3,066 results on '"TOTAL COSTS"'
Search Results
2. Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis.
- Author
-
Patel, Rushin, Patel, Mrunal, Patel, Darshil, Chieh Yang, Onyechi, Afoma, Ohemeng-Dapaah, Jessica, Patel, Zalak, and Shaikh, Safia
- Subjects
- *
RENAL cancer , *PALLIATIVE treatment , *HOSPITAL patients , *CANCER patients , *LENGTH of stay in hospitals - Abstract
The objective of this study was to examine the characteristics and utilization patterns of palliative care among the kidney cancer patients using a large-scale representative population-based sample. We retrospectively analyzed National Inpatient Sample hospitalization data from January 2020 to December 2020 to explore disparities in delivering palliative care to deceased kidney cancer patients and assess its impact on healthcare usage, focusing on hospital costs and length of stay (LoS). We used ICD-10 CM codes (International Classification of Diseases-classifying diagnoses and reasons for visits in all healthcare settings) to categorize the study population. We conducted univariable and multivariable linear and logistic regression analyses to calculate coefficients and odds ratios, considering relevant variables and addressing potential confounding factors. We studied 1437 deceased kidney cancer patients, with 53.9% receiving palliative care. Those receiving palliative care had lower total costs ($99,804 vs. $1,34,731) and a shorter LoS (7.19 days vs. 7.66 days), compared to those who didn't. No significant difference was discovered in LoS. Private insurance, higher income, and female patients were more likely to receive palliative care. Race, hospital teaching status, and hospital size showed no significant differences. This study revealed insights into palliative care use among deceased kidney cancer patients, with cost-saving benefits evident. Disparities showed that individuals with private insurance and higher income more likely accessed palliative care, and females received it more often than males. Physicians and policymakers must consider these findings for equitable resource allocation and improved access. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Determination of rational parameters of the logistics chain in the process of customer service in international transportation
- Author
-
Олександра Орда and Олексій Сергєєв
- Subjects
supply chain ,batch size of the cargo ,delivery period ,total costs ,economic effect ,Transportation engineering ,TA1001-1280 - Abstract
In this paper, we propose technological principles for determining rational parameters of the supply chain in order to establish a balance between demand and supply for goods in the chain links under conditions of variable demand and optimisation of total costs for all cargo delivery participants, which will affect the final cost of goods to customers. For the experimental research of the supply chain functioning, the forecast values of demand were determined based on the study of demand trends. As a result of the research conducted using mathematical modelling, regularities of the influence of supply chain parameters on the total costs of delivery participants have been established and rational parameters of the supply chain for consumer goods customers in international connections have been determined, minimising additional costs and ensuring a minimum level of total costs. The positive results of the economic effect estimate demonstrate the effectiveness of the proposed solutions.
- Published
- 2024
- Full Text
- View/download PDF
4. Factors influencing length of stay and costs in inpatient cases of human brucellosis as the primary diagnosis over a decade in Beijing, China
- Author
-
Xiaolong Ma, Wenqing Wang, Qiong Wu, Chao Zheng, Jianchao Liu, Huajuan Bai, Tianyi Zhang, Lin Li, and Lihua Liu
- Subjects
human brucellosis ,length of stay ,total costs ,utilization categories ,infection sites ,Public aspects of medicine ,RA1-1270 - Abstract
AimsIn the year 2021, human brucellosis ranked fifth in terms of the number of cases among all statutorily notifiable infectious diseases in China, thus remaining a significant concern for public health. This study aims to provide insights into the financial burden of human brucellosis by examining hospital stays and associated costs for affected individuals.MethodsIn this retrospective study, we gathered updated data from 467 inpatient cases primarily diagnosed with human brucellosis at eight major tertiary hospitals in Beijing, China, spanning from 2013 to 2023. To comprehensively explore the economic impact on individuals, we not only analyzed the duration of hospital stays and total costs but also examined various charge types, including drug, lab test, medical imaging, medical treatment, surgical procedures, medical supplies and consumables, inpatient bed care, nursing services, and other services costs. Statistical analysis was employed to compare differences among gender, age, ethnicity, type of health insurance, condition at admission, comorbidity index, the performance of surgery, and the site of infection.ResultsBoth the length of stay and total cost exhibited significant variations among insurance, surgery, and infection site groups. Utilization categories demonstrated significant differences between patients who underwent surgery and those who did not, as well as across different infection sites. Furthermore, multiple linear regression analysis revealed that the condition at admission, Elixhauser comorbidity index, infection site, and surgery influenced both hospital stay and total cost. In addition, age and insurance type were associated with total costs.ConclusionBy delving into various utilization categories, we have addressed a significant gap in the literature. Our findings provide valuable insights for optimizing the allocation and management of health resources based on the influencing factors identified in this study.
- Published
- 2024
- Full Text
- View/download PDF
5. A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
- Author
-
Zoe Katherine Mowl, Amnesty LeFevre, and Mija Ververs
- Subjects
Exclusive breast-feeding ,Breast milk substitutes ,Total costs ,Humanitarian response ,Infant feeding ,Public aspects of medicine ,RA1-1270 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Abstract Objective: Using a model-based analysis, we calculated the total costs associated with the exclusive breast-feeding (EBF) and breast milk substitute (BMS) usage for one infant for six months within select humanitarian contexts to (a) determine if there is a notable difference in costs and (b) use these results to inform future creation of data-informed humanitarian response standard operating procedures. Design: The inputs and costing data were drawn from a mixture of local e-commerce vendors, peer-reviewed literature and personal communications with field-based humanitarian responders. To account for cost fluctuations, each input’s costs along with low and high parameters are presented. All costs are presented in 2021 United States Dollars. Setting: Humanitarian responses within Indonesia and Jordan. Participants: Not applicable. Results: There was a notable difference in the total cost of care in both selected locations across the study arms (Indonesia: $542; Jordan: $892). Conclusions: Given the reality of limited funding for comprehensive humanitarian response around the world and the necessity of prioritising certain interventions, humanitarian response organisations should consider the notable cost difference between EBF and BMS usage (along with the proven health benefits of EBF). This difference should play a role in informing the future creation of standard operating procedures while also ensuring that all infants within a humanitarian crisis receive appropriate feeding.
- Published
- 2023
- Full Text
- View/download PDF
6. Assessing the influencing factors of out-of-pocket costs on tuberculosis in Sichuan Province: a cross-sectional study
- Author
-
Lan Xia, Lijie Gao, Yin Zhong, Ya Wu, Jinge He, Fengjuan Zou, Ronghua Jian, Sujian Xia, Chuang Chen, and Sui Zhu
- Subjects
Tuberculosis ,Out-of-pocket ,Total costs ,Risk factor ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Although diagnosis and treatment services for tuberculosis (TB) are provided free of charge in most countries, direct non-medical and indirect costs due to absenteeism, also place a significant burden on patients and their families. Sichuan Province has the second highest incidence of TB in China, with an incidence of approximately 100 cases per 100 000 people. However, there are limited research on out-of-pocket expenditure (OOPE) and its influencing factors in TB patients in Sichuan Province. Methods A retrospective cross-sectional study was conducted on TB patients in designated medical institutions for TB in Sichuan Province from 2017-2021. A face-to-face questionnaire was conducted to obtain the information related to hospitalization of patients, and the multi-level regression model was used to analyse the factors that influence OOPE and total out-of-pocket expenditure (TOOPE) of TB patients. Results A total of 2644 patients were investigated, and 74.24% of TB patients and their families experienced catastrophic total costs due to TB. The median total cost was 9223.37 CNY (1429.98 USD), in which the median direct and indirect costs of TB patients were 10185.00 CNY (1579.07 USD) and 2400.00 CNY (372.09 USD), respectively, and indirect costs contributed to 43% of total costs. The median OOPE and TOOPE costs were 6024.00 CNY (933.95 USD) and 11890.50 CNY (1843.49 USD), respectively. OOPE and TOOPE had common influencing factors including whether the patient's family had four or more members, a history of hospitalization, combination with other types of TB, the number of visits before diagnosis, and co-occurrence with chronic disease. Conclusions The OOPE and TOOPE for TB patients and their families in Sichuan Province are still heavy. In the long run, it is necessary to strengthen education and awareness campaigns on TB related knowledge, disseminate basic medical knowledge to the public, improve healthcare-seeking behavior, and enhance the healthcare infrastructure to improve the accuracy of TB diagnosis and reduce the significant OOPE and TOOPE faced by TB patients and their families in Sichuan Province.
- Published
- 2023
- Full Text
- View/download PDF
7. Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis
- Author
-
Rushin Patel, Mrunal Patel, Darshil Patel, Chieh Yang, Afoma Onyechi, Jessica Ohemeng-Dapaah, Zalak Patel, and Safia Shaikh
- Subjects
disparities ,kidney cancer ,length of stay ,palliative care ,total costs ,Diseases of the genitourinary system. Urology ,RC870-923 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
The objective of this study was to examine the characteristics and utilization patterns of palliative care among the kidney cancer patients using a large-scale representative population-based sample. We retrospectively analyzed National Inpatient Sample hospitalization data from January 2020 to December 2020 to explore disparities in delivering palliative care to deceased kidney cancer patients and assess its impact on healthcare usage, focusing on hospital costs and length of stay (LoS). We used ICD-10 CM codes (International Classification of Diseases-classifying diagnoses and reasons for visits in all healthcare settings) to categorize the study population. We conducted univariable and multivariable linear and logistic regression analyses to calculate coefficients and odds ratios, considering relevant variables and addressing potential confounding factors. We studied 1437 deceased kidney cancer patients, with 53.9% receiving palliative care. Those receiving palliative care had lower total costs ($99,804 vs. $1,34,731) and a shorter LoS (7.19 days vs. 7.66 days), compared to those who didn’t. No significant difference was discovered in LoS. Private insurance, higher income, and female patients were more likely to receive palliative care. Race, hospital teaching status, and hospital size showed no significant differences. This study revealed insights into palliative care use among deceased kidney cancer patients, with cost-saving benefits evident. Disparities showed that individuals with private insurance and higher income more likely accessed palliative care, and females received it more often than males. Physicians and policymakers must consider these findings for equitable resource allocation and improved access.
