Implications of Changing Dynamics for Metered On-Street Parking

2015 ◽  
Vol 2500 (1) ◽  
pp. 17-25
Author(s):  
Soumya S. Dey ◽  
Stephanie Dock ◽  
Evian Patterson
Keyword(s):  
Real Time ◽  
New Technology ◽  
Cost Effective ◽  
Program Outcomes ◽  
Economic Implications ◽  
Dynamic Congestion Pricing ◽  
The Cost ◽  
Maintenance Personnel ◽  
Real Time Information ◽  
The Impact

The parking industry has seen significant changes over the past decade with the infusion of new technology and smart assets. The introduction of networked meters, virtual payment methods (such as pay-by-cell and credit–debit cards at meters), and technology for real-time detection of space occupancy has resulted in better system uptime, proactive maintenance strategies, multiple payment options, real-time information on parking availability, and better use of spaces through dynamic congestion pricing. The new parking assets and payment options have implications for municipalities and vendors supporting their parking programs. Instead of a significant portion of revenue from coins, virtual transactions account for a predominant share of the parking revenue stream. Focusing on Washington, D.C., as a case study, this paper discusses the economic implications of the changes in the context of overall parking revenue and the cost of different revenue streams for parking. The paper also discusses the impact of these changes on program management (such as maintenance, personnel, and contracting models) and program outcomes (such as customer satisfaction and continued innovation). The paper provides agencies with a framework for taking a holistic look at their parking programs and assessing the impacts of various alternative, cost-effective approaches.

Pound Wise and Penny Foolish? Weight Loss and The Dynamics of Health Care Spending

2011 ◽  
Vol 14 (2) ◽  
Author(s):  
Thomas G Koch
Keyword(s):  
Weight Loss ◽  
Cost Savings ◽  
Cost Effective ◽  
Economic Consequences ◽  
Health Care Spending ◽  
Order Of Magnitude ◽  
Dynamic Measures ◽  
The Cost ◽  
The Impact ◽  
The Relationship

Current estimates of obesity costs ignore the impact of future weight loss and gain, and may either over or underestimate economic consequences of weight loss. In light of this, I construct static and dynamic measures of medical costs associated with body mass index (BMI), to be balanced against the cost of one-time interventions. This study finds that ignoring the implications of weight loss and gain over time overstates the medical-cost savings of such interventions by an order of magnitude. When the relationship between spending and age is allowed to vary, weight-loss attempts appear to be cost-effective starting and ending with middle age. Some interventions recently proven to decrease weight may also be cost-effective.

scholarly journals Cost-effectiveness and feasibility of conditional economic incentives and motivational interviewing to improve HIV health outcomes of adolescents living with HIV in Anambra State, Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Obinna Ikechukwu Ekwunife ◽  
Chinelo Janefrances Ofomata ◽  
Charles Ebuka Okafor ◽  
Maureen Ugonwa Anetoh ◽  
Stephen Okorafor Kalu ◽  
...  
Keyword(s):  
Viral Load ◽  
Cost Effectiveness ◽  
Service Delivery ◽  
Motivational Interviewing ◽  
Cost Effective ◽  
Economic Incentives ◽  
Additional Patient ◽  
Incentive Scheme ◽  
The Cost ◽  
The Impact

Abstract Background In sub-Saharan Africa, there is increasing mortality and morbidity of adolescents due to poor linkage, retention in HIV care and adherence to antiretroviral therapy (ART). This is a result of limited adolescent-centred service delivery interventions. This cost-effectiveness and feasibility study were piggybacked on a cluster-randomized trial that assessed the impact of an adolescent-centred service delivery intervention. The service delivery intervention examined the impact of an incentive scheme consisting of conditional economic incentives and motivational interviewing on the health outcomes of adolescents living with HIV in Nigeria. Method A cost-effectiveness analysis from the healthcare provider’s perspective was performed to assess the cost per additional patient achieving undetected viral load through the proposed intervention. The cost-effectiveness of the incentive scheme over routine care was estimated using the incremental cost-effectiveness ratio (ICER), expressed as cost/patient who achieved an undetectable viral load. We performed a univariate sensitivity analysis to examine the effect of key parameters on the ICER. An in-depth interview was conducted on the healthcare personnel in the intervention arm to explore the feasibility of implementing the service delivery intervention in HIV treatment hospitals in Nigeria. Result The ICER of the Incentive Scheme intervention compared to routine care was US$1419 per additional patient with undetectable viral load. Going by the cost-effectiveness threshold of US$1137 per quality-adjusted life-years suggested by Woods et al., 2016, the intervention was not cost-effective. The sensitivity test showed that the intervention will be cost-effective if the frequency of CD4 count and viral load tests are reduced from quarterly to triannually. Healthcare professionals reported that patients’ acceptance of the intervention was very high. Conclusion The conditional economic incentives and motivational interviewing was not cost-effective, but can become cost-effective if the frequency of HIV quality of life indicator tests are performed 1–3 times per annum. Patients’ acceptance of the intervention was very high. However, healthcare professionals believed that sustaining the intervention may be difficult unless factors such as government commitment and healthcare provider diligence are duly addressed. Trial registration This trial is registered in the WHO International Clinical Trials Registry through the WHO International Registry Network (PACTR201806003040425).

