Clinical and economic analysis of caries prevention programs by mathematic modeling

2020 ◽  
Vol 20 (3) ◽  
pp. 205-209
Author(s):  
E. E. Maslak ◽  
L. F. Onishchenko ◽  
S. Yu. Soboleva ◽  
D. S. Dmitrienko ◽  
D. I. Fursik
Keyword(s):  
Economic Analysis ◽  
Economic Efficiency ◽  
Program Implementation ◽  
Prevention Programs ◽  
Caries Prevention ◽  
Fluoride Varnish ◽  
Dental Hygienists ◽  
Mathematic Modeling ◽  
The Cost ◽  
Fissure Sealing

Relevance. Underestimating the importance of economic analysis is the barrier to the implementation of cariesprevention programs.The aim is to study with use of mathematic modeling method the clinical and economic effectiveness of dental caries prevention programs provided for schoolchildren.Materials and methods. The method of mathematic modeling was used to evaluate the clinical and economic efficiency of the caries prevention programs (educational, fissure sealing, fluoride varnish). The cost of prevention program implementation and the expenses for caries treatment without prevention were calculated according to the rate of Volgograd territorial mandatory medical insurance Fund for 2018 year. The differences between the caries prevention program’s cost and the expenses needed for the treatment of “prevented caries” were considered as saving.Results. It was revealed that the Educational Dental Program for the first grade schoolchildren has short duration (2 years) of clinical-economic efficiency. The Continuous Educational Dental Program applied for 6 years by dental hygienists or dentists led to saving (per 100 children) of 99.5-115.0 or 84.0-99.6 thousand roubles respectively. The economic effect of The First Permanent Molar Fissure Sealing Program was revealed after 2 years only when The Program was implemented by dental hygienists. After 6 years of working with this Program the saving were 181.3 or 146.2 thousand roubles per 100 children depending on who implemented the Program, dental hygienists or dentists. The cost of Fluoride Varnish Program implementation was higher than the treatment of “prevented caries”. However, the number of “prevented caries” after fluoride varnish application is higher than after the implementation of the Educational Dental Programs. Moreover, fluoride varnish, in contrast to fissure sealing, prevents caries of smooth surfaces of permanent teeth. Conclusions. The method of mathematic modeling can be used for the development of the caries prevention programs in various regions considering the availability of personnel and financial resources, and for evaluation of the clinical and economic effectiveness of preventive programs implementation.

scholarly journals An Economic Evaluation of a Comprehensive School-Based Caries Prevention Program

2019 ◽  
Vol 4 (4) ◽  
pp. 378-387 ◽  
Author(s):  
S.S. Huang ◽  
R.R. Ruff ◽  
R. Niederman
Keyword(s):  
Cost Effectiveness ◽  
Incremental Cost ◽  
Cost Effective ◽  
Prevention Programs ◽  
Caries Prevention ◽  
Health Impacts ◽  
Economic Evaluations ◽  
Posterior Teeth ◽  
School Based ◽  
The Cost

Introduction: Current economic evaluations of school-based caries prevention programs (SCPPs) do not compare multiple types of SCPPs against each other and do not consider teeth beyond permanent first molars. Objectives: To assess the cost-effectiveness of a comprehensive SCPP relative to an SCPP focused on delivering sealants for permanent first molars only and to a default of no SCPP. Based on a societal perspective, a simulation model was used that compared the health and cost impacts on 1) permanent first molars only and 2) all posterior teeth. Methods: To calibrate the model, we used data from CariedAway, a comprehensive SCPP that used glass ionomer to prevent and arrest active decay among children. We then evaluated the incremental cost-effectiveness of implementing 3 alternate school-based approaches (comprehensive, sealant only, and no program) on only first molars and all posterior teeth. Probabilistic, 1-, and 2-way sensitivity analyses are included for robustness. Cost-effectiveness is assessed with a threshold of $54,639 per averted disability-adjusted life year (DALY). Results: We first compared the 3 programs under the assumption of treating only first molars. This assessment indicated that CariedAway was less cost-effective than school-based sealant programs (SSPs): the resulting incremental cost-effectiveness ratio (ICER) for CariedAway versus SSPs was $283,455 per averted DALY. However, when the model was extended to include CariedAway’s treatment of all posterior teeth, CariedAway was not only cost-effective but also cost-saving relative to SSPs (ICER, –$943,460.88 per averted DALY; net cost, –$261.45) and no SCPP (ICER, –$400,645.52 per averted DALY; net cost, –$239.77). Conclusions: This study finds that economic evaluations assessing only cost and health impacts on permanent first molars may underestimate the cost-effectiveness of comprehensive SCPPs 1) preventing and arresting decay and 2) treating all teeth. Hence, there is an urgent need for economic evaluations of SCPPs to assess cost and health impacts across teeth beyond only permanent first molars. Knowledge Transfer Statement: The results of this study can be used by policy makers to understand how to evaluate economic evaluations of school-based caries prevention programs and what factors to consider when deciding on what types of programs to implement.