- Published
- 2024
- Full Text
- View/download PDF
8. A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts.
- Author
-
Mowl, Zoe Katherine, LeFevre, Amnesty, and Ververs, Mija
- Subjects
- *
INFANT formulas , *BREASTFEEDING , *COST estimates , *COMPUTER input design , *STANDARD operating procedure - Abstract
Objective: Using a model-based analysis, we calculated the total costs associated with the exclusive breast-feeding (EBF) and breast milk substitute (BMS) usage for one infant for six months within select humanitarian contexts to (a) determine if there is a notable difference in costs and (b) use these results to inform future creation of data-informed humanitarian response standard operating procedures. Design: The inputs and costing data were drawn from a mixture of local e-commerce vendors, peer-reviewed literature and personal communications with field-based humanitarian responders. To account for cost fluctuations, each input's costs along with low and high parameters are presented. All costs are presented in 2021 United States Dollars. Setting: Humanitarian responses within Indonesia and Jordan. Participants: Not applicable. Results: There was a notable difference in the total cost of care in both selected locations across the study arms (Indonesia: $542; Jordan: $892). Conclusions: Given the reality of limited funding for comprehensive humanitarian response around the world and the necessity of prioritising certain interventions, humanitarian response organisations should consider the notable cost difference between EBF and BMS usage (along with the proven health benefits of EBF). This difference should play a role in informing the future creation of standard operating procedures while also ensuring that all infants within a humanitarian crisis receive appropriate feeding. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
9. Optimizing Expenditure Functions Through Economic Cybernetics: Analyzing Linear and Non-Linear Programming Approaches.
- Author
-
Elezaj, Shaqir, Ramaj, Vehbi, and Elezaj, Ramë
- Subjects
INFORMATION theory in economics ,CYBERNETICS ,ELASTICITY (Economics) ,FACTORS of production ,LINEAR programming ,AUTOMATIC control systems ,TWENTY-first century - Abstract
This study explores the analysis of expenditure functions within the framework of economic cybernetics, a discipline that applies automatic control theory principles to manage economic processes, a concept particularly pertinent to socialist economies. The investigation delves into total expenditures, average expenditures, and marginal expenditures, and presents a methodology for determining the elasticity coefficient for each expenditure type. There are several coefficients and particularly they serve as a key metrics for economists to asses importance of variables and their impact in each other having in mind the relationships they have in economy. The paper introduces a novel approach to associating these expenditures with linear and non-linear programming. It is known that for a given amount of production, the corresponding amount of production elements must be consumed. Therefore, this is predicted on the idea that consumption of resources (factors of production) dictates the amount of output produced because production necessitates the usage of resources. The examination of the expenditure function through the lens of economic cybernetics offers deeper insights into the evolving economic landscape of the 21st century. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
10. Assessing the influencing factors of out-of-pocket costs on tuberculosis in Sichuan Province: a cross-sectional study.
- Author
-
Xia, Lan, Gao, Lijie, Zhong, Yin, Wu, Ya, He, Jinge, Zou, Fengjuan, Jian, Ronghua, Xia, Sujian, Chen, Chuang, and Zhu, Sui
- Subjects
- *
TUBERCULOSIS , *CROSS-sectional method , *MULTILEVEL models , *PATIENTS , *PATIENTS' families , *MEDICAL care costs - Abstract
Background: Although diagnosis and treatment services for tuberculosis (TB) are provided free of charge in most countries, direct non-medical and indirect costs due to absenteeism, also place a significant burden on patients and their families. Sichuan Province has the second highest incidence of TB in China, with an incidence of approximately 100 cases per 100 000 people. However, there are limited research on out-of-pocket expenditure (OOPE) and its influencing factors in TB patients in Sichuan Province. Methods: A retrospective cross-sectional study was conducted on TB patients in designated medical institutions for TB in Sichuan Province from 2017-2021. A face-to-face questionnaire was conducted to obtain the information related to hospitalization of patients, and the multi-level regression model was used to analyse the factors that influence OOPE and total out-of-pocket expenditure (TOOPE) of TB patients. Results: A total of 2644 patients were investigated, and 74.24% of TB patients and their families experienced catastrophic total costs due to TB. The median total cost was 9223.37 CNY (1429.98 USD), in which the median direct and indirect costs of TB patients were 10185.00 CNY (1579.07 USD) and 2400.00 CNY (372.09 USD), respectively, and indirect costs contributed to 43% of total costs. The median OOPE and TOOPE costs were 6024.00 CNY (933.95 USD) and 11890.50 CNY (1843.49 USD), respectively. OOPE and TOOPE had common influencing factors including whether the patient's family had four or more members, a history of hospitalization, combination with other types of TB, the number of visits before diagnosis, and co-occurrence with chronic disease. Conclusions: The OOPE and TOOPE for TB patients and their families in Sichuan Province are still heavy. In the long run, it is necessary to strengthen education and awareness campaigns on TB related knowledge, disseminate basic medical knowledge to the public, improve healthcare-seeking behavior, and enhance the healthcare infrastructure to improve the accuracy of TB diagnosis and reduce the significant OOPE and TOOPE faced by TB patients and their families in Sichuan Province. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
11. Development a Unit for Onion Harvesting.
- Author
-
Abdel-Mageed, H. N., Ramadan, Y. Y., and El-Waseef, Sh. M.
- Subjects
HARVESTING ,ONIONS ,ENERGY industries ,ENERGY consumption ,EXPERIMENTAL design - Abstract
Copyright of Journal of Soil Sciences & Agricultural Engineering is the property of Egyptian National Agricultural Library (ENAL) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
12. Analysis of geothermal energy as an alternative source for fossil fuel from the economic and environmental point of view: A case study in Iraq.
- Author
-
Almoussaw, Zainab Abed, Karim, Nihad Abdul, Braiber, Hassan Taher, Alhasan, Shahlaa Ali Abd, Alasadi, Sabbah Raheem, Omran, Ahmed H. Ali, Kalil, Zina Tariq, Pavlova, Irina V., and Alabdallah, Ziad
- Subjects
GEOTHERMAL resources ,FOSSIL fuels ,ELECTRICITY ,ENVIRONMENTAL protection ,EXTERNALITIES - Abstract
In the field of electricity production, factors such as the restricted availability of investment resources and the state of the surrounding environment are among the most significant factors that influence this process. Minimizing the cost and the harmful effects of the environment has always been and will be the concern of experts. The method of generating electricity using geothermal power plants is being highlighted due to the gravity of the issue of environmental protection as well as the security of electricity. Obviously, the resources necessary for investment in our country are overshadowed by environmental issues. Now, the main question is whether it is possible to replace fossil power plants with geothermal ones, or at least in the future? Given the high cost of electricity production by geothermal power plants and the state of electricity production costs in the country, this study tried to do an economic study of the aforementioned issue, taking into account the social costs. In this study, the total cost of electricity generation per kilowatt hour (kWh) in each of the power plants has been calculated. Then, a necessary evaluation has been made taking into account the pollution and greenhouse gas emissions from fossil fuel power plants along with the imposed external costs. At the end, it was found that the production of electricity by geothermal power plants is not economically justified, compared to fossil power plants in scenarios 1 and 2. However, this can be taken into consideration in scenario 3, and it is economic in scenarios 4 and 5. Finally, it seems using energy from fossil power plants based on scenarios 1 and 2 will not be economically justified in the not-too-distant future given the rise in electricity demand, the scarcity of fossil resources, and the high level of pollution from these sources. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
13. المقاولة من الباطن ودورها في تخفيض التكاليف الكلية للإنتاج دراسة حالة شركة السويدي للكابلات بولاية عين الدفلى الجزائر Subcontracting and its role in reducing the total costs of production A case study of El Sewedy Cables Company in Ain Defla, Algeria
- Author
-
Roufaida SETTI and Zohra KHELOUF
- Subjects
Subcontracting ,variable costs ,fixed costs ,total costs ,المقاولة من الباطن ,التكاليف المتغيرة ,Commercial geography. Economic geography ,HF1021-1027 ,Marketing. Distribution of products ,HF5410-5417.5 - Abstract
هدفت الدراسة الى الكشف عن وجود علاقة بين متغير المقاولة من الباطن والتكاليف الكلية للإنتاج، من أجل ذلك تم طرح فرضية الدراسة المتمثلة في أنه يوجد علاقة ارتباط بين المقاولة من الباطن تخفيض التكاليف الكلية للإنتاج في مؤسسة السويدي كابل، وذلك من أجل تسليط الضوء على المقاولة من الباطن والتطرق الى بعض الجوانب منها ومحاولة معرفة دورها في تخفيض تكاليف الإنتاج من خلال دراسة ميدانية، وبغية الاجابة على الإشكالية والتحقق من فروض الدراسة تم استخدام المنهج الوصفي. توصلنا الى نتيجة أنه يوجد 0.0 .( بين المقاولة من الباطن وخفض التكاليف الكلية ≤α( علاقة ذات دلالة إحصائية عند مستوى معنوية للإنتاج The study aimed to reveal the relationship between subcontracting, and the total costs of production, for that the hypothesis of the study was put forward that: there is a correlation between subcontracting and the reduction of the total costs of production in the El Sewedy Cables Corporation, to shed light on the subcontracting, to answer the problem and verify the hypotheses of the study, we used the descriptive approach. We concluded that there is a statistically significant relationship at the level of significance (α≤ 0.05) between subcontracting and reducing the total costs of production.
