Cost-Effectiveness of Paving Fabrics Used to Control Reflective Cracking

2000 ◽  
Vol 1730 (1) ◽  
pp. 139-149 ◽  
Author(s):  
William G. Buttlar ◽  
Diyar Bozkurt ◽  
Barry J. Dempsey
Keyword(s):  
Life Cycle ◽  
Cost Effectiveness ◽  
Department Of Transportation ◽  
Reflective Cracking ◽  
Crack Control ◽  
Condition Rating ◽  
System A ◽  
Rigid Pavements ◽  
The Cost ◽  
And Control

The Illinois Department of Transportation (IDOT) spends $2 million annually on reflective crack control treatments; however, the cost-effectiveness of these treatments had not been reliably determined. A recent study evaluated the cost-effectiveness of IDOT reflective crack control System A, which consists of a nonwoven polypropylene paving fabric, placed either in strips longitudinally over lane-widening joints or over the entire pavement (area treatment). The study was limited to projects constructed originally as rigid pavements and subsequently rehabilitated with one or more bituminous overlays. Performance of 52 projects across Illinois was assessed through crack mapping and from distress and serviceability data in IDOT’s condition rating survey database. Comparisons of measured reflective cracking in treated and control sections revealed that System A retarded longitudinal reflective widening crack development, but it did not significantly retard transverse reflective cracking, which agrees with earlier studies. However, both strip and area applications of these fabric treatments appeared to improve overall pavement serviceability, and they were estimated to increase rehabilitation life spans by 1.1 and 3.6 years, respectively. Reduction in life-cycle costs was estimated to be 4.4 and 6.2 percent when placed in medium and large quantities, respectively, and to be at a break-even level for small quantities. However, life-cycle benefits were found to be statistically insignificant. Limited permeability testing of field cores taken on severely distressed transverse joints suggested that waterproofing benefits could exist even after crack reflection. This was consistent with the observation that, although serviceability was generally improved with area treatment, crack reflection was not retarded relative to untreated areas.

In-line filtration reduced phlebitis associated with peripheral venous cannulation: Focus on cost-effectiveness and patients’ perspectives

2019 ◽  
Vol 21 (2) ◽  
pp. 154-160
Author(s):  
Gianluca Villa ◽  
Rosa Giua ◽  
Timothy Amass ◽  
Lorenzo Tofani ◽  
Cosimo Chelazzi ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Vascular Access ◽  
Cost Effective ◽  
Causative Factor ◽  
Control Group ◽  
Previous Trial ◽  
Venous Cannulation ◽  
Group A ◽  
The Cost ◽  
And Control

Background: In a previous trial, in-line filtration significantly prevented postoperative phlebitis associated with short peripheral venous cannulation. This study aims to describe the cost-effectiveness of in-line filtration in reducing phlebitis and examine patients’ perception of in-hospital vascular access management with and without in-line filtration. Methods: We analysed costs associated with in-line filtration: these data were prospectively recorded during the previous trial. Furthermore, we performed a follow-up for all the 268 patients enrolled in this trial. Among these, 213 patients responded and completed 6 months after hospital discharge questionnaires evaluating the perception of and satisfaction with the management of their vascular access. Results: In-line filtration group required 95.60€ more than the no-filtration group (a mean of € 0.71/patient). In terms of satisfaction with the perioperative management of their short peripheral venous cannulation, 110 (82%) and 103 (76.9%) patients, respectively, for in-line filtration and control group, completed this survey. Within in-line filtration group, 97.3% of patients were satisfied/strongly satisfied; if compared with previous experiences on short peripheral venous cannulation, 11% of them recognised in-line filtration as a relevant causative factor in determining their satisfaction. Among patients within the control group, 93.2% were satisfied/strongly satisfied, although up to 30% of them had experienced postoperative phlebitis. At the qualitative interview, they recognised no difference than previous experiences on short peripheral venous cannulation, and mentioned postoperative phlebitis as a common event that ‘normally occurs’ during a hospital stay. Conclusion: In-line filtration is cost-effective in preventing postoperative phlebitis, and it seems to contribute to increasing patient satisfaction and reducing short peripheral venous cannulation–related discomfort

scholarly journals Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Jorge A. H. Arroz ◽  
Baltazar Candrinho ◽  
Chandana Mendis ◽  
Melanie Lopez ◽  
Maria do Rosário O. Martins
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Universal Coverage ◽  
Cost Effectiveness Ratio ◽  
Net Benefit ◽  
Incremental Net Benefit ◽  
The Cost ◽  
And Control ◽  
Delivery Models ◽  
Long Lasting Insecticidal Nets

Abstract Objective The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs. new) in universal coverage (UC) campaigns in rural Mozambique. Results The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique’s current economic context.