PROMOTING THE NATURAL RESTORATION OF LIPNYAKS OF THE KASMARSKY DISTRICT FORESTRY OF THE ZIANCHURINSKY FORESTRY

2020 ◽  
Vol 37 (3) ◽  
pp. 76-82
Author(s):  
L.V. Mazitova ◽  
Keyword(s):  
Economic Efficiency ◽  
Natural Regeneration ◽  
Forest Area ◽  
Natural Restoration ◽  
The Creation ◽  
The Cost

The article presents the results of studying various measures to promote the natural renewal of lime forests in the Kasmarsky uchastkovoye forestry of the Zianchurinsky forestry. The data on lime forests within the boundaries of the forestry were studied, and the calculation of the economic efficiency of promoting natural regeneration was carried out. The use of evenly-gradual and continuous narrow-cut logging in the conditions of the Zianchurinsky forest area in the Kasmar district forest area will avoid the creation of expensive forest crops. The cost of creating forest crops is 10,719. 4 rubles per 1 ha, and the cost of preserving and caring for the forest during evenly-gradual logging is 4,237. 9 rubles, and solid narrow-cutting-3,469. 33 rubles.

THE COST OF FEDERAL MONEY, HELLS CANYON AND ECONOMIC EFFICIENCY: Part II

1958 ◽  
Vol 11 (2) ◽  
pp. 114-128
Author(s):  
OTTO ECKSTEIN ◽  
JOHN V. KRUTILLA
Keyword(s):  
Economic Efficiency ◽  
The Cost ◽  
Hells Canyon

scholarly journals Economic Analysis of the Use of VCS2000 for Pork Carcass Meat Yield Grading in Korea

Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1297
Author(s):  
Juntae Kim ◽  
Hyo-Dong Han ◽  
Wang Yeol Lee ◽  
Collins Wakholi ◽  
Jayoung Lee ◽  
...  
Keyword(s):  
Economic Analysis ◽  
Net Present Value ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Feed Consumption ◽  
Cost Ratio ◽  
Benefit Analysis ◽  
Labor Costs ◽  
Meat Yield ◽  
The Cost

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.

Economic Evaluation of a Ninngen-Dokku (Medical Checkup)

1993 ◽  
Vol 32 (03) ◽  
pp. 199-202
Author(s):  
T. Shimizu ◽  
T. Suzuki
Keyword(s):  
Economic Evaluation ◽  
Economic Analysis ◽  
Medical Treatment ◽  
Medical Checkup ◽  
Dry Dock ◽  
The Cost ◽  
Mass Health ◽  
Medical Judgment

Abstract:An economic evaluation of a medical checkup center (Ninngendokku, “human dry dock”) was conducted from two perspectives: the cost for cancer checkup, and the cost for medical treatment after a diagnosis was obtained. We studied the cost of diagnosing cancer, compared with the cost required when cancer of an individual organ was detected through mass health testing, and studied the economics of a Ninngendokku according to Kawai’s method of medical judgment. Assuming that the cost of death is more than the cost of saving the lives of persons who undergo the Ninngen-dokku, the Ninngen-dokku will be affordable. In the group undergoing the Ninngen-dokku compared with the group which did not, the estimated cost of medical treatment was reduced. The Ninngendokku carries advantages that cannot be quantified in financial terms; therefore, a multi-layered economic analysis of the Ninngen-dokku was required.

The Cost of Blood Collection in Greece: An Economic Analysis

2014 ◽  
Vol 36 (7) ◽  
pp. 1028-1036.e5 ◽  
Author(s):  
Vassilis Fragoulakis ◽  
Kostas Stamoulis ◽  
Elisabeth Grouzi ◽  
Nikolaos Maniadakis
Keyword(s):  
Economic Analysis ◽  
Blood Collection ◽  
The Cost
Sign in / Sign up

Export Citation Format

Share Document