Extensions to the Cost Progress Model: An Analysis of Factors Influencing Unit Cost of Weapon Systems

1996 ◽  
Vol 13 (1) ◽  
pp. 1-34
Author(s):  
O. Douglas Moses
2021 ◽  
pp. 1357633X2098277
Author(s):  
Molly Jacobs ◽  
Patrick M Briley ◽  
Heather Harris Wright ◽  
Charles Ellis

Introduction Few studies have reported information related to the cost-effectiveness of traditional face-to-face treatments for aphasia. The emergence and demand for telepractice approaches to aphasia treatment has resulted in an urgent need to understand the costs and cost-benefits of this approach. Methods Eighteen stroke survivors with aphasia completed community-based aphasia telerehabilitation treatment, utilizing the Language-Oriented Treatment (LOT) delivered via Webex videoconferencing program. Marginal benefits to treatment were calculated as the change in Western Aphasia Battery-Revised (WAB-R) score pre- and post-treatment and marginal cost of treatment was calculated as the relationship between change in WAB-R aphasia quotient (AQ) and the average cost per treatment. Controlling for demographic variables, Bayesian estimation evaluated the primary contributors to WAB-R change and assessed cost-effectiveness of treatment by aphasia type. Results Thirteen out of 18 participants experienced significant improvement in WAB-R AQ following telerehabilitation delivered therapy. Compared to anomic aphasia (reference group), those with conduction aphasia had relatively similar levels of improvement whereas those with Broca’s aphasia had smaller improvement. Those with global aphasia had the largest improvement. Each one-point of improvement cost between US$89 and US$864 for those who improved (mean = US$200) depending on aphasia type/severity. Discussion Individuals with severe aphasia may have the greatest gains per unit cost from treatment. Both improvement magnitude and the cost per unit of improvement were driven by aphasia type, severity and race. Economies of scale to aphasia treatment–cost may be minimized by treating a variety of types of aphasia at various levels of severity.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shwe Sin Kyaw ◽  
Gilles Delmas ◽  
Tom L. Drake ◽  
Olivier Celhay ◽  
Wirichada Pan-ngum ◽  
...  

Abstract Background Mass drug administration (MDA) has received growing interest to accelerate the elimination of multi-drug resistant malaria in the Greater Mekong Subregion. Targeted MDA, sometimes referred to as focal MDA, is the practice of delivering MDA to high incidence subpopulations only, rather than the entire population. The potential effectiveness of delivering targeted MDA was demonstrated in a recent intervention in Kayin State, Myanmar. Policymakers and funders need to know what resources are required if MDA, targeted or otherwise, is to be included in elimination packages beyond existing malaria interventions. This study aims to estimate the programmatic cost and the unit cost of targeted MDA in Kayin State, Myanmar. Methods We used financial data from a malaria elimination initiative, conducted in Kayin State, to estimate the programmatic costs of the targeted MDA component using a micro-costing approach. Three activities (community engagement, identification of villages for targeted MDA, and conducting mass treatment in target villages) were evaluated. We then estimated the programmatic costs of implementing targeted MDA to support P. falciparum malaria elimination in Kayin State. A costing tool was developed to aid future analyses. Results The cost of delivering targeted MDA within an integrated malaria elimination initiative in eastern Kayin State was approximately US$ 910,000. The cost per person reached, distributed among those in targeted and non-targeted villages, for the MDA component was US$ 2.5. Conclusion This cost analysis can assist policymakers in determining the resources required to clear malaria parasite reservoirs. The analysis demonstrated the value of using financial data from research activities to predict programmatic implementation costs of targeting MDA to different numbers of target villages.


