scholarly journals Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester

2021 ◽  
Vol 8 (1) ◽  
pp. e001105
Author(s):  
Matthew Evison ◽  
Julian Cox ◽  
Freya Howle ◽  
Kathryn Groom ◽  
Ryan Moore ◽  
...  

IntroductionTreating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for ‘The CURE Project’ pilot; a new hospital-based tobacco dependency service.MethodsA health economic analysis to understand the costs of the intervention (both for the inpatient service and postdischarge costs), the return on investment (ROI) and the cost per quality-adjusted life year (QALY) of the CURE Project pilot in Greater Manchester. ROI and cost per QALY were calculated using the European Study on Quantifying Utility of Investment in Protection from Tobacco and Greater Manchester Cost Benefit Analysis Tools.ResultsThe total intervention costs for the inpatient service in the 6-month CURE pilot were £96 224 with a cost per patient who smokes of £40.21. The estimated average cost per patient who was discharged on pharmacotherapy was £97.40. The cost per quit (22% quit rate for smokers at 12 weeks post discharge) was £475. The gross financial ROI ratio was £2.12 return per £1 invested with a payback period of 4 years. The cashable financial ROI ratio was £1.06 return per £1 invested with a payback period of 10 years. The public value ROI ratio was £30.49 per £1 invested. The cost per QALY for this programme was £487.DiscussionThe CURE Project pilot has been shown to be exceptionally cost-effective with highly significant ROI in this health economic analysis. This supports the NHS priority to embed high-quality tobacco addiction treatment services in acute NHS trusts, and the CURE Project provides a blueprint and framework to achieve this.

Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1297
Author(s):  
Juntae Kim ◽  
Hyo-Dong Han ◽  
Wang Yeol Lee ◽  
Collins Wakholi ◽  
Jayoung Lee ◽  
...  

Currently, the pork industry is incorporating in-line automation with the aim of increasing the slaughtered pork carcass throughput while monitoring quality and safety. In Korea, 21 parameters (such as back-fat thickness and carcass weight) are used for quality grading of pork carcasses. Recently, the VCS2000 system—an automatic meat yield grading machine system—was introduced to enhance grading efficiency and therefore increase pork carcass production. The VCS2000 system is able to predict pork carcass yield based on image analysis. This study also conducted an economic analysis of the system using a cost—benefit analysis. The subsection items of the cost-benefit analysis considered were net present value (NPV), internal rate of return (IRR), and benefit/cost ratio (BC ratio), and each method was verified through sensitivity analysis. For our analysis, the benefits were grouped into three categories: the benefits of reducing labor costs, the benefits of improving meat yield production, and the benefits of reducing pig feed consumption through optimization. The cost-benefit analysis of the system resulted in an NPV of approximately 615.6 million Korean won, an IRR of 13.52%, and a B/C ratio of 1.65.


2020 ◽  
Vol 47 (5) ◽  
pp. 630-649
Author(s):  
Eric Wilson ◽  
Phalguni Mukhopadhyaya ◽  
Kevin Pickwick ◽  
Terry Bergen

This research initiative attempts to determine, from real construction cost estimates, the cost challenge and expected payback period associated with building a high-performance residence in Victoria, BC. This was accomplished through: a simulated tendering process with local contractors, an energy analysis of a case-study residence (Part I of this research initiative), and an in-depth study into the variables governing time-to-amortization. The contractors provided quotes for an as-built “above code” residence (ACR), and a “minimum-code” residence (MCR) with the same floor plan (Note: The as-built above-code residence was not built or designed to any specific performance standard; however, it was found in Part I of this research initiative that when compared to the new BC Step code that it performed at a step 3 designation, bordering on step 4 performance). The results of the tendering process were then compared to the as-built construction costs of the residence. When compared to the MCR, it was found that the ACR has a cost challenge of approximately 22.5%, an energy advantage of 22.5 kWh/m2/year, and a payback period of over 79 years when a fuel inflation rate of 2% is considered. However, many of the components in the ACR assemblies were either for aesthetic appeal (metal-roofing), or comfort (floor-cavity insulation), and therefore it was possible to reduce the cost challenge to just 2.1%, while maintaining an energy advantage of 15 kWh/m2/year and step level 3 designation. This was dubbed the hybrid-residence as it employed a combination of above-code and minimum-code construction assemblies. Based on a simple mortgage increase calculation, it was found that the reduction in operational costs produced by the energy-efficiency measures for this residence services 87% of the mortgage increase taken on by the home buyer.


2007 ◽  
Vol 42 (2) ◽  
pp. 152-160 ◽  
Author(s):  
Eduardo Lopez ◽  
Roberto Debbag ◽  
Laurent Coudeville ◽  
Florence Baron-Papillon ◽  
Judith Armoni

2007 ◽  
pp. 70-84 ◽  
Author(s):  
E. Demidova

This article analyzes definitions and the role of hostile takeovers at the Russian and European markets for corporate control. It develops the methodology of assessing the efficiency of anti-takeover defenses adapted to the conditions of the Russian market. The paper uses the cost-benefit analysis, where the costs and benefits of the pre-bid and post-bid defenses are compared.


1999 ◽  
Vol 40 (10) ◽  
pp. 153-159 ◽  
Author(s):  
D. H. Newsome ◽  
C. D. Stephen

Many countries are investing in measures to improve surface water quality, but the investment programmes for so doing are increasingly becoming subject to cost-benefit analysis. Whilst the cost of control measures can usually be determined for individual improvement schemes, there are currently no established procedures for valuing the benefits attributable to improved surface water quality. The paper describes a methodology that has been derived that now makes this possible.


2009 ◽  
Vol 68 (10) ◽  
pp. 2479-2484 ◽  
Author(s):  
Jean-Charles Hourcade ◽  
Philippe Ambrosi ◽  
Patrice Dumas

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