• 한국철도학회:학술대회논문집
• /
• 한국철도학회 2007년도 추계학술대회 논문집
• /
• pp.696-702
• /
• 2007

The purpose of this paper is to analyze cost-effectiveness of a train simulators. The cost-effectiveness of training program is assessed by multiplying transfer effectiveness ration(TER) by training cost ration(TCR). If their product is less than one, the program is not cost effective. Even if a program is not cost effective, however, safety considerations may be important to consider.

• 한국철도학회논문집
• /
• 제10권6호
• /
• pp.655-659
• /
• 2007

이 논문은 국내 철도 모의운전연습기의 훈련비용 효율성(TCE; training cost-effectiveness)을 분석하는데 그 목적이 있다. 교육훈련 비용 효율성이란 해당 모의운전연습기를 통해 얻어진 학습 효율성(TER)과 그에 따르는 비용 효율성(TCR)을 모두 고려한 비율이다. TCE가 1보다 작으면 분석하고자 하는 훈련체계나 새롭게 적용하는 훈련 도구의 비용 효율성이 없는 것이고, 1보다 크면 비용 효율성이 있는 것이다. 그러나 훈련체계나 훈련 도구가 비용 효율성이 없다 하더라도 안전과 관련된 사항은 반드시 비용에 관계없이 고려되어야 한다. 본 연구는 국내 철도 모의운전연습기의 훈련비용 효율성을 분석하였으며, 훈련의 종류와 훈련 내용에 따라 적절한 종류의 모의운전연습기를 활용하는 것이 비용 효율성이 있는 것으로 분석되었다.

• Journal of Nutrition and Health
• /
• 제36권5호
• /
• pp.515-527
• /
• 2003

Objectives： A meta-analysis of the literatures was conducted to evaluate the cost-effectiveness of medical nutrition therapy by dietitians. Methods : The 30 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and the PQD database until May, 2002 and a review of reference lists. The main search terms were“dietitian”,“dietary intervention”,“nutrition intervention”, “cost”,“cost-effectiveness”and“cost-benefit analysis”. The subgroup analysis was performed by publication year, study design, intervention provider, type of patient (in/out-patient) and type of cost (total cost/direct cost). Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. Results : The 30 studies were identified using the electric database search and bibliographies. The 17 trials were eligible for inclusion criteria, then the systematic review and a meta-analysis were conducted on effectiveness and cost-effectiveness of medical nutrition therapy. The quality of the studies was evaluated using the quality assessment tool for observational studies. The quality score was 0.515 $\pm$ 0.121 (range : 0.279-0.711, median : 0.466). The meta-analysis of 17 studies based on the random effect model showed that medical nutrition therapy was highly effective in treating the diseases (effect size 0.3092 : 95% confidence interval 0.2282-0.3303). The vote-counting method, one of meta-analysis methods, was applied to evaluate the cost-effectiveness of medical nutrition therapy conducted by dietitians. Two criteria (method 1, method 2) for voting were used. The calculated p-values for method 1 (more conservative method) and method 2 (less conservative method) were 0.1250 and 0.0106, respectively. Medical nutrition therapy by dietitians was significantly cost-effective in the method 2. Conclusion. This meta-analysis showed that the effectiveness of medical nutrition therapy was statistically significant in treating disease (effect size 0.3092), and that the cost-effectiveness of medical nutrition therapy was statistically significant in the method 2 (less conservative method) of vote counting. (Korean J Nutrition 36(5): 515~527, 2003)

• 대한통합의학회지
• /
• 제10권2호
• /
• pp.13-25
• /
• 2022

Purpose : This study compared the cost-effectiveness ratio of physical therapy in health centers and home physical therapy, two physical therapy methods for home-bound stroke patients, and clarified the economic validity regarding the effect of home physical therapy. Methods : To measure and compare the cost and effectiveness of the two physical therapy methods for stroke patients, subjects were recruited based on in-hospital and home physical therapy. Among the entire data collected, 82 and 90 participants were selected for in-hospital and home physical therapy, respectively. To measure costs, regarding both in-hospital and home physical therapy, direct cost and indirect cost for patients, family, medical institutes, and the government were measured. In addition, activities of daily living were measured in both methods to measure their effectiveness. Through collected data, the cost-effectiveness and incremental cost-effectiveness ratios were analyzed. Results : Based on the analysis of cost-effectiveness, home physical therapy showed lower cost-effectiveness than in-hospital physical therapy. Furthermore, the incremental cost-effectiveness ratio also showed a difference, which implied home physical therapy could have high effectiveness compared to cost. Conclusion : Based on these results, home physical therapy could be considered as an alternativeto other methods of physical therapy, for home-bound stroke patients. In addition, the result of thisstudy contribute by providing evidence that home physical therapy offers economic benefits and canbe more effective in treating home-bound patients when policy decisions are made to establish a home physical therapy system.

