• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6903-6908
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• 2015

Background: As smoking is the leading preventable cause of multiple diseases and premature cancer deaths, estimating the burden of cancer attributable to smoking has become the standard in documenting the adverse impact of smoking. In Indonesia, there is a dearth of studies assessing the economic costs of cancers related to smoking. This study aimed to estimate indirect mortality costs of premature cancer deaths and years of potential life lost (YPLL) attributable to smoking among the Indonesian population. Materials and Methods: A prevalence based method was employed. Using national data, we estimated smoking-attributable cancer mortality in 2013. Premature mortality costs and YPLL were estimated by calculating number of cancer deaths, life expectancy, annual income, and workforce participation rate. A human capital approach was used to calculate the present value of lifetime earnings (PVLE). A discount rate of 3% was applied. Results: The study estimated that smoking attributable cancer mortality was 74,440 (30.6% of total cancer deaths), comprised of 95% deaths in men and 5% in women. Cancers attributed to smoking wereresponsible for 1,207,845 YPLL. Cancer mortality costs caused by smoking accounted for USD 1,309 million in 2013. Among all cancers, lung cancer is the leading cause of death and economic burden. Conclusions: Cancers related to smoking pose an enormous economic burden in Indonesia. Therefore, tobacco control efforts need to be prioritized in order to prevent more losses to the nation. The data of this study are important for advocating national tobacco control policy.

• 정보화연구
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• 제11권1호
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• pp.81-88
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• 2014

본 연구는 우리나라 창업 중소기업의 4대 보험 경감에 따른 경제적 효과에 관한 연구다. 우리나라의 사회보험지원 및 해외 여러 현황 고찰을 통해 사회보험료 직 간접 지원, 사회보험료 면제, 사회보험료 유예 또는 융자의 4가지 제안을 제안했다. 경제적 효과 분석을 위해 편익과 비용 요소를 도출했으며 4대 사회보험 경감 정책을 통해 발생 가능한 편익 항목으로는 고용창출, 부가가치창출, 세수증대 효과를 분석했으며 각 대안별 비용을 추정했다. 보험료 면제의 경우 비용 추정이 현실적으로 어려워 분석에서 제외시켰다. 분석 결과, 보험료 직접 지원 및 보험료 유예/융자로 인해서는 563,469명의 고용 창출 효과가 있었으며 26.82조 원의 부가가치창출 효과, 824억 원의 세수증대 효과가 있는 것으로 추정되었다. 보험료 세액 공제인 간접 지원인 경우, 각각 105,368명, 5.02조 원, 154억 원의 효과가 있었다. 또한 각 대안에 대해 각각 9.58조 원, 5.42조 원, 1.79조 원의 비용 발생이 있는 것으로 추정되었다.

• 한국강구조학회 논문집
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• 제17권2호통권75호
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• pp.227-241
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• 2005

본 논문에서는 생애주기동안 발생하는 부식이나 일평균교통량 및 중차량의 통행량와 같은 사용환경에 의존하는 강교의 생애신뢰성에 기초한 생애주기비용(Life-Cycle Cost: 이하 LCC) 최적설계 방법론을 제안하였다. 강교 최적설계를 위한 LCC는 초기비용, 생애주기 기대유지관리비용, 생애주기 기대직접복구비용과 인적 혹은 물적손실비용, 도로이용자비용, 그리고 사회-경제 손실비용을 포함하는 간접복구비용을 현재가치의 합으로 정식화하였다. 이러한 LCC비용항목 중에서 생애주기 복구비용의 산정을 위해서는 하중과 저항이력에 의존하는 누적손확률로부터 산정되는 연파손확률이 고려되어야한다. 이를 위해 본 논문에서는 Nowak의 활하중 모델(1993)과 부식개시, 부식률, 그리고 재도장영향을 고려한 수정된 부식모델을 제안하였다. 이와같이 본 연구에서 제안된 LCC 최적설계 방법론은 3 경간연속(40m+50m+40m= 130m)의 실제 강박스거더교에 적용되었고, 사용환경에 대한 LCC의 효율성에 대해 비교 고찰하였다. 적용예를 통해 부식환경, 일평균교통량, 그리고 중차량의 통행량는 강교 LCC최적설계에 매우 중요한 영향을 미칠 수 있음을 알 수 있었으며, 이러한 교량의 사용환경인자들은 경우에 따라 LCC 최적설계에 대한 주요 변수로 고려되어야 할 것으로 판단된다.