2021 ◽  
Vol 7 (1) ◽  
pp. 167-173
Author(s):  
Kelvin Riupassa ◽  
Narizma Nova ◽  
Endah Lestari ◽  
Sri Juniarti Azis ◽  
Wahyu Sulistiadi

Background: An ambulance is a vehicle designed to be able to handle emergency patients, provide first aid and carry out intensive care while on the way to a referral hospital. Ambulance operations require a large amount of funds obtained from APBD funds through tariffs that were passed through the DKI Jakarta Governor Regulation five years ago. For this reason, a new tariff is required to adjust to current conditions. Objectives: The purpose of this study is to calculate the unit cost of ambulance services in DKI Jakarta to be a consideration in the tariff setting policy in DKI Jakarta province. Research Metodes: This study uses a quantitative descriptive approach to obtain information about the unit cost of the Jakarta ambulance production unit. The method used is the calculation of real cost using the basis of the causes of costs. This research was conducted at the DKI Jakarta Emergency Ambulance using secondary data on investment costs, operational costs and maintenance costs in 2018. Results: The total cost of emergency ambulance in 2018 is known that the proportion of three cost components, namely operational costs, is 76%, followed by investment costs of 20% and maintenance costs of 3%. The calculation of the total cost of medical evacuation using the double distribution method is Rp. 98,915,016,805.00 divided by the number of medical evacuations in 2018 of 37,564 activities, the unit cost of medical evacuation for the AGD of DKI Jakarta Health Office is Rp. 2,633,215.00 without subsidies. APBD costs, while if the subsidy component is included in the calculation, the unit cost for one trip to the AGD of the Health Office is Rp. 604,071.00. This is still far above the current tariff of Rp. 450.00, so the cost recovery rate (CRR) is still below. 100%. Conclusion: From the three cost components consisting of investment, operational and maintenance costs,the largest proportion was operational costs at 76%. The Cost Recovery Rate has not reached 100% so that the existing rates have not covered the costs incurred.   Keywords: ambulance; price fixing; unit cost


2014 ◽  
Author(s):  
M. Harbison ◽  
W. Koon ◽  
V. Smith ◽  
P. Haymon ◽  
D. Niole ◽  
...  

As a result of enhanced performance and mission requirements for Navy ships, ship design has dramatically increased the use of higher strength, lightweight steels and various local reinforcements, e.g., deck inserts, ring stiffeners, etc., in foundation designs to satisfy the design requirements for supporting machinery, consoles, and weapon systems among others. In additional to operational loading requirements, most of these foundations must also be designed to satisfy shock, vibration and other combat system requirements. While the same piece of equipment may be used in other ship contracts, the foundations are uniquely designed and require a separate analysis and drawing package. Computer modeling and Finite Element Analysis (FEA) have helped reduce the labor required to analyze foundations, but the high number of “unique” foundations as well as changes which necessitate a new analysis still create a large workload for engineers. This is further compounded by increased costs in production due to greater numbers of unique parts and materials that must be marked, stored, and retrieved later for fabrication. This goal of this project was to determine the cost-savings potential of leveraging past foundations work in designing, analyzing, and drawing foundations in the future. By the project’s conclusion Ingalls will have created a database for rapid access to previously-generated foundation information, the framework of which will be publicly available for all shipyards to populate with their own foundation information.


2014 ◽  
Vol 48 (1) ◽  
pp. 104-109 ◽  
Author(s):  
Áquila Lopes Gouvêa ◽  
Antônio Fernandes Costa Lima

Quantitative research that aimed to identify the mean total cost (MTC) of connecting, maintaining and disconnecting patient-controlled analgesia pump (PCA) in the management of pain. The non-probabilistic sample corresponded to the observation of 81 procedures in 17 units of the Central Institute of the Clinics Hospital, Faculty of Medicine, University of Sao Paulo. We calculated the MTC multiplying by the time spent by nurses at a unit cost of direct labor, adding the cost of materials and medications/solutions. The MTC of connecting was R$ 107.91; maintenance R$ 110.55 and disconnecting R$ 4.94. The results found will subsidize discussions about the need to transfer money from the Unified Health System to hospitals units that perform this technique of analgesic therapy and it will contribute to the cost management aimed at making efficient and effective decision-making in the allocation of available resources.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Ahmad Jubaidi