Integration of a Maintenance Management Model (MMM) Into an Asset Management Process

2022 ◽  
pp. 1-29
Author(s):  
Carlos A. Parra ◽  
Adolfo Crespo Márquez ◽  
Vicente González-Prida ◽  
Antonio Sola Rosique ◽  
Juan F. Gómez ◽  
...  
Keyword(s):  
Life Cycle ◽  
Continuous Improvement ◽  
Asset Management ◽  
Maintenance Management ◽  
Management Model ◽  
Management Process ◽  
Planning And Scheduling ◽  
The Cost ◽  
And Control ◽  
The Relationship

The chapter explains in detail the maintenance management model (MMM) taken as a reference for the development of the book. The chapter is based on the eight phases of the MMM. The first three blocks determine the effectiveness of the management; the following blocks assure the same efficiency and continuous improvement in the following way: Blocks 4 and 5 include actions for the planning and scheduling of maintenance, including, of course, the capacity of planning of department of maintenance. Blocks 6 and 7 are dedicated to the evaluation and control of the maintenance and the cost of assets throughout their life cycle. This chapter of introduction briefly summarizes the process and the reference frame necessary for the implementation of the MMM. This chapter also presents the relationship between the eight phases of the maintenance management model proposed and the general requirements of the asset management standard ISO 55000 to show how the gradual implementation of the MMM largely covers the requirements of the standard ISO 55000.

ECONOMIC EVALUATION OF AN INFLUENZA IMMUNIZATION STRATEGY OF HEALTHY CHILDREN

2014 ◽  
Vol 30 (4) ◽  
pp. 394-399 ◽  
Author(s):  
Meghann Gregg ◽  
Gordon Blackhouse ◽  
Mark Loeb ◽  
Ron Goeree
Keyword(s):  
Cost Effectiveness ◽  
Vulnerable Groups ◽  
Healthy Population ◽  
Sample Population ◽  
Healthy Children ◽  
Community Members ◽  
Influenza Immunization ◽  
Influenza Prevention ◽  
The Cost ◽  
And Control

Objectives: Vaccinating healthy children is proposed as a strategy to produce a herd effect and protect vulnerable groups. The Hutterite Influenza Prevention Study investigated this strategy, comparing communities with or without childhood influenza immunization programs. There are costs associated with vaccination therefore there may be a trade-off between these costs and the benefits of avoiding influenza cases. This evaluation estimates the cost-effectiveness of immunizing only healthy children in preventing cases of influenza within entire communities.Methods: Effect data and resource utilization were collected during the trial. Cost data were collected from payer, literature and Internet sources. A two-stage bootstrap (TSB) with shrinkage correction was used to estimate average costs and effects. The incremental cost effectiveness ratio (ICER) and sample uncertainty around this estimate were calculated from the TSB results.Results: Mean costs per patient for the treatment and control arms were $69.07 and $32.66 (difference $36.41). Mean number of influenza cases for the treatment and control arms were 0.04 and 0.27 (difference 0.23). ICER was $164.12 ($28.38, $2767.75) per case of influenza averted.Conclusions: Immunizing healthy children for influenza is more costly, yet more effective than no immunization in preventing cases in the sample. At a cost of $164.12 to prevent a case of influenza, immunizing healthy children to protect all community members may be considered costeffective. Estimated results are conservative as the influenza season was mild and the sample population was healthy. In a more severe season with a less healthy population the ICER is expected to decrease.