scholarly journals Addition of Flucytosine to Fluconazole for the Treatment of Cryptococcal Meningitis in Africa: A Multicountry Cost-effectiveness Analysis

2019 ◽  
Vol 70 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Tinevimbo Shiri ◽  
Angela Loyse ◽  
Lawrence Mwenge ◽  
Tao Chen ◽  
Shabir Lakhi ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Cost Effectiveness ◽  
Cryptococcal Meningitis ◽  
Cost Effective ◽  
Immunodeficiency Virus ◽  
The Mean ◽  
The Cost ◽  
The Impact ◽  
Costing Analysis ◽  
Very High

Abstract Background Mortality from cryptococcal meningitis remains very high in Africa. In the Advancing Cryptococcal Meningitis Treatment for Africa (ACTA) trial, 2 weeks of fluconazole (FLU) plus flucytosine (5FC) was as effective and less costly than 2 weeks of amphotericin-based regimens. However, many African settings treat with FLU monotherapy, and the cost-effectiveness of adding 5FC to FLU is uncertain. Methods The effectiveness and costs of FLU+5FC were taken from ACTA, which included a costing analysis at the Zambian site. The effectiveness of FLU was derived from cohorts of consecutively enrolled patients, managed in respects other than drug therapy, as were participants in ACTA. FLU costs were derived from costs of FLU+5FC in ACTA, by subtracting 5FC drug and monitoring costs. The cost-effectiveness of FLU+5FC vs FLU alone was measured as the incremental cost-effectiveness ratio (ICER). A probabilistic sensitivity analysis assessed uncertainties and a bivariate deterministic sensitivity analysis examined the impact of varying mortality and 5FC drug costs on the ICER. Results The mean costs per patient were US $847 (95% confidence interval [CI] $776–927) for FLU+5FC, and US $628 (95% CI $557–709) for FLU. The 10-week mortality rate was 35.1% (95% CI 28.9–41.7%) with FLU+5FC and 53.8% (95% CI 43.1–64.1%) with FLU. At the current 5FC price of US $1.30 per 500 mg tablet, the ICER of 5FC+FLU versus FLU alone was US $65 (95% CI $28–208) per life-year saved. Reducing the 5FC cost to between US $0.80 and US $0.40 per 500 mg resulted in an ICER between US $44 and US $28 per life-year saved. Conclusions The addition of 5FC to FLU is cost-effective for cryptococcal meningitis treatment in Africa and, if made available widely, could substantially reduce mortality rates among human immunodeficiency virus–infected persons in Africa.

Rural Intelligent Transportation System for Snow Avalanche Detection and Warning

2000 ◽  
Vol 1700 (1) ◽  
pp. 17-23
Author(s):  
Robert Rice ◽  
Rand Decker ◽  
Newel Jensen ◽  
Ralph Patterson ◽  
Stanford Singer
Keyword(s):  
Real Time ◽  
Traffic Control ◽  
Intelligent Transportation System ◽  
Cost Effective ◽  
Warning Systems ◽  
Rural Highways ◽  
Winter Maintenance ◽  
Hazard Reduction ◽  
Maintenance Personnel ◽  
Remaining Time