The purpose of this study is to determine the effectiveness of KK, KTP, and AK services in Samarinda Kota sub district and its factors influencing the effectiveness of KK, KTP, AKservices.The research used field research method which gives an overview on the effectiveness of KK, KTP, and AK services in Samarinda Kota sub district. Data collection techniques use observation techniques, interviews, and media questionnaires by selecting informants who play a role and are involved technically and functionally in service delivery to the community. The data obtained are then analyzed qualitatively and supported by quantitative data.The results showed that service implementation in Samarinda Kota sub-district, especially in the field of population administration and civil registration is done in accordance with existing mechanism and regulation which have been determined by seeing some service indicator such as simplicity is in very safe category with 6.67% and certainty of service procedure and tariff cost are in accordance with the value of 88.33% and 70% respectively, the security and convenience of facilities and infrastructure are in safe and comfortable category with 65% and 73.33% respectively, openness about the ease of obtaining information and provisions services in the categories easy and explained if requested with the value of 71.67% and 63.33% respectively, economical about the cost of KK rates, ID cards, AK category Rp 10,000 - Rp 15,000, equitable fairness with a value of 60%, the timeliness is in category 1 - 2 days, and the efficiency is an exact category with a value of 80%.  And the factors that affect the service is the resources apparatus, facilities and infrastructure, and public awareness. Keywords: Effectiveness, Public Service


2019 ◽  
Vol 17 (2) ◽  
pp. 1-12
Author(s):  
O. O. KEHINDE ◽  
O. J. AWOYOMI ◽  
B. K. LAMIDI ◽  
F. A. BALOGUN ◽  
M. O. OLUFEHINTI ◽  
...  

This study was designed to evaluate the effects of different Marshal breed broiler on hatching egg weights on hatching characteristics and post-hatch performances; and also to compare the cost of production of hatchlings to table size. A total of 900 hatching eggs (HE) from 40 weeks old parent stock were sorted, graded and purposively grouped on weight basis into small (<50g), medium (50-65g) and large (>65g) sizes (3 groups). Each group was allotted 300 eggs and replicated thrice, with each replicate having 100 eggs in a complete randomised design before incubation for 21 days. Candling of incubated eggs was done on day 18 on group basis and numbers of fertile eggs noted. The chicks were individually weighed and counted to determine hatchability, hatchling weight and cost of production. Thereafter, hatched chicks were allotted into the respective groups and replicated to determine the post-hatch performance. Each replicate has 45 chicks, intensively raised and were fed ad libitum with broiler starter mash for the first 4 weeks of life and broiler finisher mash from 4-8 weeks. Data generated include feed intake, final weight, mortality; weight gain, feed conversion ratio and unit cost of production of chicken were calculated. The data were analyzed by GLM of SAS and Duncan’s multiple-range test was used to separate significance of differences among treatment means at 5% significance level. The medium HE had the best fertility (93.00%), hatchability (95.67%) and cost of producing a chick (N 90.07) when compared with the small and large HEs. The large HE has the best results in terms of, final weight and weight gain, while medium HE has the best FCR, lowest mortality and least cost of production, which are significant at p< 0.05. It is therefore recommended poultry breeders and hatchery operators should consider the use of medium weight (50-65g) HEs in their operations, so as to cut down the production cost.    