- Published
- 2022
14. FORECASTING THE COMPONENTS OF THE PRODUCT COMPETITIVENESS INDICATOR.
- Author
-
Chaynikov, Valery, Semenov, Vladislav, Mityugina, Marina, Kravchenko, Tatiana, and Suchkova, Alena
- Abstract
Copyright of Revista Gestão & Tecnologia is the property of Revista Gestao & Tecnologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
15. Economic aspects of vermicompost production in southern Serbia
- Author
-
Stojiljković Zoran, Vanovac Jelena, Peševski Mile, Stojiljković Jasmina, and Đukić Dragutin
- Subjects
vermicompost ,organic food ,variable cost ,total costs ,profit ,producer benefit ,consumer benefit ,Agriculture - Abstract
Given the accelerated technical and technological development in the field of agricultural production of the 21st century, which aims to increase production quantitatively, the quality of primary agricultural products is in many cases unfairly neglected. This has directly aroused consumer awareness of the inevitable transition to purchasing products from alternative production methods (self-produced "healthy food", organic food production). For these reasons, the consumer alternative is to switch to environmentally friendly and health-safe products obtained from agricultural production and to use them in the future. A very promising product of this kind in the Republic of Serbia is vermicompost. Vermicompost is widely used in primary agricultural production: fruits and vegetables, mushroom production, horticulture, nurseries, green areas, parks, green sports fields, and in all segments of organic plant production. The benefits that farmers have from using vermicompost are a prerequisite for this product to be marketed in Serbia. This paper describes the benefits for both vermicompost manufacturers and consumers and the wider community.
- Published
- 2020
16. Alternative feeder concepts in urban distribution networks.
- Author
-
Nahman, J., Peric, D., and Tanaskovic, M.
- Subjects
- *
DISTRIBUTION (Probability theory) , *MATHEMATICAL analysis , *STATISTICS , *MATHEMATICAL models , *DATA modeling - Abstract
The paper considers various basic feeder schemes of urban distribution networks from the standpoint of economy, reliability, and technical limits. Presented are the mathematical models for the analysis of feeders' annual costs, reliability performances, voltage drops and cable loading in normal and critical emergency situations. The suggested approach takes into account the uncertainty of various basic data by modeling them as grey inputs, which can have any value within the intervals of values experienced in practice. It was implied that adequate statistical data for the construction of probability distribution functions for uncertain parameters are missing, which is often the case. The proposed mathematical model could serve as a useful tool in planning new or expanding existing distribution networks. As a numerical illustration, the presented calculation methods have been applied for the analysis of the performances of the considered feeder schemes in the Belgrade area. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
17. Factors influencing length of stay and costs in inpatient cases of human brucellosis as the primary diagnosis over a decade in Beijing, China.
- Author
-
Ma X, Wang W, Wu Q, Zheng C, Liu J, Bai H, Zhang T, Li L, and Liu L
- Subjects
- Humans, Female, Male, Retrospective Studies, Middle Aged, Adult, Beijing, Aged, Inpatients statistics & numerical data, Adolescent, Young Adult, Health Care Costs statistics & numerical data, China epidemiology, Length of Stay economics, Length of Stay statistics & numerical data, Brucellosis economics, Brucellosis diagnosis, Brucellosis epidemiology
- Abstract
Aims: In the year 2021, human brucellosis ranked fifth in terms of the number of cases among all statutorily notifiable infectious diseases in China, thus remaining a significant concern for public health. This study aims to provide insights into the financial burden of human brucellosis by examining hospital stays and associated costs for affected individuals., Methods: In this retrospective study, we gathered updated data from 467 inpatient cases primarily diagnosed with human brucellosis at eight major tertiary hospitals in Beijing, China, spanning from 2013 to 2023. To comprehensively explore the economic impact on individuals, we not only analyzed the duration of hospital stays and total costs but also examined various charge types, including drug, lab test, medical imaging, medical treatment, surgical procedures, medical supplies and consumables, inpatient bed care, nursing services, and other services costs. Statistical analysis was employed to compare differences among gender, age, ethnicity, type of health insurance, condition at admission, comorbidity index, the performance of surgery, and the site of infection., Results: Both the length of stay and total cost exhibited significant variations among insurance, surgery, and infection site groups. Utilization categories demonstrated significant differences between patients who underwent surgery and those who did not, as well as across different infection sites. Furthermore, multiple linear regression analysis revealed that the condition at admission, Elixhauser comorbidity index, infection site, and surgery influenced both hospital stay and total cost. In addition, age and insurance type were associated with total costs., Conclusion: By delving into various utilization categories, we have addressed a significant gap in the literature. Our findings provide valuable insights for optimizing the allocation and management of health resources based on the influencing factors identified in this study., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Ma, Wang, Wu, Zheng, Liu, Bai, Zhang, Li and Liu.)
- Published
- 2024
- Full Text
- View/download PDF
18. A global perspective on the costs of hypertension: a systematic review.
- Author
-
Wierzejska, Ewelina, Giernaś, Bogusz, Lipiak, Agnieszka, Karasiewicz, Monika, Cofta, Mateusz, and Staszewski, Rafał
- Subjects
- *
META-analysis , *OVERHEAD costs , *ECONOMIC impact , *SOCIAL comparison , *HYPERTENSION - Abstract
Introduction: Hypertension, particularly untreated, leads to serious complications and contributes to high costs incurred by the whole society. The aim of the review was to carry out a social and economic comparison of various categories of hypertension costs from different countries.Material and Methods: The study was a systematic review. PubMed, Cochrane Library and Google Scholar databases were searched. Hypertension costs were analyzed in 8 cost categories. An attempt was made to determine whether selected economic and social factors (such as HDI or GDP) influenced hypertension costs.Results: The review included data from 15 countries: Brazil, Cambodia, Canada, China, Greece, Indonesia, Italy, Jamaica, Kyrgyzstan, Mexico, Poland, Spain, USA, Vietnam and Zimbabwe. The papers included in the review were heterogeneous with respect to cost categories, which made comparisons difficult. The average total costs of hypertension for all the studied countries, calculated per person, amounted to 630.14 Int$, direct costs - 1,497.36 Int$, and indirect costs - 282.34 Int$. The ranking of countries by costs and by selected economic and social indices points at the possible relationship between these indices and hypertension costs.Conclusions: The costs of hypertension calculated per country reached the region of several dozen billion Int$. Other sources usually showed lower costs than those presented in this review. This indicates a growth in costs from year to year and the future increasing burden on society. Globally uniform cost terminology and cost calculation standards need to be developed. That would facilitate making more informed decisions regarding fund allocation in hypertension management schemes. [ABSTRACT FROM AUTHOR]- Published
- 2020
- Full Text
- View/download PDF
19. Inpatient Healthcare Resource Utilization, Costs, and Mortality in Adult Patients with Acute Graft-versus-Host Disease, Including Steroid-Refractory or High-Risk Disease, following Allogeneic Hematopoietic Cell Transplantation.
- Author
-
Yu, Jingbo, Judy, Jennifer T., Parasuraman, Shreekant, Sinha, Meenal, and Weisdorf, Daniel
- Subjects
- *
CELL transplantation , *GRAFT versus host disease , *ACUTE diseases , *MEDICAL care , *MORTALITY - Abstract
• Inpatient healthcare resource utilization (HCRU) and costs for acute versus no graft-versus-host disease (GVHD) up to 100 days post-hematopoietic cell transplantation (HCT) were assessed. • Acute GVHD was associated with greater inpatient HCRU and total costs compared with no GVHD. • Inpatient HCRU and costs were especially high with steroid-refractory acute GVHD. • Acute GVHD was associated with high 100-day post-HCT inpatient mortality. Acute graft-versus-host disease (GVHD) contributes to poor outcomes following allogeneic hematopoietic cell transplantation (HCT). Data are limited regarding the economic burden of acute GVHD, particularly steroid-refractory or high-risk (SR/HR) disease. This retrospective analysis of the Premier Healthcare Database reports inpatient healthcare resource utilization (HCRU), costs, and mortality during initial hospitalization for allogeneic HCT and through 100 days post-HCT among patients who developed acute GVHD, including a subgroup with SR/HR disease, compared with patients without GVHD. The analysis included adults discharged for first HCT between January 1, 2011, and June 30, 2016 (acute GVHD, n = 906; SR/HR acute GVHD, n = 158; no GVHD, n = 1529). During the initial hospitalization for HCT, patients with acute GVHD and SR/HR acute GVHD (n = 455 and 125, respectively) had significantly longer median lengths of stay (31 and 46 days versus 24 days) and higher median total costs ($153,849 and $205,880 versus $97,417) versus patients with no GVHD (n = 1529; P <.0001 for all). During the 100-day post-HCT period, patients with acute GVHD and SR/HR acute GVHD had higher readmission rates (78.3% and 77.2% versus 28.3%; P <.0001) and inpatient mortality rates (20.2% and 35.4% versus 8.9%; P <.0001) versus patients with no GVHD. In summary, acute GVHD, especially SR/HR disease, is associated with longer inpatient stays, higher readmission rates, and higher inpatient mortality compared with no GVHD. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
20. Setting priorities in the health care sector – the case of oral anticoagulants in nonvalvular atrial fibrillation in Denmark
- Author
-
Poulsen PB, Johnsen SP, Hansen ML, Brandes A, Husted S, Harboe L, and Dybro L
- Subjects
Atrial fibrillation ,oral anticoagulants ,priority setting ,total costs ,cost analysis ,Medicine (General) ,R5-920 ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Peter Bo Poulsen,1 Søren Paaske Johnsen,2 Morten Lock Hansen,3 Axel Brandes,4 Steen Husted,5,† Louise Harboe,6 Lars Dybro7 1Pfizer Denmark ApS, Ballerup, 2Department of Clinical Epidemiology, Aarhus University Hospital, 3Department of Cardiology, Zealand University Hospital, Roskilde, 4Department of Cardiology, Odense University Hospital, 5Department of Medicine, Regional Hospital West Jutland, Herning, 6Bristol-Myers Squibb Denmark, Virum, 7Pfizer Denmark, Ballerup, Denmark †Steen Husted passed away on December 28, 2016 Aim: Resources devoted to health care are limited, therefore setting priorities is required. It differs between countries whether decision-making concerning health care technologies focus on broad economic perspectives or whether focus is narrow on single budgets (“silo mentality”). The cost perspective as one part of the full health economic analysis is important for decision-making. With the case of oral anticoagulants in patients with nonvalvular atrial fibrillation (NVAF), the aim is to discuss the implication of the use of different cost perspectives for decision-making and priority setting. Methods: In a cost analysis, the annual average total costs of five oral anticoagulants (warfarin and non-vitamin K oral anticoagulants [NOACs; dabigatran, rivaroxaban, apixaban, and edoxaban]) used in daily clinical practice in Denmark for the prevention of stroke in NVAF patients are analyzed. This is done in pairwise comparisons between warfarin and each NOAC based on five potential cost perspectives, from a “drug cost only” perspective up to a “societal” perspective.Results: All comparisons of warfarin and NOACs show that the cost perspective based on all relevant costs, ie, total costs perspective, is essential for the choice of therapy. Focusing on the reimbursement costs of the drugs only, warfarin is the least costly option. However, with the aim of therapy to prevent strokes and limit bleedings, including the economic impact of this, all NOACs, except rivaroxaban, result in slightly lower health care costs compared with warfarin. The same picture was found applying the societal perspective.Conclusion: Many broad cost-effectiveness analyses of NOACs exist. However, in countries with budget focus in decision-making this information does not apply. The present study’s case of oral anticoagulants has shown that decision-making should be based on health care or societal cost perspectives for optimal use of limited resources. Otherwise, the risk is that suboptimal decisions will be likely. Keywords: atrial fibrillation, oral anticoagulants, priority setting, drug costs, total costs, silo thinking
- Published
- 2017
21. APLICATION OF ABC METHOD FROM AN OPERATOR OF WATER AND SEWERAGE
- Author
-
FÜLÖP ÁRPÁD-ZOLTÁN and BAKÓ KINGA-ERZSÉBET
- Subjects
Activity Based Costing method ,Total Costs ,Costs ,Managerial Accounting. ,Commercial geography. Economic geography ,HF1021-1027 ,Economics as a science ,HB71-74 - Abstract
At the time of the appearance of the ABC method, many specialists considered that they found the most opportune method of calculation to allocate the overhead costs on the cost objects, otherwise said to be able to calculate the total cost of a product or service. Because the method is based on determining the total cost, we can consider that the ABC method is not a method of costing, but rather a method of cost management. Unfortunately, in the specialized literature of Roumania there are many approaches which consider that the ABC method is a method of costing in the traditional way, although in our opinion it is not. Application of ABC method to a regional operator of water and sewerage shows us the possibilities of the method, the possibilities that are offered in the field of cost and administration overhead management, respectively of the establishment of the accounting result on the different cost objects. In case of the regional operator the calculation object is the city or township in which provides the services of water and sewage.
