scholarly journals Cost analysis of a coaching intervention to increase use of transradial percutaneous coronary intervention

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Kevin I. Duan ◽  
Christian D. Helfrich ◽  
Sunil V. Rao ◽  
Emily L. Neely ◽  
Christine A. Sulc ◽  
...  

Abstract Background The transradial approach (TRA) to cardiac catheterization is safer than the traditional transfemoral approach (TFA), with similar clinical effectiveness. However, adoption of TRA remains low, representing less than 50% of catheterization procedures in 2015. Peer coaching is one approach to facilitate implementation; however, the costs of this strategy for cardiac procedures such as TRA are unclear. Methods We conducted an activity-based costing analysis (ABC) of a multi-center, hybrid type III implementation trial of a coaching intervention designed to increase the use of TRA. We identified the key activities of the intervention and determined the personnel, resources, and time needed to complete each activity. The personnel cost per hour and the activity duration were then used to estimate the cost of each activity and the total variable cost of the implementation. Fixed costs related to designing and running the implementation were calculated separately. All costs are reported in 2019 constant US dollars. Results The total cost of the coaching intervention implementation was $374,863. Of the total cost, $367,752 were variable costs due to travel, preparatory work, in-person coaching, post-intervention evaluation, and administrative time. We estimated fixed costs of $7112. The mean marginal cost of implementing the intervention at only one additional medical center was $52,536. Conclusions We provide granular cost estimates of a conceptually rooted implementation strategy designed to increase the uptake of TRA for cardiac catheterization. We estimate that implementation costs stemming from the coaching approach would be offset after the conversion of approximately 409 to 1363 catheterizations from TFA to TRA. Our estimates provide benchmarks of the expected costs of implementing evidence-based, but expertise-intensive, cardiac procedures. Trial registration ISRCTN, ISRCTN66341299. Registered 7 July 2020—retrospectively registered

2019 ◽  
Vol 2 (1) ◽  
pp. 10-19
Author(s):  
Agus Jonikar Ndraha ◽  
Avan Joko Prasetyawan ◽  
Ida Kurnia Wati ◽  
Ilmia Cahyasari ◽  
Nafa Alya Shintya ◽  
...  

Abstrak Tahun demi tahun, persaingan bisnis tempe di wilayah Surabaya kian ketat. Oleh karena itu diperlukan sebuah studi untuk mengkaji kelayakan bisnis tersebut. Tujuan dari makalah ini adalah Sebagai acuan untuk mengetahui semua biaya produksi, pendapatan kotor dan pendapatan bersih usaha tempe serta kelayakan usaha tempe di Surabaya. Penelitian dilaksanakan di daerah Sukomanunggal dengan menggunakan metode surve. Hasil penelitian menunjukkan bahwa: Rata-rata biaya total sebesar Rp 2.144.590 yang dihasilkan dari penjumlahan biaya tetap rata-rata sebesar Rp 160.590 dengan biaya variabel rata-rata sebesar Rp 1.984.000. Laba bersih rata-rata sekitar Rp 955.410 dari pendapatan rata-rata sebesar Rp 3.100.000 dikurangi dengan semua pengeluaran Rp 2.144.590. Analisis kewajaran usaha adalah dengan menyusun pendapatan dan pengeluaran secara keseluruhan. Rata-rata semua pendapatan Rp 3.100.000 dan semua pengeluaran rata-rata sebesar Rp 2.144.590. Dengan rasio 1,45 usaha tempe murni ITA layak untuk dijalankan.  Kata Kunci : Biaya produksi, Pendapatan kotor, Pendapatan bersih, Kelayakan usaha   Abstract From year to year, Tempe business competition in the Surabaya area is getting tougher. Therefore a study is needed to study the feasibility of the business. The purpose of this paper is as a reference to find out all the production costs, gross income, and net income of tempe businesses and the feasibility of tempe businesses in Surabaya. The study was carried out in the Sukomanunggal area using a survey method. The results showed that: The average total cost of Rp 2,144,590 resulted from the sum of the average fixed costs of Rp 160,590 with an average variable cost of Rp 1,984,000. Net profit averaged around Rp. 955,410 from an average income of Rp. 3,100,000 minus all expenses of Rp. 2,144,590. The reasonableness of business analysis is to compile overall income and expenditure. The average income of all Rp 3,100,000 and all expenses averaged Rp 2,144,590. With a ratio of 1.45, pure ITA tempe business is feasible to run.  Keywords : Production costs, Gross income, Net income, Business feasibility