2020 ◽  
Vol 17 (5) ◽  
pp. 130-163
Author(s):  
O. V. Tarovik ◽  
O. M. Mudrova

Demand for low-tonnage transportation of LNG requires improved logistics. Assessing the value of all parts of the supply chain is an important component of solving the problem of optimizing transportation costs for both consumers and LNG suppliers. In connection with tightening of environmental requirements regarding bunker fuel, the task of optimizing the supply of LNG for water transport by the cost of transportation becomes particularly relevant.The objective of the study is to develop a universal approach to estimating the cost of transporting low-tonnage LNG for bunkering vessels in the Russian Federation.The research methodology is focused on the analytical method based on a system-structural approach.As part of the departmental project of the Russian Ministry of Industry and Trade «Development of  gaspowered fleet for navigation in coastal waters and inland waterways», the authors developed technical and economic models for calculating the unit cost of LNG transportation by road and water. To calculate the unit cost of LNG transportation by rail, the data of TMkarta information and reference system were used. Based on model calculations and data of TMkarta system, regression relations were obtained that allow one to determine the cost of transportation for various options of transport and technological schemes based on a limited set of parameters. An approach has also been proposed for estimating the cost of LNG transshipment. The regression ratios were tested for selected routes. As a result,conclusions were drawn about the most effective LNG transportation options.


1989 ◽  
Vol 19 (12) ◽  
pp. 1591-1597
Author(s):  
Margaret Penner

A method for incorporating variable costs and differing precision requirements into optimal design theory is developed and discussed. In many studies and experiments, particularly in the biological sciences, the cost of each observation can vary considerably depending on the attributes of the sample. Ignoring observation costs leads to designs that maximize precision for a given sample size. However, by incorporating costs, efficiency is maximized by optimizing precision per unit cost. An example is presented that demonstrates the efficiency of a weighted optimal design in comparison with several alternatives. The weighted optimal design is most efficient at meeting the experimenter's precision objectives. Comparing designs allows the introduction of additional criteria such as design flexibility into the evaluation process. Explicitly incorporating both cost and precision in the search for a sampling design ensures time is wisely spent considering study objectives, including precision requirements.


2016 ◽  
Vol 26 (1) ◽  
pp. 79
Author(s):  
. Soewatoen

Mojowarno Christian Hospital is an organization that is move in health services that produce multi-product, theratio of consumption of each product is different and significant indirect costs therefore needed to determine theservice tariff calculation of unit cost in the hospital with Activity Based Costing Method. The purpose of this studywas to determine the calculation of unit costs of care and outcomes of stroke patients fare calculation using theunit cost from Activity Based Costing method hospital compared with rates prevailing at the moment and ratesINA CBGs. This type of research is a qualitative case study. Based on calculations by the method of ActivityBased Costing obtained Unit Cost for Outpatient is Rp. 749.705, Unit Cost for Emergency Care Unit Mild Strokeis Rp 664.093;Medium Stroke Rp. 1.424.683, Severe Stroke Rp. 2.282.755,-. Unit Cost for Room type III MildStroke is Rp. 3.899.786, Medium Stroke Rp. 5.874.646, Severe Stroke Rp. 7.892.496; Unit Cost for Room type IIMild Stroke is Rp. 4.859.510, Medium Stroke Rp. 7.557.913, Severe Stroke Rp. 10.294.306; Unit Cost for Roomtype I Mild Stroke is Rp. 6.097.530, Medium Stroke Rp. 9.728.198, Severe Stroke Rp. 13.391.856; Unit Cost forVIP Room Mild Stroke is Rp. 10.953.150, Medium Stroke Rp. 18.240.533, Severe Stroke Rp. 25.540.906 ; UnitCost for High Care Unit Mild Stroke is Rp. 3.710.121, Medium Stroke Rp. 5.655.278, Severe StrokeRp. 9.477.309 and Unit Cost Intensive Care Unit Mild Stroke is Rp. 7.010.169, Medium Stroke Rp. 10.605.350,Severe Stroke Rp. 17.727.429,-.Each unit cost plus the cost of materials and direct labor costs, it can be seen thatthe cost of treatment of each disease severity have enough material price difference. It is because the higher theseverity of the disease makes the longer the treatment, the more use the service activities, and service facilities, itsmake the cost is higher. The comparison resoult showed that hospital rates prevailing at this time and the resultsof the calculation using the ABC method for stroke patients is higher than the rate of INA CBGs.


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