- Published
- 2016
22. Interaction between Total Cost and Fill Rate: A Case Study
- Author
-
Liljana Ferbar Tratar
- Subjects
total costs ,fill rate ,optimization ,Holt-Winters method ,Business ,HF5001-6182 - Abstract
Forecasting plays a central role in the efficient operation of a supply chain – i.e., the total costs and fill rate. As forecasts of demand are required on a regular basis for a very large number of products, the methods developed should be fast, flexible, user-friendly, and able to produce results that are reliable and easy to interpret by a manager. In this paper we show that the supply chain costs cannot be optimal if the forecasting method is treated separately from the inventory model. We analyse the performance of the joint optimization of the modified Holt-Winters forecasting method and a stock control policy and investigate the effect of different penalties for unsatisfied demand on the total cost and fill rate of the supply chain. From the results obtained with 1,428 real time series from M3-Competition we show that an essential reduction of supply chain costs and an increase of fill rate can be achieved if we use the joint model with the modified Holt-Winters method.
- Published
- 2016
- Full Text
- View/download PDF
23. Design and analysis of stochastic DSS query optimizers in a distributed database system
- Author
-
Manik Sharma, Gurvinder Singh, and Rajinder Singh
- Subjects
Query optimization ,Total Costs ,DSS ,Stochastic approach, entropy ,Genetic Algorithms ,Electronic computers. Computer science ,QA75.5-76.95 - Abstract
Query optimization is a stimulating task of any database system. A number of heuristics have been applied in recent times, which proposed new algorithms for substantially improving the performance of a query. The hunt for a better solution still continues. The imperishable developments in the field of Decision Support System (DSS) databases are presenting data at an exceptional rate. The massive volume of DSS data is consequential only when it is able to access and analyze by distinctive researchers. Here, an innovative stochastic framework of DSS query optimizer is proposed to further optimize the design of existing query optimization genetic approaches. The results of Entropy Based Restricted Stochastic Query Optimizer (ERSQO) are compared with the results of Exhaustive Enumeration Query Optimizer (EAQO), Simple Genetic Query Optimizer (SGQO), Novel Genetic Query Optimizer (NGQO) and Restricted Stochastic Query Optimizer (RSQO). In terms of Total Costs, EAQO outperforms SGQO, NGQO, RSQO and ERSQO. However, stochastic approaches dominate in terms of runtime. The Total Costs produced by ERSQO is better than SGQO, NGQO and RGQO by 12%, 8% and 5% respectively. Moreover, the effect of replicating data on the Total Costs of DSS query is also examined. In addition, the statistical analysis revealed a 2-tailed significant correlation between the number of join operations and the Total Costs of distributed DSS query. Finally, in regard to the consistency of stochastic query optimizers, the results of SGQO, NGQO, RSQO and ERSQO are 96.2%, 97.2%, 97.45 and 97.8% consistent respectively.
- Published
- 2016
- Full Text
- View/download PDF
24. Data Envelopment Analysis for Technological, Environmental and Economic Analysis of Motorway Underpasses
- Author
-
Kateřina Myšková and Jaroslav Žák
- Subjects
motorway bridges ,wildlife migration ,data envelopment analysis ,underpasses ,total costs ,migration potential ,Agriculture ,Biology (General) ,QH301-705.5 - Abstract
Underpasses play an important role in ensuring permeability of line traffic structures (motorways, expressways) for feral species. There are many studies, articles and methodological guidebooks available describing proper design principles for technical parameters of underpasses and their placement within the terrain. Width, height and length are the main technical parameters affecting wildlife migration. Wildlife behaviour and their requirements for the mentioned technical parameters of underpasses also have been examined in depth. In practically all cases, underpass functionality grows with increasing width and height. Of course, this also results in greater construction costs. The objective should therefore be to find a balanced compromise enabling “sufficient” functionality while maintaining “reasonable” costs. Data envelopment analysis (DEA) provides a way to identify “good” solutions in the sense of “sufficient” underpass functionality with “reasonable” total costs. Underpass functionality calculations were based on a methodology for calculating migration potentials (Žák and Florian, 2013). Total costs were established according to actual construction work prices in the Czech Republic, including prices for preparations, design, construction, maintenance, and demolition. The results indicate that DEA can be used to find “good” solutions and can be of assistance in particular when planning measures to ensure motorways are permeable to wildlife.
- Published
- 2016
- Full Text
- View/download PDF
25. Evaluation of Chinese E-commerce Cost and Lead Time Performance to Estonia
- Author
-
Olli-Pekka Hilmola and Andres Tolli
- Subjects
e-commerce ,business-to-business ,business-to-consumers ,total costs ,lead time ,transportation ,Management. Industrial management ,HD28-70 ,Business ,HF5001-6182 - Abstract
Purpose: Retail sales growth has been sluggish in the recent decade in North European countries. Number of factors have caused this, like problems in macro-economy, sanctions and the effect of ageing population. Also increasing amount of e-commerce from China has taken its share. Future development paths need to be researched further to identify the outlook of North European retail. Methodology/Approach: Four different imported items were examined, which were hypothetically planned to be brought on Estonian consumer markets from China. We take into account freight costs, custom duties, VAT and profit margin requirement. Also lead time performance is being examined. Findings: Analysis shows that company based imports is not that viable model as profit margin requirement as well as governmental costs (duty and VAT) take lion share from overall costs. Even if profit requirement of company importing the products would decrease, wage inflation in Asia and freight will probably lead to higher product prices. Therefore, e-commerce needs to enlarge to lower cost manufacturing locations and/or use more direct sales to consumers. Total lead time soughts new solutions too (e.g. railway connection to Europe). Research Limitation/implication: Examination is limited to small Estonian market, and their custom tariffs and VAT. Also logistics costs to Northern Europe are higher than to Central Europe. Originality/Value of paper:Research is one of the first based on the examination of products and overall costs. It adds value through understanding of import cost structures.
- Published
- 2018
- Full Text
- View/download PDF
26. Natural gas buses in Serbia public transport: Some operational experiences
- Author
-
Živanović Zlatomir, Petković Snežana, Mišanović Slobodan, Holo Apolonia, and Šakota Željko
- Subjects
cng buses ,domestic development ,fuel consumption ,total costs ,fuel cost savings ,Engineering (General). Civil engineering (General) ,TA1-2040 ,Mechanics of engineering. Applied mechanics ,TA349-359 - Abstract
The state of development and application of compressed natural gas (CNG) buses in Serbia is presented, together with a review of their number in some European countries and cities. After several years of operation of these buses in the largest fleets in Serbia (Belgrade and Novi Sad), an analysis of their economic benefits and ecological characteristics has been carried out. Special attention is paid to the operational costs and possible savings achievable by CNG buses compared to diesel buses. Ecological characteristics of these buses are presented through the measurements of exhaust emissions on one type of these buses and through presentation and analysis of data from the literature on emissions of the buses of identical or similar engines. The preformed investigations show that application of CNG buses brings significant savings as regards total costs during their operational lifecycle compared to diesel buses. On the other hand, CNG buses have a significant ecological potential as regards fulfilling stringent requirements for exhaust emissions standards.
- Published
- 2015
27. Energy integration of nitric acid production using pinch methodology
- Author
-
Ivaniš Gorica R., Lazarević Marija, Radović Ivona R., and Kijevčanin Mirjana Lj.