• 간호행정학회지
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• 제3권2호
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• pp.151-165
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• 1997

A cost analysis for hospitalized patients was performed based on the KDRG classification in order to determine an appropriate nursing fee under the PPS(Prospective Payment System). The data was collected from 20 nursing units of three tertiary hospitals and two secondary hospitals from August 26 to September 15, 1996. The study consisted of 148 inpatients diagnosed for lens procedures(KDRG 03900), tonsillectomy &/or adenoidectomy(KDRG 16100), Cesarean section(KDRG 37000), or vaginal delivery(KDRG 37300) without any complications. The direct or indirect nursing hours of each patients were measured. Then, direct or indirect nursing expenditures of four nursing units, operating room and delivery room were computed. Finally, the resources used including average total nursing hours, average length of stay and average nursing cost of each KDRG were estimated as follows; 1) The average total nursing hours were 640 minutes for lens procedures, 403 minutes for tonsillectomy &/or adenoidectomy, 934 minutes for appendectomy with complicated principal diagnosis, 1,094 minutes for Cesarean section and 631 minutes for vaginal delivery. Significant differences were found in average total nursing hours among hospitals. 2) The average length of stay in lens procedures were 5 days, 4 days for tonsillectomy &/or adenoidectomy, 6 days for appendectomy with complicated principal diagnosis, 8 days for Cesarean section and 3 days for vaginal delivery. All results were within normal determined by the Ministry of Health and Welfare although significant differences existed among hospitals, especially with average length of stay for leng procedures between tertiary hospitals and secondary hospitals which was greater than for those of others. 3) The average nursing cost were 87,146 Won for lens procedures, 69,600 Won for tonsillectomy &/or adenoidectomy, 128,337 Won for appendectomy with complicated principal diagnosis, 151,769 Won for Cesarean section and 85,403 Won for vaginal delivery. These costs were 7.6%, 13.0%, 13.0%, 16.0% and 22.0%, respectively, of the official price fixed by the Ministry of Health and Welfare under the prospective payment system. Research for the analysis of nursing costs according to the severity of illness for those KDRGs shoud be carried out within the period of the PPS pilot project. In addition, a proper nursing fee schedule for a new reimbursement system based upon the result of the above research should be prepared in the near future.

• 대한토목학회논문집
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• 제26권1A호
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• pp.75-89
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• 2006

본 논문에서는 생애주기동안 발생하는 부식이나 일평균교통량 및 중차량의 통행량와 같은 사용환경에 의존하는 강교의 생애신뢰성에 기초한 생애주기비용(Life-Cycle Cost: 이하 LCC) 최적설계 방법론을 제안하였다. 강교 최적설계를 위한 LCC는 초기비용, 생애주기 기대유지관리비용, 생애주기 기대직접복구비용과 인적 혹은 물적손실비용, 도로이용자비용, 그리고 사회-경제 손실비용을 포함하는 간접복구비용을 현재가치의 합으로 정식화하였다. 이러한 LCC비용항목 중에서 생애주기 복구비용의 산정을 위해서는 하중과 저항이력에 의존하는 누적손상확률로부터 산정되는 연파손확률이 고려되어야한다. 이를 위해 본 논문에서는 Nowak의 활하중 모델(1993)과 부식개시, 부식률, 그리고 재도장영향을 고려한 수정된 부식모델을 제안하였다. 이와같이 본 연구에서 제안된 LCC 최적설계 방법론은 3 경간연속(40 m+50 m+40 m=130 m)의 실제 강박스거더교에 적용되었고, 강재종류, 부식환경, 교통량 및 할인율에 따른 LCC의 효율성에 대해 비교 고찰하였다. 적용예를 통해 부식환경, 일평균교통량, 그리고 중차량의 통행량, 할인율 등은 강교 LCC최적설계에 매우 중요한 영향을 미칠 수 있음을 알 수 있었으며, 이러한 교량의 사용환경인자들은 경우에 따라 LCC 최적설계에 대한 주요 변수로 고려되어야 할 것으로 판단된다.

• 한국건설관리학회논문집
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• 제19권4호
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• pp.61-69
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• 2018

원도급계약에서의 공기연장 추가간접비에 대한 연구는 지속되어왔다. 그러나 하도급계약에서의 공기연장 추가간접비 산정방식에 대한 연구는 거의 없는 실정이다. 본 연구는 기존 현장에서 사용되고 있는 공기연장 추가간접비 산정방식과 선행연구에서 제안된 공기연장 추가간접비 산정방식에 대해 고찰하고 모형사례를 분석하여 산정방식을 비교하였다. S-curves형태의 간접비 발생을 반영한 모형사례의 발생상황을 사례별로 제시하여 선행연구에서 제시된 공기연장 추가간접비 산정방식별 산출결과를 비교하였다. 산정방식의 문제점을 고찰하는 과정에서 원사업자의 공기연장 추가간접비 산정방식으로 타당한 것으로 연구된 바 있는, 지연기간 평균실비산정방법이 수급사업자의 공기연장 추가간접비 산정에도 타당하다는 결론을 도출하여 보편적으로 적용될 수 있음을 입증하였다.

