Economic evaluation of environmental epidemiological projects in national industrial complexes

In this economic evaluation of environmental epidemiological monitoring projects, we analyzed the economic feasibility of these projects by determining the social cost and benefit of these projects and conducting a cost/benefit analysis. Here, the social cost was evaluated by converting annual budgets for these research and survey projects into present values. Meanwhile, the societal benefit of these projects was evaluated by using the contingent valuation method to estimate the willingness-to-pay of residents living in or near industrial complexes. In addition, the extent to which these projects reduced negative health effects (i.e., excess disease and premature death) was evaluated through expert surveys, and the analysis was conducted to reflect the unit of economic value, based on the cost of illness and benefit transfer method. The results were then used to calculate the benefit of these projects in terms of the decrease in negative health effects. For residents living near industrial complexes, the benefit/cost ratio was 1.44 in the analysis based on resident surveys and 5.17 in the analysis based on expert surveys. Thus, whichever method was used for the economic analysis, the economic feasibility of these projects was confirmed.

Evaluation of Low Dose Herbicides in Transplanted Rice (Oryza Sativa L.).

A field experiment was conducted during kharif 2011 at College of Agriculture, Rajendranagar. The experiment consisted of 12 treatments laid out in randomized block design with three replications consisting of two pre-emergence herbicides integrated with post emergence herbicides and one hand weeding at 40DAT and two post emergence herbicide, hand weeding twice at 20 and 40 days after transplanting, compared with weed free and unweeded check. The predominant weed flora observed in the experimental field were Echinochloa crusgalli, Panicum repens, Cynodon dactylon, Cyperus rotundus, Cyperus difformis, Eclipta alba and Ammania baccifera. The results revealed that pre-emergence application of Bensulfuron methyl 0.6% + Pretilachlor 6% @ 10 kg granules ha- 1+ Hand weeding at 40 DAT (5455 kg ha-1 and 6345 kg ha-1) and Bensulfuron-methyl 0.6% + Pretilachlor 6% @ 10 kg granules ha-1 + Bispyribac sodium @ 25 g a.i ha-1 recorded significantly higher grain and straw yield (5365 and 6265kg ha-1, respectively) which remained at par with two hand weedings at 20 and 40 DAT (5580 and 6464 kg ha- 1). In terms of economics, highest net returns (Rs. 33,189 ha-1) and B:C ratio (1.40) were also high with the preemergence application of Bensulfuron-methyl 0.6%+ Pretilachlor 6% @ 10 kg granules ha-1+ Bispyribac sodium @ 25 g a.i. ha-1 at 20DAT (1.40) compared to that of two hand weedingds (Rs. 31,952 ha-1) and benefit cost ratio (1.17) .

Cost-Benefit Analysis of Electronic Medical Record System at a Tertiary Care Hospital / 대한의료정보학회지

OBJECTIVES: Although Electronic Medical Record (EMR) systems provide various benefits, there are both advantages and disadvantages regarding its cost-effectiveness. This study analyzed the economic effects of EMR systems using a cost-benefit analysis based on the differential costs of managerial accounting. METHODS: Samsung Medical Center (SMC) is a general hospital in Korea that developed an EMR system for outpatients from 2006 to 2008. This study measured the total costs and benefits during an 8-year period after EMR adoption. The costs include the system costs of building the EMR and the costs incurred in smoothing its adoption. The benefits included cost reductions after its adoption and additional revenues from both remodeling of paper-chart storage areas and medical transcriptionists' contribution. The measured amounts were discounted by SMC's expected interest rate to calculate the net present value (NPV), benefit-cost ratio (BCR), and discounted payback period (DPP). RESULTS: During the analysis period, the cumulative NPV and the BCR were US$3,617 thousand and 1.23, respectively. The DPP was about 6.18 years. CONCLUSIONS: Although the adoption of an EMR resulted in overall growth in administrative costs, it is cost-effective since the cumulative NPV was positive. The positive NPV was attributed to both cost reductions and additional revenues. EMR adoption is not so attractive to management in that the DPP is longer than 5 years at 6.18 and the BCR is near 1 at 1.23. However, an EMR is a worthwhile investment, seeing that this study did not include any qualitative benefits and that the paper-chart system was cost-centric.

Analysis of benefit and cost on color ultrasonic devices / 医疗卫生装备

Objective To find out the benefit and cost of color ultrasonic devices in our hospital after the drop of large equipment examine fee.Methods Data of benefit and cost on 7 color ultrasonic devices in using are collected and analyzed by using Benefit Cost Ratio(BCR) method.Results The higher valuable the equipments are,the more fixed cost they have with lower BCR.Conclusion Buying cheaper equipment is the only way to increase the pure benefit under the precondition of normal diagnosis by devices.

Cost, Benefit Analysis of Operation System Change in the Hospital Foodservice

Environmental pressures from such sources an economic condition, the government and inter-institutional competition create managerial challenges. Economic pressures may be forcing dietetic dept, in hospital to utilize cost, benefit analysis to assist them in their problem solving. Cost, benefit analysis have been widely used in business, industry and many other fields with only limited application to foodservice. Due to the lack or this information the purposes of this study were to identify use of cost, benefit analysis in hospital foodservice system to evaluate the economic efficiency of alternatives, and to make recommendation for operation system change. Using the cost?benefit method, cash flows are separated into cost and benefits. For an alternative to be selected, indicators, such as NPV, benefit-cost ratio (B/C ratio) with 5% discount rate per annum. The sensitivity analysis was also conducted with difference rate 3%, 7% respectively and reduced employee payroll change. The result of this study can be summarized as follows : 1. The total cost of investment for operation system change was 390,570 thousand won and the total benefit through operation system change was 865,808 thousand won. 2. Net present value(NPV) for 5 years was 475,239 thousand won and benefit-cost ratio was 2.22. 3. In sensitivity analysis with different discount rate 3%, 7%, benefit-cost ratio was 2.25, 2.18 respectively, with total reduced employee payroll change, benefit-cost ratio was 2.86. In conclusion, total benefits were exceeded total costs. Therefore, the project of operation system change in hospital foodservice was found to be economically efficient.

Cost-Benefit Analysis of Back School Program for Occupational Low Back pain Patients / 예방의학회지

Although occupational low back pain accounts for 20~40% of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and functional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. we estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson(1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of 30~45%, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.

Economic Benefits of Maintenance for Medical Equipment / 医疗卫生装备

Objective To evaluate economic benefits of maintenance for medical equipment.Methods According to the maintenance tour records taken by Institute of Drug and Instrument Control in 2007,economic benefits of 21 kinds of normal medical maintenance were analyzed by using the database of Excel 2003.Result The total benefit cost ratio was 2.73.Conclusion Investment in maintenance for medical equipment has great economic effect.

Economic benefit of military medical measurement in Nanjing Military Region / 医疗卫生装备

Objective: To evaluate economic benefits of military medical measurement. Methods: According to the record of the metrological verification from the measurement station in Nanjing military region from 2000 to 2004, database is set up by Excel 2003 and the economic benefits from 14 kinds of measuring standard are analyzed. Results In a 5-year-lifetime cycle, the NPV of 10 kinds of measuring standards were over 0, 4 kinds less than 0, the average pay back period was 4.43year, and total benefit cost ratio was 2.73. Conclusion Economic benefits have been gained obviously in the investment of military medical measurement.