Author(s):  
M. H. Rahman ◽  
R. Sultana ◽  
M. M. A. Sarkar ◽  
S. Islam ◽  
M. A. K. Azad ◽  
...  

This papar examined the cost and revenue as well as impact of mutant rice on fourteen region of Bangladesh namely Mymensingh, Jashore, Cumilla, Bogura, Rajshahi, Sylhet, Dinajpur, Rangpur, Dhaka, Khulna, Chattagram, Rangamati, Barishal and Faridpur. A total of 560 farmers were randomly selected to fulfill the objectives where 280 farmers were mutant growers and 280 were non- mutant growers. A pre-designed interview schedule was used to collect the necessary data. Descriptive statistics, profit function and livelihood assets were used to analyzed the collected data. The study revealed that total variable cost of rice cultivation was BDT.40589 and BDT.43927 per hectare for mutant and non mutant, respectively which was around 71 percent of total cost of production. On an average, the total cost of production was BDT.59584 per hectare, where 29 percent was fixed costs and 71 percent was variable cost. For Binadhan-7 cultivation per hectare average net return was found highest in Dinajpur region i.e. BDT.70919 and the lowest in Jashore region i.e. BDT.33703. BCR on total cost basis was found 1.90 which was the highest in Sylhet 2.56 and the lowest 1.51 in Jashore region for Binadhan-7 production. In case of non-growers BCR on total cost basis was found 1.43 which was lower than Binadhan-7 production in the study areas indicating Binadhan-7 growers earn much than the non growers. The asset pentagon approach showed that there is a noteworthy increases in capitals of sampled farm households and the highest for financial capital that was 20.05 percent and the lowest was for natural capital i. e., 5.38 percent. Among the list of preferences, the highest was 88.93 percent for short duration and it was ranked I, the lowest was high yielding i.e. 81.43 percent which was ranked as V. Among the constraints, the highest constraint reported by the farmer was labour crisis as well as high price of labour i.e. 80.71 percent and it was ranked I and the lowest ranked V was lack of quality seed at proper time i.e. 48.93 percent in Binadhan-7 cultivation. Finally it is remarked that short duration high yielding variety Binadhan-7 plays a vital role in the monga mitigation of the northern areas of Bangladesh.


FLORESTA ◽  
2010 ◽  
Vol 40 (3) ◽  
Author(s):  
Mauro Itamar Murara Júnior ◽  
Márcio Pereira da Rocha ◽  
Romano Timofeiczyk Júnior