- Subjects
pinch methodology ,energy integration ,minimum temperature difference ,nitric acid production ,total costs ,Chemical technology ,TP1-1185 - Abstract
Pinch methodology was applied to the heat exchangers network (HEN) synthesis of nitric acid production. The integration is analyzed in two ways, and the results are presented as two different solutions: (i) the first solution is based on the original heat transfer equipment arrangement, (ii) in order to eliminate the shortages of the first solution the second HEN was obtained using process simulation with optimized process parameters. Optimized HEN, with new arrangement of heat exchangers, gave good results in energy and process optimization. [Projekat Ministarstva nauke Republike Srbije, br. P172063]
- Published
- 2015
- Full Text
- View/download PDF
28. Economic costs related to coronavirus disease 2019 pandemic: A systematic literature review.
- Author
-
Blázquez-Fernández C, Lanza-León P, Sanchez-Ruiz L, and Cantarero-Prieto D
- Subjects
- Humans, United States, Cost of Illness, Europe, Asia, Pandemics, COVID-19 epidemiology
- Abstract
Due to the COVID-19 pandemic, the pressure on healthcare systems has been tremendous and it is having a huge economic impact. The objective of this paper is to carry out a systematic literature review of the publications that have analysed the costs derived from COVID-19 from the patient's perspective. Not only is this study aimed at measuring the impact of COVID-19 in economic terms, but also in qualitative terms, analysing, for instance, the types of costs (direct and indirect) and their variations depending on the geographical area under study. Searches were conducted in PubMed, Cochrane Library, Web of Science and Scopus. The time frame for the analysis was from the start of the pandemic until 9th December 2021. A total of 322 papers were found. The number of articles assessed for eligibility was 32, and after applying the exclusion criteria, 13 papers were included in the qualitative synthesis. Most of the studies analysed only direct costs (69.23%) and were focused on Asia (61.54%), where the larger indirect costs, as well as the greater total costs, were found. However, the higher costs per patient and year were shown for the United States. This investigation showed the importance of COVID-19 in national, regional and local budgets. More studies are to be developed in Europe due to both the existing differences in the health care systems and financing by country and the difference in the incidence of COVID-19 by country and wave., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2023
- Full Text
- View/download PDF
29. Estimating the Lifetime Medical Cost Burden of an Allogeneic Hematopoietic Cell Transplantation Patient.
- Author
-
Maziarz RT, Devine S, Garrison LP, Agodoa I, Badaracco J, Gitlin M, and Perales MA
- Subjects
- Humans, Health Care Costs statistics & numerical data, Cost of Illness, Hematologic Neoplasms therapy, Hematologic Neoplasms economics, Hematologic Neoplasms mortality, Male, Middle Aged, Female, Cost-Benefit Analysis, Adult, Hematopoietic Stem Cell Transplantation economics, Hematopoietic Stem Cell Transplantation adverse effects, Graft vs Host Disease economics, Quality-Adjusted Life Years, Transplantation, Homologous economics
- Abstract
Allogeneic hematopoietic cell transplantation (allo-HCT) has the potential for curative outcomes for a variety of hematologic malignancies. Current allo-HCT studies often describe the outcomes and costs in the near term; however, research on the lifetime economic burden post-allo-HCT remains limited. This study was conducted to estimate the average total lifetime direct medical costs of an allo-HCT patient and the potential net monetary savings from an alternative treatment associated with improved graft-versus-host disease (GVHD)-free, relapse-free survival (GRFS). A disease-state model was constructed using a short-term decision tree and a long-term semi-Markov partitioned survival model to estimate the average per-patient lifetime cost and expected quality-adjusted life years (QALYs) for an allo-HCT patient from a US healthcare system perspective. Key clinical inputs included overall survival, GRFS, incidence of both acute and chronic GVHD, relapse of the primary disease, and infections. Cost results were reported as ranges based on varying the percentage of chronic GVHD patients that remained on treatment after 2 years (15% or 39%). Over a lifetime, the average per-patient medical cost of allo-HCT was estimated to range from $942,373 to $1,247,917. The majority of the costs were for chronic GVHD treatment (37% to 53%), followed by the allo-HCT procedure (15% to 19%). The expected lifetime QALYs of an allo-HCT patient were estimated as 4.7. Lifetime per-patient treatment costs often exceed $1,000,000 for allo-HCT patients. Innovative research efforts focused on the reduction or elimination of late complications, particularly chronic GVHD, may provide the greatest value to improved patient outcomes., (Copyright © 2023 The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
30. Análise e otimização da gestão de stocks numa empresa de serviços de alimentação na área da restauração coletiva
- Author
-
Oliveira, Filipa Parreira Chumbo and Soares, José Celestino
- Subjects
Modelo da Quantidade Económica de Encomenda ,Custos Totais ,Economic Order Quantity model ,Stocks ,Inventory ,Stock Management ,ABC Analysis Model ,Análise ABC ,Gestão de Stocks ,Total Costs ,Inventário - Abstract
Mestrado Bolonha em Ciências Empresariais Com a evolução e globalização da nossa sociedade tem-se vindo a constatar que, para que uma organização consiga sobreviver num mercado tão competitivo e melhorar os seus resultados, é imperativo que exista uma política sustentável de gestão e alocação dos seus recursos. Uma vez que os stocks representam uma grande parte dos ativos de uma empresa, a gestão e otimização dos mesmos tornou-se num tema na ordem do dia. Neste sentido, e com o intuito de encontrar uma solução que minimize os custos totais de posse de stock que a empresa XPTO teve no ano 2019, foi proposta a realização de uma análise que comparasse o modelo de gestão atual da empresa com o modelo académico determinístico de gestão de stocks. Assim sendo ao logo deste Trabalho Final de Mestrado, é feita uma análise aos artigos que constituíram o inventário da organização no ano de 2019. Para tal, utilizou-se a Análise ABC que classifica os artigos por classes, de acordo com o impacte que estes têm para o custo total do inventário. Posteriormente, foi aplicado o modelo da Quantidade Económica de Encomenda (QEE) aos produtos da Classe A (Classe com maior impacte nos custos totais do inventário). Através da QEE conseguimos definir o ponto ótimo de encomenda, que diminui os custos para cada artigo. Para este estudo foram tidas em conta as seguintes variáveis: custo de efetivação de encomenda, custo de posse de stock e procura anual. Em suma, podemos concluir que com a aplicação do modelo académico determinístico reduzimos o custo total anual, da Empresa XPTO, com inventário em 58,32%. We have seen that for companies to survive on today’s competitive markets, due to societies evolution and globalization, its necessary to bring better results. For that, it´s urgent to create a sustainable policy for management and distribution of its resources. Stocks have a large weight on companies’ assets and for that its management and optimization are one of the most important topics on these days. For that, and with the purpose of seeking a solution that reduces stock holding costs for the company XPTO in 2019, was suggested to do an analysis of company stock total costs, comparing the stock management model used daily with the deterministic academic model for stock managing. Therefore, throughout this thesis we made a review of XPTO items that compose its inventory. For that an ABC analysis which divide them in 3 groups regarding each item weight on stock total costs was used. After that, an applied Economic Order Quantity model to “A” group items was applied (“A” group is the one with more impact on stock total costs). Through this model we can define the optimal number of items to order each time. For this study we used the follow variables: order costs, stock holding costs and annual demand. We can conclude that using de deterministic academic model for stock managing we can reduce XPTO stock annual costs by 58.32%. info:eu-repo/semantics/publishedVersion
- Published
- 2022
31. An analysis of farmers' income in some Italian agritourism.
- Author
-
Galluzzo, Nicola
- Subjects
- *
AGRITOURISM , *FARMERS , *FARMS , *RURAL tourism , *TOURISM - Abstract
This study discusses the evolution of agritourism in central region of Italy such as Latium region and as the staying time in farm has had direct effects on the level of farmer's income. This research has proposed three different scenarios in terms of staying time of agritourists (3.5 days, 5 and 10 days per person) in order to assess the total costs and the total revenue for farmers. Findings have pointed out as there is not a return to scale between staying time and total revenue. The growth of agritourisms in Latium region has been strongly supported by fi nancial aids and other payments allocated by the European Common Agricultural Policy even if the land fragmentation of farms and the aging of farmers are two main constraints in a mounting growth of agritourisms. Outcomes have pointed out a not significant role of a most famous touristic centre as Rome in attracting agritourists and in increasing the amount of time spent in agritourisms. This has corroborated the hypothesis according to which agritourism is not an alternative and cheaper typology of tourism in antithesis of traditional one but it has got an own independence with specific needs and expectations of agritourists towards the agritourism. [ABSTRACT FROM AUTHOR]