• 한국의료질향상학회지
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• 제7권2호
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• pp.168-179
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• 2000

Background : Economic evaluation of clinical pharmacokinetic consultation services for theophylline, which is being widely used recently, is considered in patients for both proper care and cost efficiency. Mathods : This is a cost-benefit analysis of clinical pharmacokinetic consultation service for theophylline. Trial groups were chosen from 2 general hospitals which was performing clinical pharmacokinetic consultation- services in 1998. Control group was chosen from another one general hospital. The analysis includes 25 patients (sample patients) for trial group and 17 patients for control group. Results : On the basis of incremental analysis, it is estimated that the total (direct and indirect) annual costs of the clinical, pharmacokinetic services of theophylline for the patients in the trial group was about \65 million, whereas total annual benefits from those services was estimated to be about \551 million. The net benefits incurred to the sample patients, thus calculated, was about \485 million per year. In the analysis, we assumed that indirect benefits accruing to those services were non-existent. If that amount was included, the estimated net benefits would be much greater than the calculated one. Conclusion : We found that clinical pharmacokinetic consultation services for theophylline could produce more marginal benefits than marginal costs by those services from the social point of view. More controlled prospective trial in the future would be helpful for affirmation of the results of this study.

• 간호행정학회지
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• 제4권1호
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• pp.229-246
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• 1998

This dissertation classifies sample patients by a measure of K-DRG to identify the most frequent group. and investigates the differences in the dependency of nursing by patient classification system in the SICU of Seoul National University Hospital in Korea. It also calculates the mean nursing care hours and costs per craniotomy patient, who is shown to be the most frequent patient group. The results of the research can be used as basic data for the development of relevant nursing cost system in the future. The results of the research are as follows: 1. Using data from 97 sample patients, as many as 26 groups are identified when the patients are classified by K-DRG. KDRG-001 (craniotomy) is found to be the most frequent group(43.30%). 2. The result from patient classification system grouping in craniotomy patients shows homogeneity in terms of dependency of nursing with 35 patients in the 4th group, 145 patients(74.36%) are in the 5th group. and 15 patients are in the 6th group among the total 195 sample patients. 3. The direct nursing care hours for the 4th, 5th, and 6th patient classification system groups are found to be 381 minuites. 483 minuites, and 519 minuites, respectively, which shows that the nursing care hours increases as the dependency of nursing is intensified. The indirect nursing care hours are found to be 454 minuites(7.57 hours). The total mean nursing care hours, which is the sum of the direct nursing care hours(467 min.: 7.78 hours) and the indirect nursing care hours (454 min.: 7.57 hours), is 921 minuites(15.35 hours) per patient a day. 4. The nursing care cost is calculated to be 123,297 won per patient a day. Considering the average duration in the ICU, we can find the total nursing care cost is 610,318 won.

• Nuclear Engineering and Technology
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• 제51권2호
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• pp.631-640
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• 2019

Thorium ($^{232}Th$) is four times more abundant than uranium in nature and has become a new important source of energy in the future. This is due to the ability of thorium to undergo the bombardment of neutron to produce uranium-233 ($^{233}U$). The aim of this study is to investigate the production cost of thorium oxide ($ThO_2$) resulted from the thorium extraction process. Four main parameters were studied which include raw material and chemical cost, total capital investment, direct cost and indirect cost. These parameters were justified to obtain the final production cost for the thorium extraction process. The result showed that the raw material costs were $63,126.00 - $104,120.77 (0.5 ton), $126,252.00 - $178,241.53 (1.0 ton), and $1,262,520.00 - $1,782,415.33 (10.0 tons). The total installed equipment and total cost investment were estimated to be approximately $11,542,984.10 and $13,274,431.715 respectively. Hence, the total costs for producing 1 kg $ThO_2$ were $6829.79 - $6911.78, $3540.95 - $3592.94, and $501.18 - $553.17 for 0.5, 1.0, and 10.0 tons respectively. The result concluded that with higher mass production, the cost of 1 kg $ThO_2$ would be reduced which in this scenario, the lowest production cost was $$501.18kg^{-1}$-$$553.17kg^{-1}$ for 10.0 tons of $ThO_2$ production.

• 한국건축시공학회지
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• 제14권6호
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• pp.591-596
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• 2014

본 연구는 현재 사회적 문제가 되고 있는 도시재생 사업의 매몰비용 관련 인식 조사를 목적으로 실시하였다. 조사결과 지방정부, 중앙정부, 정치권, 조합원 및 토지 등 소유자 모두 매몰비용에 관하여 일정부분 책임과 부담 의무의 필요성이 있는 것으로 나타났다. 매몰비용에 대한 지원은 어느 하나의 주체에게 책임을 전가하기보다 정비 사업에 참여했던 주체 모두가 함께 책임을 통감하여 문제가 되고 있는 매몰비용의 부담과 해결 방안까지 공유해야하는 것으로 나타났다. 공공은 매몰비용에 대해 직접적인 지원보다는 간접적 지원(기반시설 부담, 세제혜택, 규제기준 완화 등)을 통하여 조합 등이 사업 추진의 지속 여부에 대하여 합리적인 선택을 할 수 있도록 유도하여야 하여야 할 것이다.