Este trabalho teve o objetivo de analisar a estrutura de custos de madeira serrada de Pinus taeda com duas metodologias de desdobro, denominadas de sistema convencional e sistema otimizado. Os diâmetros das toras variaram de 18 a 44 cm. Foram testadas 100 toras, sendo 50 toras divididas em cinco classes diamétricas para cada sistema de desdobro. Utilizando o sistema convencional de desdobro, verificou-se que os custos fixos representaram 12,03% do custo unitário de produção. Desses, os gastos com salários e encargos sociais foram os mais significativos, representando 9,22% do custo total unitário de produção, e por 76,61% dos custos fixos. O custo variável representou 87,97% do custo total unitário de produção, sendo que 84,64% foram relativos a aquisição de toras. Utilizando o sistema programado de desdobro das toras, a participação percentual do custo fixo aumentou para 14,87%, decorrente da queda ocorrida nos custos variáveis. A participação do custo variável unitário representou 85,13% do total dos custos unitários, apresentando uma redução de 3,23% em relação ao desdobro convencional. Com o desdobro programado, a redução no custo total foi de 5,12%.Palavras-chave: Pinus; classificação de toras; modelos de corte; otimização. AbstractIncome analysis costs in Pinus taeda sawn wood using two methodologies. This study aimed to examine the cost structure of Pinus taeda sawn wood using two methodologies of log sawing, called conventional and optimized systems. The logs diameter ranged from 18 to 44 cm. A total of 100 logs were tested, being 50 logs divided into five diameter classes for each sawing system tested. Using the conventional sawing method, the fixed costs accounted for 12.03% of the unit production cost. From these, wages and social charges accounted for 9.22% of the total unit production cost, and for 76.61% of the fixed costs. The variable cost represented 87.97% of the total unit production cost, and the logs acquisition accounted for 84.64% of the variable cost. Using the optimized sawing system, the percentage of fixed cost increased to 14.87%, due to the decrease in the variable costs. The participation of variable cost unit accounted for 85.13% of total the unit costs, showing a reduction of 3.23%, compared to the conventional sawing method. The reduction in the total cost using the optimized sawing method was 5.12%.Keywords: Pine; logs classification; sawn models; optimization.


2011 ◽  
Vol 68 (9) ◽  
pp. 1996-2004 ◽  
Author(s):  
Vicky W. Y. Lam ◽  
Ussif Rashid Sumaila ◽  
Andrew Dyck ◽  
Daniel Pauly ◽  
Reg Watson

Abstract Lam, V. W. Y., Sumaila, U. R., Dyck, A., Pauly, D., and Watson, R. 2011. Construction and first applications of a global cost of fishing database. – ICES Journal of Marine Science, 68: 1996–2004. The development of a new global database of fishing cost is described, and an overview of fishing cost patterns at national, regional, and global scales is provided. This fishing cost database provides economic information required for assessing the economics of fisheries at various scales. It covers variable and fixed costs of maritime countries, representing ∼98% of global landings in 2005. Linked to country and gear-type combinations, cost estimates can be mapped to a database of spatially allocated fisheries catches for future analysis in both spatial and temporal dimensions. The global average variable cost per tonne of catch in 2005 is estimated to range between US$639 and $1217, and the total cost per tonne from $763 to $1477, with mean values of $928 and $1120, respectively. The total global variable fishing cost is estimated to be in the range US$50–96 billion per year, with a mean of $73 billion per annum in 2005 dollar equivalents.


2019 ◽  
Vol 6 (3) ◽  
pp. 288
Author(s):  
Romidah Astuti ◽  
Wan Abbas Zakaria ◽  
Teguh Endaryanto

This study aims to analyze the cost structure and the income level of vegetable traders in Tamin Market Bandar Lampung City. This research is conducted in purposively chosen Tamin Market with the consideration that Tamin Market is a center of vegetable trade and the main market in Bandar Lampung City.  The data were collected in March 2017 and respondents were 15 vegetable traders who are willing to be interviewed, consisting of five stall traders, five los traders, and five street traders.  Data are analyzed descriptively using qualitative and quantitative of cost and income analysis. The result showed that the traders' business cost structure consists of fixed cost and variable cost.  The propotion of variable cost is higher than the fixed cost, which is 99 percent of total cost. Variable costs include plastic cost, vegetable purchase, transport, labor, and information.  And fixed costs include rent cost, electricity and market facility fees. The average income of stall traders is higher than the loser traders and the street traders. The average income of stall traders is Rp817,055.00 per day, los traders is Rp737,604.00 per day, and street traders is Rp183,455.00 per day.Key words: cost structure, the level of income, vegetable traders