The growth of winter travel on alpine roads in the western United States, a result of the demand for reliable winter access, has increased the hazard to motorists and highway maintenance personnel from snow avalanches. Configurations are presented for systems that can detect and provide, in real time, warnings to motorists and highway maintainers of roadway avalanches. These warnings include on-site traffic control signing, in-vehicle audio alarms for winter maintenance vehicles, and notifying maintenance facilities or centralized agency dispatchers. These avalanche detection and warning systems can detect an existing avalanche and use the avalanche’s remaining time of descent to initiate on-site alarms. Alternatively, real-time knowledge and notification of the onset of avalanching may be used to proactively manage the evolving hazard over an affected length or corridor of highway. These corridors can be several tens of kilometers in length and may be very remote, low-volume rural highways. As a consequence, these detection and warning systems must be cost-effective alternatives to existing avalanche hazard reduction technology. Results and experiences from the winters of 1997–1998 and 1998–1999 are presented, along with recommendations and criteria for future deployment of these automated natural hazard reduction systems for rural transportation corridors.

scholarly journals The Impact of Digital Transformation for Social Enterprise

2019 ◽  
Author(s):  
reine yolite
Keyword(s):  
Real Time ◽  
Inventory Management ◽  
Cost Effective ◽  
Digital Transformation ◽  
Social Enterprises ◽  
Business Decisions ◽  
Social Media Networks ◽  
Customer Expectation ◽  
Time Interaction ◽  
The Impact

Nowadays most people remain connected via social media networks. This is a highly lucrative and expansive market for social enterprises to penetrate and evaluate the buying patterns of customers so that they can provide customized user experiences. Digital transformation provides countless advantages and options, including improved inventory management, detailed insights, enhanced real-time customer interaction, higher productivity, reliable forecasting, dependable business decisions, improved resourced allocation, and real time interaction with customers. This sort of technology and innovation, when coupled with digital business, lends support to the digital transformation of a company, providing it with the requisite degree of competitive advantage. Digital transformation helps businesses meet the demands of the changing digital economy. Also with the help of digital transformation, companies are finally able to go paperless. So with lots of this social enterprises in Asia that use or participant in digital transformation it can help them to meet customer expectation soon, and digital transformation is cost effective when social enterprises profits, the community or the society profits.

scholarly journals The impact of online marketing on start-up’s - theoritical frame work

2021 ◽  
Vol 11 (3) ◽  
pp. 55-57
Author(s):  
Rani C ◽  
Harshavardhan V ◽  
Harshith G
Keyword(s):  
21St Century ◽  
Small Businesses ◽  
Cost Effective ◽  
Online Marketing ◽  
Positive Side ◽  
Frame Work ◽  
The Cost ◽  
Start Ups ◽  
The Impact ◽  
The Way

In the 21st century online marketing is the most effective wayof advertising any product or service.Online marketing helps the smallbusinesses and also startup’sin a significant manner.online marketing happens in a virtual and interactive space where the promotion of products and services takes place. The advancement in technology has drastically changed the way of marketing. In online marketing the cost-effective compared to the traditional marketing. Most of the startup’s fail due to a lack of proper strategy.Onlinemarketing is innovativelycreating a platform for start-ups in innovative manner to reach the customers the main motto of this presentation is to show the positive side of the online marketing on start-ups and small businesses.

Smart Healthcare

2018 ◽  
pp. 21-33
Author(s):  
R. Rajkumar
Keyword(s):  
Internet Of Things ◽  
Real Time ◽  
Cost Effective ◽  
Reliable System ◽  
Smart Healthcare ◽  
Cloud Server ◽  
Android App ◽  
The Cost ◽  
Very High ◽  
At Home

Internet of things is a revolutionary domain, when we use it for the wellness of people in a smart way. As of now, the cost to implement IoT-enabled services is very high. So, this chapter introduces a cost effective and a reliable system to monitor patients at home and in hospitals with the help of IoT. The monitored details of a person can be drawn at any time with the help of an android app, which can produce output at real-time. The processed data are stored in the UBIDOTS cloud server, and the patients' needs can be met in time as well lives saved during critical cases with the help of the system proposed in this chapter.

scholarly journals A Cost-Effectiveness Analysis of Newborn Screening for Severe Combined Immunodeficiency in the UK

2019 ◽  
Vol 5 (3) ◽  
pp. 28 ◽  
Author(s):  
Alice Bessey ◽  
James Chilcott ◽  
Joanna Leaviss ◽  
Carmen de la Cruz ◽  
Ruth Wong
Keyword(s):  
Cost Effectiveness ◽  
Severe Combined Immunodeficiency ◽  
Cost Effective ◽  
Sensitivity Analyses ◽  
Combined Immunodeficiency ◽  
Tree Model ◽  
Life Years ◽  
The Uk ◽  
The Cost ◽  
The Impact