- Published
- 2018
32. Evaluation of Chinese E-Commerce Cost and Lead Time Performance to Estonia.
- Author
-
Hilmola, Olli-Pekka and Tolli, Andres
- Subjects
ELECTRONIC commerce ,LEAD time (Project management) - Abstract
Purpose: Retail sales growth has been sluggish in the recent decade in North European countries. Number of factors have caused this, like problems in macroeconomy, sanctions and the effect of ageing population. Also increasing amount of e-commerce from China has taken its share. Future development paths need to be researched further to identify the outlook of North European retail. Methodology/Approach: Four different imported items were examined, which were hypothetically planned to be brought on Estonian consumer markets from China. We take into account freight costs, custom duties, VAT and profit margin requirement. Also lead time performance is being examined. Findings: Analysis shows that company based imports is not that viable model as profit margin requirement as well as governmental costs (duty and VAT) take lion share from overall costs. Even if profit requirement of company importing the products would decrease, wage inflation in Asia and freight will probably lead to higher product prices. Therefore, e-commerce needs to enlarge to lower cost manufacturing locations and/or use more direct sales to consumers. Total lead time soughts new solutions too (e.g. railway connection to Europe). Research Limitation/implication: Examination is limited to small Estonian market, and their custom tariffs and VAT. Also logistics costs to Northern Europe are higher than to Central Europe. Originality/Value of paper: Research is one of the first based on the examination of products and overall costs. It adds value through understanding of import cost structures. Category: Research paper. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
33. Costo de producción y competitividad en la Asociación de Mujeres indígenas “Mushuk Kawsay” Chimborazo, 2022
- Author
-
Parreño Barahona, Lilliam Patricia, Alejandro Lindao, María Fernanda, Parreño Barahona, Lilliam Patricia, and Alejandro Lindao, María Fernanda
- Abstract
The main object of the research is to design a total cost control for the production of mashua yogurt, as a competitiveness strategy for the year 2022, according to the qualification of the members’experiences, the organization's requirement and compliance with the regulations established by control entities, for this reason the entity has carried out processes focused only on the sale of its product, leaving aside the control of fixed and variable costs of production for the valuation of finished inventories, for the collection of information the field methodology, dialogue with the partners in charge of the production process, verification of processes, analysis of documentation, the research has been qualitative and quantitative, with the support of bibliographic sources allowed the identification of the raw material, direct labor, and general manufacturing expenses, for the analysis of clear and precise distribution costs such as administrative expenses. assets, sales expenses, and financial expenses, which facilitate pricing strategies, for these aspects it is considered that the application of a total costing or absorption costing system should be implemented in the production process, since the costs of manufacturing are these total variable costs and total fixed costs are part of this, with this it will facilitate accounting control, comply with the Servicio de Rentas Internas (SRI), reports to the partners and other control entities, financial administration, and the application of management processes of quality., El objeto de la investigación es diseñar un control de costeo total de producción de yogurt de mashua, como estrategia de competitividad para el año 2022, acorde a la cualificación de las experiencias de las socias, requerimiento de la organización y cumplimiento de las normativas establecidas por los entes de control, por tal razón la entidad ha realizado procesos enfocados solo en la venta de su producto, sin considerar el control de costos fijos y variables de producción para la valuación de los inventarios terminados, para la recopilación de información se aplicó la metodología de campo, entrevistas con las socias encargadas del proceso productivo, verificación de procesos, análisis de documentación, la investigación ha sido cualitativa y cuantitativa, con el apoyo de fuentes bibliográficas permitió la identificación de la materia prima, mano de obra directa, y gastos generales de fabricación, para el análisis de forma clara y precisa los costos de distribución como los gastos administrativos, gastos de ventas, y los gastos financieros , que facilite las estrategias en la fijación de precios; por estos aspectos se considera que la aplicación de un sistema de costeo total o costeo absorbente se debe implementar en el proceso productivo, pues los costos de fabricación sean estos costos totales variables y costos totales fijos son parte de este, con ello facilitará el control contable, cumplir con el Servicios de rentas Internas (SRI), informes a las socias y demás entes de control, administración financiera, y la aplicación de procesos de gestión de la calidad.
- Published
- 2022
34. Comparing the profitability of organic and conventional broiler production
- Author
-
F Cobanoglu, K Kucukyilmaz, M Cinar, M Bozkurt, AU Catli, and E Bintas
- Subjects
Broiler ,conventional ,organic ,net income ,total costs ,Animal culture ,SF1-1100 ,Veterinary medicine ,SF600-1100 ,Zoology ,QL1-991 - Abstract
Organic broiler chicken production has recently received more attention worldwide. This study carried out an economic analysis to compare the profitability of organic versus conventional growing systems per unit of broiler meat production. In this study, 400 slow-growing broilers (Hubbard Red-JA) were reared in an organic production system and the same number of fast-growing broilers (Ross-308) were reared in a conventional system. Profitability was deduced from an economic analysis that compared total costs and net income. Results showed that organic broiler meat can cost from 70% to 86% more with respect to variable and fixed costs when compared with conventional production. The main reasons for the higher cost of organic broiler meat were feed, labor, certification, and outdoor area maintenance. The proportion of fixed costs in total costs was 1.54% in the conventional system and 7.48% in the organic system. The net income per kg of chicken meat in the organic system was €0.75, which is 180% higher compared with the conventional system (€0.27); however, organic broiler meat was sold at a twice as high price than the conventional one. In conclusion, organic broiler meat production was more economical than conventional rearing.
- Published
- 2014
- Full Text
- View/download PDF
35. Energy saving concept development for the MORE-CONNECT pilot energy renovation of apartment blocks in Denmark.
- Author
-
Mørck, Ove Christen
- Abstract
The European Horizon2020 project MORE-CONNECT on prefabricated deep energy renovation of residential dwellings also covers pilot demonstration projects, which are to be carried out in six of the participating countries. For each country a unique, climate specific concept development analysis is carried out. The concept development follows the MORE-CONNECT methodology and thus aims towards a Zero Energy Building (ZEB) level or if cost limitations require nearly Zero Energy Building (nZEB). For the Danish situation, this means that the energy requirement for heating purpose is to be brought down from around 100 kWh/m
2 to below 20 kWh/m2 . As the pilot project has not yet been identified, concept development calculations has been conducted for a generic building. The technologies to be considered for this energy renovation are: Insulation of the façade, insulation of the roof, low-energy windows, heat-recovery ventilation, solar domestic hot water and a PV-system. Within the MORE-CONNECT two technologies are under development in Denmark. The first is a new PV-roof solution in which the PVcells are fully integrated in the roofing elements. This PV-roof can be fitted into any roof surface shape. It can also be constructed as a PVT-roof connected to a heat pump for heating purposes. The second technology under development is 3-D finishing of a new layer of façade insulation by an industry robot. When an insulation layer has been placed on any given façade a finishing layer of plaster can be added and finished with any desired patterns or painting. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
36. ANALYSIS OF REVENUES AND PRODUCTION COSTS OF DAIRY SHEEP FARM.
- Author
-
Pamukova, D. and Momchilov, H.
- Subjects
- *
DAIRY products , *INDUSTRIAL costs , *AGRICULTURAL productivity , *ECONOMICS - Abstract
The purpose of this study is to analyze the revenues and production costs of a dairy sheep farm to optimize the number of livestock. Statistical methods, comparative analysis are used. The results obtained show that the optimum number of sheep on the farm should be 500. The performed analysis about the activities of dairy Bulgarian Synthetic Dairy Population sheep farm, allowed concluding that: Over the three years of the analysed period, revenues from sales of milk had the greatest share in total revenues of the farm (45-52 %). In fact this confirmed the profile of the farm as dairy farm. The percentage of meat varied within a narrow range with lamb meat occupying the greatest share of meat revenues (26 - 29 %). The participation of other types of meat in farm's revenues was minor. The share of wool as element of revenues was insignificant over the 3-yar period. Wool production was rather a concomitant production therefore serious revenues from wool are not expected as at the time of the study, there is no market demand for this product. Among variable costs, the feed costs proportion was the greatest (40 - 44 %). Then followed labour, insurances and fuel costs. It should be mentioned that during the last year of the analysed period, costs for purchase of shearing machine and sharpening device are planned. Permanent costs did not change in 2016-2018. The share of depreciation costs from total costs was approximately 3 %. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
37. EFFECTIVENESS ANALYSIS FOR RELAMPING REGARD TO AN OVERALL COSTS.
- Author
-
ŠPES, Michal, BEŇA, Ľubomír, MIKITA, Miroslav, KOSTEREC, Michal, LIPTAI, Pavol, and MÁRTON, Michal
- Subjects
- *
INTERIOR space acoustics , *INTERIOR architecture , *INTERIOR lighting - Abstract
Light and lighting, with this need we encounter in everyday life. During the day, it fills this need sunlight but there are cases when it is necessary to illuminate interior spaces during the day. In another situation we face at night when it is necessary to illuminate indoor or outdoor spaces artificially. This need for interior lighting fills the artificial lighting and discipline that deals with the lighting is called lighting technique. Well as other industries also lighting, respectively lighting technology goes through the development of new technologies. This paper deals with lighting, specifically analyzing the effectiveness of relamping in terms of investment costs. The first part of the article is devoted to the basic theoretical knowledge of the field of lighting technology. Subsequently are characterized further light sources. The last part of the article is the analysis and compares costs for different light sources and from the perspective of the average and useful life. [ABSTRACT FROM AUTHOR]
- Published
- 2017
38. Total costs as the object of diagnostics in tasks of strategic planning of restructurisation of industrial enterprises Валовые расходы как объект диагностики в задачах стратегического планирования реструктуризации промышленных предприятий
- Author
-
Chepurnoy Anatoliy D. and Shpak Sergey A.
- Subjects
enterprise ,total costs ,restructurisation ,system analysis ,planning ,предприятие ,валовые расходы ,реструктуризация ,системный анализ ,планирование ,Finance ,HG1-9999 ,Economics as a science ,HB71-74 - Abstract
The article uses example of the goal to reduce total costs of an enterprise in the sub-system of production of products and services to study methodical aspects of formation of the tree of goals of restructurisation of industrial enterprises and justifications of the aggregate of tasks of diagnostics and analysis, subject to solution in the process of development of strategy and restructurisation. It shows that application of a target approach to strategic planning of restructurisation of an enterprise allows specification of the place and role of diagnostics as a tool of formation of the tree of the goals of restructurisation, identification of the content and purpose of specific analytical research, conduct of which is caused by a necessity of building up a tree of goals, development of requirements to depth, time coverage and methods of conduct, objectively caused by theoretically possible directions of restructurisation, specific features of an enterprise and their factual state and also conditions of external economic environment of functioning. Use of the methods of system analysis at the stage of formation of goals of restructurisation of enterprises is directed at increase of the level of justification of planning enterprise’s diagnostics, reduction of scales and complexity of carried out analytical activities by means of subordination of diagnostics to the task of selection of goals of restructurisation from the full set of possible ones, consequent decomposition of tasks of diagnostics from general ones, which allow aggregated approaches and application of relatively simple methods of analysis, to private ones, which require a more detailed consideration of local objects of analysis and paralleling of the process of conduct of analytical research in accordance with the process of building up the tree of restructurisation goals.На примере цели снижения валовых расходов предприятия в подсистеме производства продукции и услуг исследованы методические аспекты формирования дерева целей реструктуризации промышленных предприятий и обоснования совокупности задач диагностики и анализа, подлежащих решению в процессе разработки стратегии и плана реструктуризации. Показано, что применение целевого подхода к стратегическому планированию реструктуризации предприятия позволяет уточнить место и роль диагностики как инструмента формирования дерева целей реструктуризации, определить состав и целевое назначение конкретных аналитических исследований, проведение которых обусловлено необходимостью построения дерева целей, выработать требования к глубине, временному охвату и методам их проведения, объективно обусловленные теоретически возможными направлениями реструктуризации, спецификой предприятий и их фактическим состоянием, а также условиями внешней экономической среды функционирования. Использование методов системного анализа на этапе формирования целей реструктуризации предприятий направлено на повышение уровня обоснованности планирования диагностики предприятия, снижение масштабов и сложности проводимых аналитических работ за счет подчинения диагностики задаче выбора целей реструктуризации из полного множества возможных; последовательной декомпозиции задач диагностики от общих, допускающих агрегированные подходы и применение относительно простых методов анализа, к частным, требующим более детального рассмотрения локальных объектов анализа; распараллеливания процесса проведения аналитических исследований в соответствии с процессом построения дерева целей реструктуризации.