The results revealed that the total cost incurred in the crop cultivation under polyhouse conditions was higher than open field conditions for all three crops. The share of the total variable cost was more than 65 percent for the three crops in each condition and was slightly higher under open field conditions, while the share of fixed costs was higher in the total cost of cultivation for the crops grown under polyhouse. On the other hand, returns obtained from polyhouse cultivation were observed more than the returns obtained from open field conditions. For all the crops, net returns were more than double when grown in polyhouses, which suggested a profitable situation for the crops grower under polyhouse. Returns per rupee were again higher for the cucumber, tomato, and chilli grown under polyhouse conditions with values 2.17, 2.12, and 2.21, respectively, than in open field conditions amounting to 2.11, 1.96, and 1.82 correspondingly. To reap these benefits associated with polyhouse cultivation, marginal and small farmers can go for cooperative farming. Regular training and extension services areto be made available to the young entrepreneurs and farmers to impart information about the technical know-how of the growing crops under protective technologies


2014 ◽  
Vol 4 (1) ◽  
pp. 239-245
Author(s):  
Rum Van Royensyah ◽  
Sundariah Sundariah

       Integrated processing of cassava in the household scale cassava chips industry is an effort to optimize each stage of cassava processing and the utilization of by-products arising from the industry to increase the added value of cassava. Cassava is one of the commodities that are often found in rural areas such as in Kasarangan Village, this study aims to determine the size (i) of production costs (ii) revenue (iii) benefits and (iv) business feasibility of cassava chips household business in Kasarangan Village, Labuan Amas District, North, Hulu Sungai Tengah Regency. The results of this study indicate that the business of home industries of cassava chips that were cultivated by entrepreneurs / respondents in this study, the average total cost reached Rp. 22,820,286.00. Average fixed costs reach Rp. 2,228,649.00 / month and the average variable cost reaches Rp. 20,591,636.00 / month. The average revenue is Rp. 54,000,000.00 / month, with an average profit reaching Rp. 31,179,714.00 / month. Based on the data presented, the cassava chips household industry in Kasarangan Village, Labuan Amas District, Hulu Sungai Tengah Regency. With the average RCR value of the business reaching 2.37, it is worth trying


Author(s):  
Bambang Sumantri ◽  
Agus Purwoko ◽  
. Sriyoto

The aim of this study was to assess the performance of the business of  dried fish processor were approached by the amount of income and the value of the economic efficiency of the business.  The study was conducted in the city of Bengkulu in March to June 2015 by surveying 55dried fish processorpurposively.  Data were analyzed descriptively that utilizes primary data and analyzed by income value approach and economic efficiency.  The results showed total revenue the business of making dried fish Rp 2,312,925.00 or receiving one year is Rp.92.517.019, 00.   Total variable costs are devoted to produce dried fish amounted to 99.50%, while total fixed costs amounted to only 0.5%.    99,50 % from the variable cost are  46.17%   used for the purchase of raw materials and 35% to buy ice cubes, while the fixed costs only Rp. 9819.95, or 0.50% of the total costs.  Overall the total cost of the production process of making the effort to dry in the study area is Rp. 2,000,178.35 every  week . If taken into account in cash the business of making dried fish in a week will earn a revenue of Rp 312,747.12 or if calculated with non-cash expenses, the revenues of Rp.626.055,25 every week.   If the business activities run continuously, then in a month of dried fish making business will generate income of Rp.2.504.221,00. Efficient economic level (R / C) at 1.15.  This measurement shows that this business has a relatively good performance for relatively efficient. Keywords: dried fish, Income, efficiency


2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Febry Nugroho ◽  
Jamalludin Jamalludin ◽  
Elfi Indrawanis

