The Role of Economic Evaluation in Dissemination and Implementation Research

Author(s):  
Ramesh Raghavan

This chapter presents an overview of how D&I research can be evaluated from an economic point of view. Dissemination and implementation imposes costs upon knowledge purveyors, provider organizations, public health organizations, and payers (including governments). However, whether these added costs will result in improved service delivery and, perhaps more importantly, client outcomes and improvements in population health remain as open questions. If emerging studies reveal that defined implementation strategies are more cost effective than “usual” implementation, then policymakers and service providers will need to resource these added costs of implementation in order to assure the success and sustainability of high-quality health services over the long term.

Author(s):  
Ana A. Baumann ◽  
Leopoldo J. Cabassa ◽  
Shannon Wiltsey Stirman

This chapter focuses on adaptations in the context of dissemination and implementation research and practice. Consistent with the existing literature, the authors recommend that adaptations be proactively and iteratively determined, strongly informed by a variety of stakeholders, and that efforts be made to carefully describe and document the nature of the adaptations and evaluate their impact on desired service, health, and implementation outcomes. While this chapter focuses on adaptations to interventions and the context of practice, the authors also note that adaptations may need to be made to implementation strategies. Following the call by Proctor and colleagues for further precision in defining and operationalizing implementation strategies, and based on evidence that scholars are not necessarily reporting what and how they are adapting the interventions, scholars are urged to define and evaluate the adaptations they are making not only to the interventions and context of practice but also to the implementation strategies.


Energies ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 1063
Author(s):  
Catalina Hernández Moris ◽  
Maria Teresa Cerda Guevara ◽  
Alois Salmon ◽  
Alvaro Lorca

The energy sector in Chile demands a significant increase in renewable energy sources in the near future, and concentrated solar power (CSP) technologies are becoming increasingly competitive as compared to natural gas plants. Motivated by this, this paper presents a comparison between solar technologies such as hybrid plants and natural gas-based thermal technologies, as both technologies share several characteristics that are comparable and beneficial for the power grid. This comparison is made from an economic point of view using the Levelized Cost of Energy (LCOE) metric and in terms of the systemic benefits related to flexibility, which is very much required due to the current decarbonization scenario of Chile’s energy matrix. The results show that the LCOE of the four hybrid plant models studied is lower than the LCOE of the gas plant. A solar hybrid plant configuration composed of a photovoltaic and solar tower plant (STP) with 13 h of storage and without generation restrictions has an LCOE 53 USD/MWh, while the natural gas technology evaluated with an 85% plant factor and a variable fuel cost of 2.0 USD/MMBtu has an LCOE of 86 USD/MWh. Thus, solar hybrid plants under a particular set of conditions are shown to be more cost-effective than their closest competitor for the Chilean grid while still providing significant dispatchability and flexibility.


2021 ◽  
Vol 152 (6) ◽  
pp. 134-142
Author(s):  
Aleksandr Yu. Mishin ◽  

One of the key ones and most cost-effective technology from an economic point of view for the real sector is the Internet of Things (IoT) technology, which is usually provided in the form of Internet of Things (IoT) platforms, still does not have its own framework for assessing its economic efficiency. The author proposes a methodological approach based on a combination of classical methods of investment analysis and an architectural approach. From the information point of view the scientific work is based on cost-effectiveness studies of IoT projects, domestic and foreign scientific publications, IT cases and research on taxonomy of IoT platforms. The proposed approach may serve as the basis both for preparation of financial business cases and for facilitating the development of tools for objective assessment of the project initiatives attractiveness as part of implementation of the state digital development programs in Russia.


2021 ◽  
Vol 5 (3) ◽  
pp. 97
Author(s):  
Alessandro M. Ralls ◽  
Ashish K. Kasar ◽  
Pradeep L. Menezes

The eventual material degradation of steel components in bio-implant, marine, and high-temperature applications is a critical issue that can have widespread negative ramifications from a safety and economic point of view. Stemming from their tribological, corrosion, and erosion-based properties, there is an increasing need to address these issues effectively. As one solution, surface processing techniques have been proposed to improve these properties. However, common techniques tend to suffer from issues spanning from their practicality to their high costs and negative environmental impacts. To address these issues, friction-stir-processing (FSP) has been one technique that has been increasingly utilized due to its cost effective, non-polluting nature. By inducing large amounts of strain and plastic deformation, dynamic recrystallization occurs which can largely influence the tribological, corrosion, and erosion properties via surface hardening, grain refinement, and improvement to passive layer formation. This review aims to accumulate the current knowledge of steel FSP and to breakdown the key factors which enable its metallurgical improvement. Having this understanding, a thorough analysis of these processing variables in relation to their tribological, corrosion, and erosion properties is presented. We finally then prospect future directions for this research with suggestions on how this research can continue to expand.


2022 ◽  
pp. 196-207
Author(s):  
Barbara Bolechová ◽  
Branislav Kršák ◽  
Csaba Sidor ◽  
Ľubomír Štrba

