with ELISA in a high-risk population. The cost of identifying a previously undiagnosed HIV case was USD 26,974 with rapid testing versus USD 42,237 with ELISA in an average-risk population, and USD 153 with rapid testing versus USD 183 with ELISA in a high-risk population. Conclusion: Rapid testing would be more cost-effective than using conventional ELISA testing for identifying previously undiagnosed HIV-infected cases in Korea, a country with extremely low HIV prevalence.