Severe combined immunodeficiency (SCID) can be detected through newborn bloodspot screening. In the UK, the National Screening Committee (NSC) requires screening programmes to be cost-effective at standard UK thresholds. To assess the cost-effectiveness of SCID screening for the NSC, a decision-tree model with lifetable estimates of outcomes was built. Model structure and parameterisation were informed by systematic review and expert clinical judgment. A public service perspective was used and lifetime costs and quality-adjusted life years (QALYs) were discounted at 3.5%. Probabilistic, one-way sensitivity analyses and an exploratory disbenefit analysis for the identification of non-SCID patients were conducted. Screening for SCID was estimated to result in an incremental cost-effectiveness ratio (ICER) of £18,222 with a reduction in SCID mortality from 8.1 (5–12) to 1.7 (0.6–4.0) cases per year of screening. Results were sensitive to a number of parameters, including the cost of the screening test, the incidence of SCID and the disbenefit to the healthy at birth and false-positive cases. Screening for SCID is likely to be cost-effective at £20,000 per QALY, key uncertainties relate to the impact on false positives and the impact on the identification of children with non-SCID T Cell lymphopenia.

scholarly journals Cost–utility of sofosbuvir/velpatasvir versus other direct-acting antivirals for chronic hepatitis C genotype 1b infection in China

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e035224
Author(s):  
Haoya Yun ◽  
Guoqiang Zhao ◽  
Xiaojie Sun ◽  
Lizheng Shi
Keyword(s):  
Sensitivity Analysis ◽  
Hepatitis C ◽  
Cost Effective ◽  
Cost Utility ◽  
Direct Acting Antivirals ◽  
Lifetime Horizon ◽  
System Perspective ◽  
Direct Acting ◽  
The Cost ◽  
The Impact

ObjectiveThis study aimed to estimate the cost–utility of sofosbuvir/velpatasvir (SOF/VEL) compared with other direct-acting antivirals (DAAs) in Chinese patients with hepatitis C virus (HCV).DesignA Markov model was developed to estimate the disease progression of patients with HCV over a lifetime horizon from the healthcare system perspective. Efficacy, clinical inputs and utilities were derived from the published literature. Drug costs were from the market price survey, and health costs for Markov health states were sourced from a Chinese study. Costs and utilities were discounted at an annual rate of 5%. One-way and probabilistic sensitivity analyses were conducted to test the impact of input parameters on the results.InterventionsSOF/VEL was compared with sofosbuvir+ribavirin (SR), sofosbuvir+dasabuvir (SD), daclatasvir+asunaprevir (DCV/ASV), ombitasvir/paritaprevir/ritonavir+dasabuvir (3D) and elbasvir/grazoprevir (EBR/GZR).Primary and secondary outcomesCosts, quality-adjusted life years (QALYs) and incremental cost–utility ratios (ICURs).ResultsSOF/VEL was economically dominant over SR and SD. However, 3D was economically dominant compared with SOF/VEL. Compared with DCV/ASV, SOF/VEL was cost-effective with the ICUR of US$1522 per QALY. Compared with EBR/GZR, it was not cost-effective with the ICUR of US$369 627 per QALY. One-way sensitivity analysis demonstrated that reducing the cost of SOF/VEL to the lower value of CI resulted in dominance over EBR/GZR and 3D. Probabilistic sensitivity analysis demonstrated that 3D was cost-effective in 100% of iterations in patients with genotype (GT) 1b and SOF/VEL was not cost-effective.ConclusionsCompared with other oral DAA agents, SOF/VEL treatment was not the most cost-effectiveness option for patients with chronic HCV GT1b in China. Lower the price of SOF/VEL will make it cost-effective while simplifying treatment and achieving the goal of HCV elimination.

Aircraft Turbine Engine Emissions and the Possibilities for Control

1972 ◽  
Author(s):  
Charles Gray ◽  
G. D. Kittredge
Keyword(s):  
Air Quality ◽  
Environmental Protection Agency ◽  
Cost Effective ◽  
Technology Study ◽  
Aircraft Emissions ◽  
Engine Emissions ◽  
Turbine Engine ◽  
Time Requirements ◽  
The Cost ◽  
The Impact

The Environmental Protection Agency has completed a study of the impact of aircraft emissions on air quality and a study of the technological feasibility of controlling aircraft emissions including an analysis of the cost and time requirements of the various control approaches. The air quality study has determined the need for aircraft emission standards, and the control technology study has determined that control is feasible and cost effective given adequate development time.

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