- Published
- 2013
39. A global perspective on the costs of hypertension: a systematic review
- Author
-
Ewelina Wierzejska, Bogusz Giernaś, Rafał Staszewski, Mateusz Cofta, Monika Karasiewicz, and Agnieszka Lipiak
- Subjects
Public economics ,business.industry ,Total cost ,total costs ,hospital costs ,Hypertension management ,General Medicine ,Cochrane Library ,Terminology ,Systematic review/Meta-analysis ,03 medical and health sciences ,Indirect costs ,0302 clinical medicine ,Ranking ,Carry (investment) ,Medicine ,direct costs ,030212 general & internal medicine ,indirect costs ,business ,China ,drug costs ,health care economics and organizations ,hypertension costs ,socioeconomic indices - Abstract
Introduction Hypertension, particularly untreated, leads to serious complications and contributes to high costs incurred by the whole society. The aim of the review was to carry out a social and economic comparison of various categories of hypertension costs from different countries. Material and methods The study was a systematic review. PubMed, Cochrane Library and Google Scholar databases were searched. Hypertension costs were analyzed in 8 cost categories. An attempt was made to determine whether selected economic and social factors (such as HDI or GDP) influenced hypertension costs. Results The review included data from 15 countries: Brazil, Cambodia, Canada, China, Greece, Indonesia, Italy, Jamaica, Kyrgyzstan, Mexico, Poland, Spain, USA, Vietnam and Zimbabwe. The papers included in the review were heterogeneous with respect to cost categories, which made comparisons difficult. The average total costs of hypertension for all the studied countries, calculated per person, amounted to 630.14 Int$, direct costs – 1,497.36 Int$, and indirect costs – 282.34 Int$. The ranking of countries by costs and by selected economic and social indices points at the possible relationship between these indices and hypertension costs. Conclusions The costs of hypertension calculated per country reached the region of several dozen billion Int$. Other sources usually showed lower costs than those presented in this review. This indicates a growth in costs from year to year and the future increasing burden on society. Globally uniform cost terminology and cost calculation standards need to be developed. That would facilitate making more informed decisions regarding fund allocation in hypertension management schemes.
- Published
- 2020
- Full Text
- View/download PDF
40. Concept Development and Technology Choices for the More-connect Pilot Energy Renovation of Three Apartment Blocks in Denmark.
- Author
-
Mørck, Ove Christen
- Abstract
In the context of the European Horizon2020 project MORE-CONNECT on prefab deep energy renovation of dwellings pilot demonstration projects are carried out in 6 of the participating countries. In Denmark the pilot project comprises a comprehensive energy renovation of three building blocks situated in Roskilde - southwest of Copenhagen. An energy renovation concept for these buildings has been developed according to a methodology developed for the MORE-CONNECT project aiming towards a Zero Energy Building (ZEB) level. The energy requirement for heating purposes is therefore to be brought down from around 100 kWh/m 2 to below 20 kWh/m 2 and a part of the electricity consumption to be produced by PV. The methodology calls for a calculation of total costs versus reduced Global Warming Potential (GWP) and primary energy consumption. The developed concept includes additional insulation in the external walls and roof, new 3-layer low-energy windows, a heat recovery ventilation system and renewable energy supply. Within the MORE-CONNECT two technologies are under development in Denmark: A new PV-roof solution in which the PV-cells are fully integrated in the roofing elements. This PV-roof can be fitted into any roof surface shape and if justified by the cost-optimisation it can be constructed as a PVT-roof connected to a heat-pump for heating purposes. The second technology under development is 3-D printing of a layer of façade insulation by an industry robot. The concept development follows first a path using conventionally available technologies and at the end the two new technologies are integrated in the concept and the corresponding traditionally technologies removed. The end result is an energy renovation reaching plus-energy level at competitive costs. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
41. Design and analysis of stochastic DSS query optimizers in a distributed database system.
- Author
-
Sharma, Manik, Singh, Gurvinder, and Singh, Rajinder
- Subjects
DATABASES ,STOCHASTIC analysis ,DISTRIBUTED databases ,CYBERINFRASTRUCTURE ,DECISION support systems - Abstract
Query optimization is a stimulating task of any database system. A number of heuristics have been applied in recent times, which proposed new algorithms for substantially improving the performance of a query. The hunt for a better solution still continues. The imperishable developments in the field of Decision Support System (DSS) databases are presenting data at an exceptional rate. The massive volume of DSS data is consequential only when it is able to access and analyze by distinctive researchers. Here, an innovative stochastic framework of DSS query optimizer is proposed to further optimize the design of existing query optimization genetic approaches. The results of Entropy Based Restricted Stochastic Query Optimizer ( ERSQO ) are compared with the results of Exhaustive Enumeration Query Optimizer ( EAQO ), Simple Genetic Query Optimizer ( SGQO ), Novel Genetic Query Optimizer ( NGQO ) and Restricted Stochastic Query Optimizer ( RSQO ). In terms of Total Costs, EAQO outperforms SGQO, NGQO, RSQO and ERSQO . However, stochastic approaches dominate in terms of runtime. The Total Costs produced by ERSQO is better than SGQO, NGQO and RGQO by 12%, 8% and 5% respectively. Moreover, the effect of replicating data on the Total Costs of DSS query is also examined. In addition, the statistical analysis revealed a 2-tailed significant correlation between the number of join operations and the Total Costs of distributed DSS query. Finally, in regard to the consistency of stochastic query optimizers, the results of SGQO, NGQO, RSQO and ERSQO are 96.2%, 97.2%, 97.45 and 97.8% consistent respectively. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
42. Economic Risk Assessment Taking Into Account the Volume Oscillator Indicators.
- Author
-
LĂPĂDUŞI, Loredana Mihaela
- Subjects
ECONOMIC indicators ,RISK assessment ,COST structure ,INDUSTRIAL capacity ,DIVERSIFICATION in industry ,BANKRUPTCY -- Risk factors - Abstract
Economic risk can be assesed from many points of view, but generally speaking it means the firm's inability to match workload with cost structure. Expansion of production capacity, adaptation to new technologies, diversification of products are only a few factors influencing risk. These, along with financial risk and bankruptcy risk constitute the most important category of risk which presents a great interest for the banks, shareholders, managers, business partners, etc. The purpose of this article is to provide a brief overview of tje oscillation of your company's activity from the point of view of economic risk. The main objective of this research lies in economic risk assessment by means of the margin of safety, the safety index and critical time point. [ABSTRACT FROM AUTHOR]
- Published
- 2016
43. Labor requirements and work efficiencies of hazelnut harvesting using traditional and mechanical pick-up methods.
- Author
-
YILDIZ, Taner
- Subjects
- *
HAZELNUTS , *PLANT mechanics , *HARVESTING machinery , *AGRICULTURAL laborers , *PLANTATIONS - Abstract
This study was completed with the aim of determining labor requirements, work efficiencies, and total costs of 6 different traditional hazelnut pick-up methods, along with 3 different mechanical harvest methods using a portable-type pneumatic hazelnut harvesting machine, on flat ground in two hazelnut orchards with linear and brush planting systems. Trials were conducted in the two different orchards in the August 2013 harvesting season. Among traditional pick-up methods, the lowest unit of human labor requirements (units of human labor power, h ha-1) in an orchard with a linear planting system was obtained (180.17 h ha-1) for the method involving Ethrel administration, hand-shaking, and rows gathered by garden rake (first method). For the brush-planting system orchard, the lowest value (157.39 h ha-1) was obtained with the method with no Ethrel administration, hand-shaking, and rows gathered by scrub rake (fourth method). In terms of work efficiencies, the best values were obtained (0.0056 ha h-1) for the first method for the linear system and for the third method for the brush system (0.0058 ha h-1). In terms of time utilization coefficient, the different pick-up methods with the hazelnut harvesting machine obtained lower levels compared to the different traditional hazelnut pick-up methods. In trials of different methods of traditional pick-up, the lowest value for total harvest costs was obtained for the method with Ethrel administered and rows gathered by garden rake in the linear system (first method) (6666.29 Turkish lira (TL) ha-1). For the brushplanting system the lowest value was for the fourth method with 5283.43 TL ha-1. In the brush-planting system with the mechanical pick-up method, the lowest value was 1637.42 TL ha-1 for the pick-up method with rows gathered by garden rake (third method). Amounts of hazelnuts obtained per unit of time for traditional methods were 5.25 kg h-1 for the first method in linear planting and 4.49 kg h-1 for the third method in the brush-planting system. For hazelnut harvesting machine pick-up, the amount was 35.40 kg h-1 for pick-up with rows gathered by garden rake (third method). Accordingly, the hazelnut harvesting machine can collect the amount that 6.74 people can collect traditionally. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
44. The evaluation of the influence of drying the ore before the dry high - intensity magnetic separation on the efficiency production process of blastfurnace pellets in the Siderit Niná Slaná plant
- Author
-
Kuffnerová Andrea and Spiák Ján
- Subjects
dry highintensity magnetic separation ,efficiency SVIMS ,separations line ,total costs ,Mining engineering. Metallurgy ,TN1-997 ,Geology ,QE1-996.5 - Abstract
In the contribution is described the evaluation of the influence of the parameters on the input to the dry high - intensity magnetic separation (SVIMS), on the technological production process of the blastfurnace pellets in the condition of the company elba, a.s., o.z. Siderit Niná Slaná.By the dry high - intensity magnetic separation (SVIMS) separates siderite from inherent rock by the activity effect of the strong magnetic field of the electromagnets. The realisation of the dry high - intensity magnetic separation has got the effect on the technical - technological parameters, as well as on the qualitative parameters of the final product - the blastfurnace pellets.The aim of the solution of the author this article is to define the methodics, that it would permit the establishment practice to complex judges of the fall of the racionalization projects. The aim of this project it would be as first of all the total productions costs minimize, the work optimalization and the increase of the economic efficiency work of the organisation.