Penelitian ini dilakukan di Desa Samber Datar Kecamatan Singingi Kabupaten Kuantan Singingi, Penelitian ini bertujuan untuk mengetahui besarnya pendapatan, efesiensi usaha R/C dan untuk mengetahui BEP produksi dan BEP harga pada usaha Agroindustri Keripik Tempe Djokam di Desa Sumber Datar Kecamatan Singingi Kabupaten Kuantan Singingi. Hasil penelitian ini menunjukan bahwa pendapatan keripik tempe djokam Rp 425.327/produksi dengan total biaya yang dikeluarkan sebesar Rp 574.673, yang terdiri dari biaya tetap dan biaya tidak tetap, nilai R/C sebesar 1,74, artinya setiap biaya yang dikeluarkan 1 rupiah maka diperoleh penerimaan sebesar 1,74 rupiah atau keuntungan sebesar 0,74 rupiah dan Break Even Poin produksi dengan total biaya sebesar Rp 574,673, maka harus memproduksi sebanyak 11,49 Kg dengan harga jualnya Rp 50.000, agar mencapai titik impas. Break Even Poin harga  dengan biaya sebesar Rp 574.673 maka Agroindustri Keripik Tempe harus memproduksi sebanyak 20 Kg dengan harga jual sebesar Rp 28.733, supaya mencapai titik impasnya.Kata Kunci : Agroindustri; Keripik Tempe; Pendapatan; R/C Ratio; BEP ABSTRACTThis research was conducted in Samber Datar Village, Singingi Subdistrict, Kuantan Singingi District. This study aims to determine the amount of revenue, efficiency of the R / C business and to determine the production BEP and price BEP in the Agroindustry of Tempe Djokam chips in Sumber Datar Village, Singingi District, Kuantan Singingi District. The results of this study indicate that the income of tempe chips djokam Rp 425,327 / production with a total cost incurred in the amount of Rp 574,673, consisting of fixed costs and variable costs, R / C value of 1.74, meaning that each cost incurred 1 rupiah is obtained revenue of 1.74 rupiahs or profit of 0.74 rupiahs and Break Even Points of production with a total cost of Rp 574,673, it must produce as much as 11.49 kg with a selling price of Rp 50,000, in order to break even. Break Even Price point at a cost of Rp 574,673 then the Tempe Chips Agroindustry must produce 20 kg with a selling price of Rp 28,733, in order to break even.Keywords: Agro-industry; Tempe Chips; Revenue; R / C Ratio; BEP


Author(s):  
Akane Takamatsu ◽  
Hitoshi Honda ◽  
Tomoya Kojima ◽  
Kengo Murata ◽  
Hilary Babcock

Abstract Objective The COVID-19 vaccine may hold the key to ending the pandemic, but vaccine hesitancy is hindering the vaccination of healthcare personnel (HCP). Design Before-after trial Participants and setting Healthcare personnel at a 790-bed tertiary care center in Tokyo, Japan. Interventions A pre-vaccination questionnaire was administered to HCP to examine their perceptions of the COVID-19 vaccine. Then, a multifaceted intervention involving (1) distribution of informational leaflets to all HCP, (2) hospital-wide announcements encouraging vaccination, (3) a mandatory lecture, (4) an educational session about the vaccine for pregnant or breastfeeding HCP, and (5) allergy testing for HCP at risk of allergic reactions to the vaccine was implemented. A post-vaccination survey was also performed. Results Of 1,575 HCP eligible for enrollment, 1,224 (77.7%) responded to the questionnaire, 43.5% (n =533) expressed willingness to be vaccinated, 48.4% (n = 593) were uncertain, and 8.0% (n=98) expressed unwillingness to be vaccinated. The latter two groups were concerned about the vaccine’s safety rather than its efficacy. Post-intervention, the overall vaccination rate reached 89.7% (1,413/1,575), with 88.9% (614/691) of the pre-vaccination survey respondents who answered “unwilling” or “unsure” eventually receiving a vaccination. In the post-vaccination questionnaire, factors contributing to increased COVID-19 vaccination included information and endorsement of vaccination at the medical center (26.4%; 274/1,037). Conclusions The present, multifaceted intervention increased COVID-19 vaccinations among HCP at a Japanese hospital. Frequent support and provision of information were crucial for increasing the vaccination rate and may be applicable to the general population as well.


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