Dynamic Cost-Effectiveness: A More Efficient Reimbursement Criterion

2008 ◽  
Vol 11 (2) ◽  
Author(s):  
Douglas Lundin ◽  
Joakim Ramsberg
Keyword(s):  
Life Cycle ◽  
Cost Effectiveness ◽  
Theoretical Model ◽  
Patent Protection ◽  
Decision Makers ◽  
Value For Money ◽  
Entire Life ◽  
Entire Life Cycle ◽  
The Cost ◽  
Over Time

Basing drug reimbursement on cost-effectiveness provides too little incentives for R&D. The reason for this is that cost-effectiveness is concerned with immediate value for money. But since the price of a drug usually declines over time, the drug might well provide value for money as seen over its entire life cycle, even though its price during patent protection is too high to warrant reimbursement according to the cost-effectiveness decision rule. We show in a theoretical model that welfare could be improved if decision-makers took a longer perspective and initially allowed higher prices than immediate value for money can motivate. We also discuss the real world relevance of applying dynamic cost-effectiveness.

scholarly journals Economic evaluation of Health Extension Program packages in Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246207
Author(s):  
Lelisa Fekadu Assebe ◽  
Wondesen Nigatu Belete ◽  
Senait Alemayehu ◽  
Elias Asfaw ◽  
Kora Tushune Godana ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Prevention And Control ◽  
Unit Cost ◽  
Family Health ◽  
Cost Effective ◽  
Health Extension Program ◽  
Per Capita ◽  
The Cost ◽  
And Control ◽  
Extension Program

Background Ethiopia launched the Health Extension Program (HEP) in 2004, aimed at ensuring equitable community-level healthcare services through Health Extension Workers. Despite the program’s being a flagship initiative, there is limited evidence on whether investment in the program represents good value for money. This study assessed the cost and cost-effectiveness of HEP interventions to inform policy decisions for resource allocation and priority setting in Ethiopia. Methods Twenty-one health care interventions were selected under the hygiene and sanitation, family health services, and disease prevention and control sub-domains. The ingredient bottom-up and top-down costing method was employed. Cost and cost-effectiveness were assessed from the provider perspective. Health outcomes were measured using life years gained (LYG). Incremental cost per LYG in relation to the gross domestic product (GDP) per capita of Ethiopia (US$852.80) was used to ascertain the cost-effectiveness. All costs were collected in Ethiopian birr and converted to United States dollars (US$) using the average exchange rate for 2018 (US$1 = 27.67 birr). Both costs and health outcomes were discounted by 3%. Result The average unit cost of providing selected hygiene and sanitation, family health, and disease prevention and control services with the HEP was US$0.70, US$4.90, and US$7.40, respectively. The major cost driver was drugs and supplies, accounting for 53% and 68%, respectively, of the total cost. The average annual cost of delivering all the selected interventions was US$9,897. All interventions fall within 1 times GDP per capita per LYG, indicating that they are very cost-effective (ranges: US$22–$295 per LYG). Overall, the HEP is cost-effective by investing US$77.40 for every LYG. Conclusion The unit cost estimates of HEP interventions are crucial for priority-setting, resource mobilization, and program planning. This study found that the program is very cost-effective in delivering community health services.

Recruitment Trends in the Contemporary Era

2018 ◽  
pp. 24-37
Author(s):  
Anu Chhabra ◽  
Vandana Ahuja
Keyword(s):  
Life Cycle ◽  
Cost Effectiveness ◽  
Human Resources ◽  
Recruitment Process ◽  
Time Duration ◽  
Simple Process ◽  
The Right ◽  
The Cost ◽  
Open Position

Recruitment is the process of identifying and hiring the right talent for a job in an organization, within a timeframe and by incurring the least expenses. The life cycle of the recruitment process starts from identification of an open position which needs to be filled to the candidate joining the organisation formally. On hearing the word recruitment, what flashes in an individual's mind is the process the HR group would follow to choose a candidate, get him interviewed, cross levels, offer, joining formalities completion, and to integrate the new joinee with the organization's philosophy. But, over a period, this process has evolved and it has transformed its existence from a simple process to a much more organized and digitally equipped one. The importance of a recruitment service though has remained the same, that is, the candidate should have the right skills, right knowledge, aptitude, and most importantly, attitude. But what has been the focus of improvement of the Human resources is the time duration and the cost effectiveness.

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