- Published
- 2001
45. Improving the Sustainability of Transportation: Environmental and Functional Benefits of Right Turn By-Pass Lanes at Roundabouts.
- Author
-
Guerrieri, Marco, Corriere, Ferdinando, Rizzo, Gianfranco, Lo Casto, Barbara, and Scaccianoce, Gianluca
- Abstract
The functional performances of conventional roundabouts (single-lane and multi-lane) and innovative roundabouts (spiral, flower, C and turbo) can be improved through right-turn bypass lanes controlled by stop, yield or free-flow signs. The article presents evaluations of the emissions of air pollutants (carbon dioxide, nitrogen oxides, particle pollution (PM10 and PM2.5)), fuel consumption and construction, management, energetic and environmental costs in roundabouts without or with bypass lanes (controlled by stop, yield or free-flow). The suggested methodology has a general character and can be applied as a multi-parametric criterion for choosing road intersections, although, in the present paper, it has been employed only for a case study. For the aims of this research, we employed recent closed-form formulations to determine roundabout performances; moreover, we used the COPERT IV® software to estimate air emissions in nine different types of vehicles. Numerous traffic simulations were carried out. The variation in the maximum hourly traffic Q
max and annual traffic QTOT provided the appropriate domains of the examined geometric layouts, both in functional and environmental terms and with regard to generalized costs, estimated for a 10-year period. It resulted that the introduction of right-turn bypasses in all arms of conventional roundabouts with a one ring lane and one lane at the entries (single-lane roundabouts) is the most cost-effective when the flows entering the roundabout are higher than Qmax = 2000 veh/h. Moreover, free-flow bypass lanes always provide greater capacity and lower delays than stop- or yield-signaled bypasses. However, with extremely high Qmax values, stop-controlled bypasses guarantee lower fuel consumption, while those with a yield sign lower total costs. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
46. [Cost analysis of inpatient versus outpatient intravenous antibiotic treatment for periprosthetic joint infections : A simulation]
- Author
-
Christoph Kolja, Boese, Philipp, Lechler, Michael, Frink, Michael, Hackl, Peer, Eysel, and Christian, Ries
- Subjects
Inpatients ,Reinerlös ,Health Care Costs ,Opportunitätskosten ,Healthcare costs ,Originalien ,Anti-Bacterial Agents ,Kostenkalkulation ,Total costs ,Pure proceeds ,Gesundheitskosten ,Gesamtkosten ,Outpatients ,Ambulatory Care ,Humans ,Cost calculation ,Opportunity costs - Abstract
Parenteral antibiotic administration in the treatment of periprosthetic joint infections (PJI) often requires inpatient settings. This is associated with significant costs to the healthcare system.The costs of inpatient parenteral antibiotic treatment (IPAT) and simulated costs of outpatient parenteral antibiotic treatment (OPAT) were compared in patients with PJI. Evaluations were carried out from the perspectives of cost bearers (insurances) and healthcare providers (hospitals).The analysis and simulations were performed for all cases with the ICD-10 diagnosis T84 in the treatment year 2015.The simulated reduction of 159 bed-days in the 12 patients included in the study resulted in a reduction of the total costs of18,000 € from the perspective of the health insurance. From the perspective of the hospitals the pure proceeds were improved by22,000 €. The total costs of OPAT were57,000 € for the health insurance. For hospitals the difference of policlinic proceeds and costs of OPAT showed a loss of1500 €.For hospitals the OPAT is overall financially advantageous. Further advantages due to opportunity costs seem to be interesting. For cost bearers OPAT is associated with an additional financial expenditure, particularly due to costs of outpatient medication. The private sector should be considered due to the assumed additional burden as well as the assumed patient comfort.HINTERGRUND: Die parenterale Antibiotikagabe im Rahmen der Therapie von periprothetischen Infektionen erfordert in der Regel eine stationäre Behandlung und geht mit hohen Kosten einher.Es wurden tatsächliche stationäre Behandlungskosten („inpatient parenteral antibiotic therapy“ [IPAT]) mit simulierten Kosten einer ambulanten Behandlung („outpatient parenteral antibiotic therapy“ [OPAT]) von Patienten mit periprothetischen Gelenkinfektionen verglichen. Die Auswertung erfolgte aus Perspektive der Kostenträger (gesetzliche Krankenversicherung [GKV]) und Leistungserbringer (Krankenhäuser).Die Analyse und Simulation erfolgten auf Grundlage einer ICD-10 (Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme, 10. Revision) für das Behandlungsjahr 2015 mit der Diagnose T84.Die simulierte Reduktion von 159 Bettentagen bei den in die Studie eingeschlossenen 12 Patienten erbrachte aus Sicht der Kostenträger eine Reduktion der Gesamtkosten um18.000 €. Aus Perspektive der Leistungserbringer verbesserte sich der Reinerlös um22.000 €. Die Gesamtkosten der OPAT für den Kostenträger beliefen sich auf57.000 €. Für den Leistungserbringer zeigte sich in der Differenz von Poliklinikerlös und -kosten der OPAT ein Verlust von1500 €.Die OPAT ist für Leistungserbringer insgesamt finanziell vorteilhaft. Weitere Vorteile durch Opportunitätskosten erscheinen interessant. Für den Kostenträger ist die OPAT insbesondere durch die ambulanten Medikamentenkosten mit einem finanziellen Mehraufwand verbunden. Der niedergelassene Sektor sollte durch die anzunehmende Mehrbelastung ebenso wie der anzunehmende Patientenkomfort bedacht werden.
- Published
- 2020
47. Costs of accessing HIV testing services among rural Malawi communities
- Author
-
Karin Hatzold, Melissa Neuman, Phillip Mkandawire, Collin Mangenah, Hendramoorthy Maheswaran, Elizabeth L. Corbett, Pitchaya P. Indravudh, Marc d'Elbée, Fern Terris-Prestholt, Lawrence Mwenge, Linda Sande, Cheryl Johnson, and Nurilign Ahmed
- Subjects
0301 basic medicine ,Service (business) ,Health (social science) ,Social Psychology ,business.industry ,Total cost ,total costs ,Public Health, Environmental and Occupational Health ,HIV ,Articles ,Hiv testing ,Disease cluster ,030112 virology ,Odds ,Test (assessment) ,03 medical and health sciences ,Indirect costs ,0302 clinical medicine ,Environmental health ,Medicine ,Residence ,030212 general & internal medicine ,business ,health care economics and organizations ,HIV testing and counseling - Abstract
HIV testing is free in Malawi, but users may still incur costs that can deter or delay them accessing these services. We sought to identify and quantify these costs among HIV testing service clients in Malawi. We asked residents of communities participating in a cluster randomised trial investigating the impact of HIV self-testing about their past HIV testing experiences and the direct non-medical and indirect costs incurred to access HIV testing. We recruited 749 participants whose most recent HIV test was within the past 12 months. The mean total cost to access testing was US$2.45 (95%CI: US$2.11–US$2.70). Men incurred higher costs (US$3.81; 95%CI: US$2.91–US$4.50) than women (US$1.83; 95%CI: US$1.61–US$2.00). Results from a two-part multivariable regression analysis suggest that age, testing location, time taken to test, visiting a facility specifically for an HIV test and district of residence significantly affected the odds of incurring costs to testing. In addition, gender, wealth, age, education and district of residence were associated with significant user costs.
- Published
- 2018
- Full Text
- View/download PDF
48. Impact on Total Costs and Construction Period of Residential Buildings in Prague
- Author
-
Mohapl, Martin, Lukášková, Jana, Hejl, Martin, Mohapl, Martin, Lukášková, Jana, and Hejl, Martin
- Abstract
Optimization is a common and very often necessary process performed for economic reasons during the realization of construction projects. This report presents the optimization of a residential project at the beginning of the construction process. It describes detailed modifications made to concrete reinforcement construction that have brought cost savings, while at the same time taking into consideration the risks and costs that result from project modification.
- Published
- 2019
49. Impact on Total Costs and Construction Period of Residential Buildings in Prague
- Abstract
Optimization is a common and very often necessary process performed for economic reasons during the realization of construction projects. This report presents the optimization of a residential project at the beginning of the construction process. It describes detailed modifications made to concrete reinforcement construction that have brought cost savings, while at the same time taking into consideration the risks and costs that result from project modification.
- Published
- 2019
50. Impact on Total Costs and Construction Period of Residential Buildings in Prague
- Abstract
Optimization is a common and very often necessary process performed for economic reasons during the realization of construction projects. This report presents the optimization of a residential project at the beginning of the construction process. It describes detailed modifications made to concrete reinforcement construction that have brought cost savings, while at the same time taking into consideration the risks and costs that result from project modification.
- Published
- 2019
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.