The purpose of the study. The main goal of the study is to determine the most effective solutions for the development of cave tourism and medical tourism, as well as the standard of living and infrastructure of the region, based on the used literature and the questionnaire research on tourism development. Applied methods. The study starts with information about the natural and geological heritage found in the Domica region in Slovakia. It continues with the discovery, construction and characterization of the most significant caves from a tourist and economic point of view. Following the professional characterization, the questionnaire research developed and evaluated in the last stage of the study analyzes the possibility of the development of cave tourism and health tourism in the immediate vicinity of the Domica Cave based on the opinions, remarks and experiences of the service providers in the area. Outcomes. Caves are called natural underground cavities that have formed as a result of geomorphological and geophysical processes under different natural conditions. The caves in the karst are dissolved or are created by the weathering of the bedrock, while after the leakage of gases, caves form as cavities in the volcanic rocks. Few countries have as many different underground karst formations as Slovakia, with 7,014 known caves, of which only 18 can be visited. Discovering these underground wonders is a new challenge for hikers. Interest in caves peaked in the 20th century, when the desire to return to nature and improve the health of patients with respiratory diseases (speleotherapy) became the leading motivation. Today, caves are most often used for recreation. Nevertheless, within geotourism a popular way to explore caves is caving and the associated extreme or less extreme sports that only came to the fore in the 21st century. The results of the research of this study are sufficient evidence that the region is suitable for the development of cave tourism and medical tourism, for which the most obvious solution is to create an international geopark.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Oluwatoyosi B. A. Owoeye ◽  
Mitchell J. VanderWey ◽  
Ian Pike

Abstract Soccer is the most popular sport in the world. Expectedly, the incidence of soccer-related injuries is high and these injuries exert a significant burden on individuals and families, including health and financial burdens, and on the socioeconomic and healthcare systems. Using established injury prevention frameworks, we present a concise synthesis of the most recent scientific evidence regarding injury rates, characteristics, mechanisms, risk and protective factors, interventions for prevention, and implementation of interventions in soccer. In this umbrella review, we elucidate the most recent available evidence gleaned primarily from systematic reviews and meta-analyses. Further, we express the exigent need to move current soccer injury prevention research evidence into action for improved player outcomes and widespread impact through increased attention to dissemination and implementation research. Additionally, we highlight the importance of an enabling context and effective implementation strategies for the successful integration of evidence-based injury prevention programs into real-world soccer settings. This narrative umbrella review provides guidance to inform future research, practice, and policy towards reducing injuries among soccer players.


Energies ◽  
2018 ◽  
Vol 11 (9) ◽  
pp. 2477 ◽  
Author(s):  
Giuseppe Toscano ◽  
Vincenzo Alfano ◽  
Antonio Scarfone ◽  
Luigi Pari

The goal of this work was to test a patented pruning harvester and a mobile pelleting system specifically designed for the vineyard agripellet chain. Biomass was characterized before and after storage and after the pelleting stage. The performance, the fuel consumption, and the work quality of the harvester were assessed together with the productivity and the power consumption of the mobile pelleting system. Production costs of pellet were estimated for the whole logistic chain, considering two scenarios: Storage and pelleting directly at the farm site or at a dedicated location at variable distance from the fields. For comparison, the direct production of chips without pelleting was considered. Results indicate that harvester performance was quite good and comparable with commercial solutions; the chips produced exhibited excellent storage performance, allowing direct pelleting without forced drying; the pellet quality was good comparable with that produced from forestry biomass. From an economic point of view, in-field pelleting was the most cost-effective solution, with a good margin of profit up to 57€ t−1; on the other hand, when transport to an intermediate storage center is necessary, profit margin reduces gradually and fades off at an average 50 km distance from the fields.


2018 ◽  
Vol 5 (1) ◽  
pp. e000273 ◽  
Author(s):  
David Baldwin ◽  
Matthew Callister ◽  
Ahsan Akram ◽  
Paul Cane ◽  
Jeanette Draffan ◽  
...  

IntroductionThe purpose of the quality standards document is to provide healthcare professionals, commissioners, service providers and patients with a guide to standards of care that should be met for the investigation and management of pulmonary nodules in the UK, together with measurable markers of good practice.MethodsDevelopment of British Thoracic Society (BTS) Quality Standards follows the BTS process of quality standard production based on the National Institute for Health and Care Excellence process manual for the development of quality standards.Results7 quality statements have been developed, each describing a key marker of high-quality, cost-effective care for the investigation and management of pulmonary nodules, and each statement is supported by quality measures that aim to improve the structure, process and outcomes of healthcare.DiscussionBTS Quality Standards for the investigation and management of pulmonary nodules form a key part of the range of supporting materials that the Society produces to assist in the dissemination and implementation of guideline recommendations.


Author(s):  
Enola Proctor

Implementation research seeks to inform how to deliver evidence-based interventions, programs, and policies in real-world settings so their benefits can be realized and sustained. The ultimate aim of implementation research is building a base of evidence about the most effective processes and strategies for improving service delivery. Implementation research builds upon effectiveness research and then seeks to discover how to use specific implementation strategies and move those interventions into specific settings, extending their availability, reach, and benefits to clients and communities. This entry provides an overview of implementation research as a component of research translation and defines key terms, including implementation outcomes and implementation strategies, as well as an overview of guiding theories and models and methodological issues including variable measurement, research design, and stakeholder engagement.


2019 ◽  
Vol 70 (1) ◽  
pp. 7-18 ◽  
Author(s):  
Michal Dobrzynski ◽  
Kazimierz A. Orlowski ◽  
Michal Biskup

The quality of the surface of wooden elements, that have been planed, has a crucial importance in the whole production process, since the obtained effects affect the quality of wooden surface after finishing (painting). The occurrence of defects is usually the reason for qualifying a workpiece as scrap or for requiring additional work. This paper presents the selected results of research of the effect of the cutting tool wear on the surface quality of elements after planing. Research experiments were conducted on the SCM Superset Class machine tool. Glulam elements of pine wood (Pinus sylvestris L.) were researched. The raw material samples (semi-finished products), 6 m long before planing, had been machined by suppliers also by planing. These workpieces were selected according to the plant requirements, e.g. their moisture content, straightness, and other defects. This paper presents the measuring results of surface roughness and some examples of surface profiles, as well as the dependence of total length of the planed elements on the type of blade material. From an economic point of view, the results showed that the use of solid carbide blades were more cost effective.


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