Whether the Agricultural Insurance Policy Achieves Green Income Growth—Evidence from the Implementation of China’s Total Cost Insurance Pilot Program

With the rise and popularization of the concept of green sustainable development, green income growth of agricultural insurance policies has attracted wide attention. Whether green income growth can be achieved has become an important criterion for measuring an agricultural insurance policy. In this context, this paper attempts to test whether the agricultural insurance policy achieves green income growth. Based on the panel data of 31 provinces (the research sample of this paper selects 31 provincial-level units (province for short) in China, including 22 provinces, 5 autonomous regions and 4 municipalities directly under the central government. Hong Kong Special Administrative Region, Macau Special Administrative Region and Taiwan Province are not included in the research sample) from 2009 to 2020 in China, this paper empirically evaluates the triple-effect of total cost insurance pilot program (TCI) on farmers’ income, environment and public health by employing a difference-in-difference model (DID). The results show that TCI increases farmers’ income, but deteriorates the environment and residents’ health without achieving green income growth. In the analysis of heterogeneity, compared with central and western regions, farmers’ income is more likely to increase in the eastern regions. However, environmental pollution is more severe, and residents’ health deteriorates more, in eastern regions. In addition, the positive effect of TCI on farmers’ income and the deterioration of residents’ health is more obvious in areas with a higher degree of damage, while the negative effect of TCI on the environment is more obvious in areas with a lower degree of damage. Furthermore, the mechanism analysis shows that TCI not only promotes the increase in farmers’ income through insurance density, but also affects the environment and residents’ health through straw burning. Therefore, the government should raise the subsidy standard for farmers to use straw-processing equipment and also to implement differentiated subsidies in regions with different levels of economic development and areas with different degrees of damage.

A prospective study of costs associated with the evaluation of allergic reactions to radiological contrast media

Background: The prevalence of hypersensitivity reactions to radiological contrast media (RCM) is increasing due to the greater performance of diagnostic and therapeutic tests that require RCMs. Objective: We carried out a year-long real-life observational study to prospectively evaluate the patients referred to the Allergy Service from Primary Care, Emergency Room, and other Services with suspected moderate to severe RCM hypersensitivity. Methods: To study the costs of RCM hypersensitivity evaluation, we systematically recorded direct and indirect costs. Results: Sixty-nine patients with previous reactions to RCM were evaluated in the Allergy Service from June 1st, 2017, to May 31st, 2018. Total direct health care costs were € 10715.84, with a mean cost per patient of € 155.30 ± 77.08. Specifically, direct non-health costs reached € 1605.42 (mean € 23.27 ± 41.14), and indirect costs were € 6490.85 (mean € 94.07 ± 110.61). In summary, the total cost was € 18812.11, which means a mean cost of € 272.64 ± 164.77. Conclusions: Our study reflects that the costs of an elective evaluation of hypersensitivity to RCM are low. This fact reaffirms that correct and safe management of these patients could be cost-effective, so our efforts should be directed to implement the necessary logistics.

Feasibility Analysis of Household Industry Tape Timber in Bale Hakim Kampung, Lut Tawar District, Central Aceh Regency

This study is a quantitative descriptive study to determine the costs, revenues, income and profits of a business and to determine the feasibility of cassava tape business in Bale Hakim village, Lut Tawar district, Central Aceh district. The methodology of this research is descriptive quantitative. Data analysis using R/C formula and Break Event Point. The results showed that the total cost of producing cassava tape for 3 months was RP. 5,007,000, with a total revenue of 13,730,000, income Rp. 9.520.000 and Profit Rp. 8,723,000. The result of the calculation of R/C is greater than 1, namely 2.742, then the cassava tape industry is feasible to operate. The calculation results of BEP production = 5,007 and Total Production = 13,730, then BEP Production < Total Production, then the cassava tape business is in a profitable position. The results of the calculation of BEP receipts = Rp. 5.007.000 and Revenue = 13.73 million, then, BEP Revenue < Acceptance, then the cassava tape business is in a profitable position. And the results of the calculation of BEP Price = 364.676 and selling price = Rp. 1000, then BEP Price < Selling Price, then the cassava tape business is in a profitable position. Keywords: Analysis, Business Feasibility, Home Industry, Cassava Tape.

Economic impact of switching from partially combined vaccine “Pentaxim® and hepatitis B” to fully combined vaccine “Hexaxim®” in the Malaysian National Immunization Program