• The Journal of Advanced Prosthodontics
• /
• 제8권1호
• /
• pp.53-61
• /
• 2016

PURPOSE. This study conducted an analysis of cost-effectiveness of the implant and conventional fixed dental prosthesis (CFDP) from a single treatment perspective. MATERIALS AND METHODS. The Markov model for cost-effectiveness analysis of the implant and CFDP was carried out over maximum 50 years. The probabilistic sensitivity analysis was performed by the 10,000 Monte-Carlo simulations, and cost-effectiveness acceptability curves (CEAC) were also presented. The results from meta-analysis studies were used to determine the survival rates and complication rates of the implant and CFDP. Data regarding the cost of each treatment method were collected from University Dental Hospital and Statistics Korea for 2013. Using the results of the patient satisfaction survey study, quality-adjusted prosthesis year (QAPY) of the implant and CFDP strategy was evaluated with annual discount rate. RESULTS. When only the direct cost was considered, implants were more cost-effective when the willingness to pay (WTP) was more than 10,000 won at $10^{th}$ year after the treatment, and more cost-effective regardless of the WTP from $20^{th}$ year after the prosthodontic treatment. When the indirect cost was added to the direct cost, implants were more cost-effective only when the WTP was more than 75,000 won at the $10^{th}$ year after the prosthodontic treatment, more than 35,000 won at the $20^{th}$ year after prosthodontic treatment. CONCLUSION. The CFDP was more cost-effective unless the WTP was more than 75,000 won at the $10^{th}$ year after prosthodontic treatment. But the cost-effectivenss tendency changed from CFDP to implant as time passed.

• 한국시뮬레이션학회논문지
• /
• 제26권2호
• /
• pp.31-39
• /
• 2017

본 연구는 무기체계의 단위비용을 고려한 K2(KC와 KAMD) 체계의 효과분석을 수행하였다. 단일 KC와 다중(고층 및 저층) KAMD를 가정하고, 각 체계에 임의의 무기체계를 설정하여 각각의 조합에 따라 총 12개의 시나리오를 작성하였다. 효과도는 전체 탄도미사일 위협 수량 대비 감소된 탄도미사일 위협의 비율로 정의하였으며, 비용은 발사된 무장의 수량과 단위비용으로 계산하였다. K2 체계의 효과도와 총비용은 몬테카를로 시뮬레이션을 1,000번 반복하여 추정하였다. 각각의 시나리오를 대안으로 하여 비용대 효과분석을 실시하였고, 효과고정법을 사용하여 최적 대안을 선정하였다. 연구 결과 KC 능력이 K2 체계의 방어 효과와 총비용을 결정하는 가장 중요한 요소였으며, 적정 수준의 저층방어체계를 갖춰야 요구되는 방어 효과를 달성할 수 있음을 확인하였다. 향후 연구에서 실질적인 무기체계 제원과 수명주기비용을 고려한 비용대 효과분석이 이루진다면 더욱 현실적인 분석이 가능할 것이다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권2호
• /
• pp.609-614
• /
• 2016

Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

• 한국지진공학회:학술대회논문집
• /
• 한국지진공학회 2005년도 학술발표회 논문집
• /
• pp.388-395
• /
• 2005

This paper presents cost-effectiveness evaluation of semi-active control system for cable-stayed bridge under earthquake excitation. Bi-state control method with Linear Quadratic Gaussian(LQG) optimal controller is used for generic semi-active dampers. Cost-effectiveness of the structural control system is investigated by using the life-cycle cost(LCC) concept. The evaluation results show that the efficiency of semi-active control system is increased when the damage cost due to the failure of bridge system or the bridge importance is enlarged. It was also found that the damper cost had little influence on the cost-effectiveness of semi-active control system if it was relatively small to the initial construction cost.

• 한국지진공학회논문집
• /
• 제9권4호
• /
• pp.43-54
• /
• 2005

다양한 지진 규모 및 주파수 특성을 가지는 지반운동에 대하여 사장교에 장착된 준능동 제어시스템의 제어효과를 분석하고 비용효율성을 평가하였다. Dyke 등에 의하여 제시된 벤치마크 사장교 제어문제에 준능동 제어시스템을 설계하였으며, LQG 최적제어기에 기반한 bi-state 제어방법을 적용하였다. 제어시스템의 비용효율성은 제어시스템을 장착하지 않은 교량의 생애주기 비용에 대한 제어시스템을 장착한 교량의 생애주기비용의 비로서 정의하였으며, 손상비용 규모와 준능동 제어장치의 가격을 매개변수로 하여 그 변화에 따른 비용효율성 평가를 수행하였다. 분석 결과, 제어시스템의 경제적 효율성은 준능동 제어장지의 가격에 크게 민감하지 않은 반면, 손상비용 규모에 따라 민감하게 변화하였다. 또한 중진규모의 연약지반과 강진규모의 견고한 지반에 해당하는 지반운동에 대하여 준능동 제어시스템의 비용효율성이 높은 것으로 평가되었다.

• 한국지진공학회:학술대회논문집
• /
• 한국지진공학회 2000년도 추계 학술발표회 논문집 Proceedings of EESK Conference-Fall 2000
• /
• pp.440-447
• /
• 2000

In order to evaluate the cost effectiveness of seismic isolation for bridges in low and moderate seismic region, a method of calculation minimum life-cycle cost of seismic-isolated bridges under specific acceleration level and soil condition is developed. Input ground motion is modeled as spectral density function compatible with response spectrum for combination of acceleration coefficient and site coefficient. Failure probability is calculated by spectrum analysis based on random vibration theories to simplify repetitive calculations in the minimization procedure. Ductility of piers and its effects on cost effectiveness are considered by stochastic linearization method. Cost function and cost effectiveness index are defined by taking into consideration the characteristics of seismic isolated bridges. Limit states for calculation of failure probability are defined on superstructure, isolator and pier, respectively. The results of example design and analysis show that seismic isolation is more cost-effective in low and moderate seismic region than in high seismic region.