Background The decision to implement new vaccines should be supported by public health and economic evaluations. Therefore, this study was primarily designed to evaluate the economic impact of switching from partially combined vaccine (Pentaxim® plus hepatitis B) to fully combined vaccine (Hexaxim®) in the Malaysian National Immunization Program (NIP) and to investigate healthcare professionals (HCPs)’ and parents’/caregivers’ perceptions. Methods In this economic evaluation study, 22 primary healthcare centers were randomly selected in Malaysia between December 2019 and July 2020. The baseline immunization schedule includes switching from Pentaxim® (four doses) and hepatitis B (three doses) to Hexaxim® (four doses), whereas the alternative scheme includes switching from Pentaxim® (four doses) and hepatitis B (three doses) to Hexaxim® (four doses) and hepatitis B (one dose) administered at birth. Direct medical costs were extracted using a costing questionnaire and an observational time and motion chart. Direct non-medical (cost for transportation) and indirect costs (loss of productivity) were derived from parents’/caregivers’ questionnaire. Also, HCPs’ and parent’s/caregivers’ perceptions were investigated using structured questionnaires. Results The cost per dose of Pentaxim® plus hepatitis B vs. Hexaxim® for the baseline scheme was Malaysian ringgit (RM) 31.90 (7.7 United States dollar [USD]) vs. 17.10 (4.1 USD) for direct medical cost, RM 54.40 (13.1 USD) vs. RM 27.20 (6.6 USD) for direct non-medical cost, RM 221.33 (53.3 USD) vs. RM 110.66 (26.7 USD) for indirect cost, and RM 307.63 (74.2 USD) vs. RM 155.00 (37.4 USD) for societal (total) cost. A similar trend was observed for the alternative scheme. Compared with Pentaxim® plus hepatitis B, total cost savings per dose of Hexaxim® were RM 137.20 (33.1 USD) and RM 104.70 (25.2 USD) in the baseline and alternative scheme, respectively. Eighty-four percent of physicians and 95% of nurses supported the use of Hexaxim® in the NIP. The majority of parents/caregivers had a positive perception regarding Hexaxim® vaccine in various aspects. Conclusions Incorporation of Hexaxim® within Malaysian NIP is highly recommended because the use of Hexaxim® has demonstrated substantial direct and indirect cost savings for healthcare providers and parents/caregivers with a high percentage of positive perceptions, compared with Pentaxim® plus hepatitis B. Trial registration Not applicable.

Discounted costs and obsolescence with the Joint replenishment problem

Real life inventory lot sizing problems are frequently challenged with the need to order different types of items within the same batch. The Joint Replenishment Problem (JRP) addresses this setting of coordinated ordering by minimizing the total cost, composed of ordering (or setup) costs and holding costs, while satisfying the demand. The complexity of this problem increases when some or all item types are prone to obsolescence. In fact, the items may experience an abrupt decline in demand because they are no longer needed, due to rapid advancements in technology, going out of fashion, or ceasing to be economically viable. This article proposes an extension of the Joint Replenishment Problem (JRP) where the items may suddenly become obsolete at some time in the future. The model assumes constant demand and the items’ lifetimes follow independent negative exponential distributions. The optimization process considers the time value of money by using the expected discounted total cost as the minimization criterion. The proposed model was applied to some test cases, and sensitivity analyses were performed, in order to assess the impact of obsolescence on the ordering policy. The increase in the obsolescence risk, through the progressive increase of the obsolescence rates of the item types, determines smaller lot sizes on the ordering policy. The increase in the discount rate causes smaller quantities to be ordered as well.

Domestic component level analysis for multipurpose autonomous robot

Multipurpose autonomous robot technology has been developed to assist transportation sectors or the current emergency as the Covid-19 pandemic. A practical issue in the robotic industry concerns the domestic content in commodities, services, and a combination of goods and services commonly determined as domestic component level (DCL). To be considered a standardized national product, a product's DCL must surpass a certain level of local content composition. This research aims to investigate the DCL of a developed multipurpose autonomous robot in Indonesia called ROM20. The research was initiated by interviewing specialists in DCL calculation and robotics research to perform DCL analysis on ROM20. The next step was breaking down the ROM20 components into a second layer component, in which the amount of domestic component and overseas components can be derived. Finally, the ROM20 DCL value was calculated by dividing the cost of domestic components by the total cost of domestic and overseas components. As a digital product, the ROM20 DCL calculation result showed that the manufacturing aspect is 70 %, and the development aspect is 30 %. The overall ROM20 DCL value has been calculated as 52.23 %, which surpasses the national standard threshold at 40 % DCL value. Therefore, ROM20 can be considered a high-value standardized national product, impacting the competitiveness of local products and the fast-growing medical device industry in Indonesia.

Studying the appointment scheduling window considering patient no-show behavior in one public and one private outpatient clinics

Purpose This study is carried out in one public and one private health-care centers based on different probabilities of patient’s no-show rate. The present study aims to determine the optimal queuing system capacity so that the expected total cost is minimized. Design/methodology/approach In this study an M/M/1/K queuing model is used for analytical properties of optimal queuing system capacity and appointment window so that total costs of these cases could be minimized. MATLAB software version R2014a is used to code the model. Findings In this paper, the optimal queuing system capacity is determined based on the changes in effective parameters, followed by a sensitivity analysis. Total cost in public center includes the costs of patient waiting time and rejection. However, the total cost in private center includes costs of physician idle time plus costs of public center. At the end, the results for public and private centers are compared to reach a final assessment. Originality/value Today, determining the optimal queuing system capacity is one of the most central concerns of outpatient clinics. The large capacity of the queuing system leads to an increase in the patient’s waiting-time cost, and on the other hand, a small queuing system will increase the cost of patient’s rejection. The approach suggested in this paper attempts to deal with this mentioned concern.