Cost Calculation Research Articles

Economic impact of a vision-based patient monitoring system across five NHS mental health trusts.

A vision-based patient monitoring system (VBPMS), Oxevision, has been introduced in approximately half of National Health Service (NHS) mental health trusts in England. A VBPMS is an assistive tool that supports patient safety by enabling non-contact physiological and physical monitoring. The system aims to help staff deliver safer, higher-quality and more efficient care. This paper summarises the potential health economic impact of using a VBPMS to support clinical practice in two inpatient settings: acute mental health and older adult mental health services. The economic model used a cost calculator approach to evaluate the potential impact of introducing a VBPMS into clinical practice, compared with clinical practice without a VBPMS. The analysis captured the cost differences in night-time observations, one-to-one continuous observations, self-harm incidents, and bedroom falls at night, including those resulting in A&E visits and emergency service callouts. The analysis is based on before and after studies conducted at five mental health NHS trusts, including acute mental health and older adult mental health services. Our findings indicate that the use of a VBPMS results in more efficient night-time observations and reductions in one-to-one observations, self-harm incidents, bedroom falls at night, and A&E visits and emergency service callouts from night-time falls. Substantial staff time in acute mental health and older adult mental health services is spent performing night-time observations, one-to-one observations, and managing incidents. The use of a VBPMS could lead to cost savings and a positive return on investment for NHS mental health trusts. The results do not incorporate all of the potential benefits associated with the use of a VBPMS, such as reductions in medication and length of hospital stay, plus the potential to avoid adverse events which would otherwise have a detrimental impact on a patient's quality of life.

Efficient fabrication of cellulose polymer networks via alkaline swelling strategy for wood bonding

Existing issues with bio-based adhesives, such as complex preparation processes, high energy consumption, and production costs, still need to be addressed. In our study, APTES was grafted onto microcrystalline cellulose (MCC) to generate active aminated cellulose, and then reacted with the epoxide group in glycerol triglycidyl ether (GTE) through a swelling strategy under alkaline solvent, forming a network structure via covalent cross-linking. The adhesive exhibits superior bonding performance and water-resistant property in the bonding strength test of poplar plywood, with a dry shear strength of 2.40 MPa, a wet shear strength of 2.16 MPa after soaking in 63 °C hot water, and a wet shear strength of 1.79 MPa after soaking in boiling water. In terms of cost calculation, the theoretical production cost of AC-GTE adhesive is calculated to be 5303.7 RMB per ton, which is comparable to that of phenol-formaldehyde (PF) resin and other petrochemical-based adhesives, and significantly lower than that of isocyanate-based adhesives. These research results can provide a practical example for producing high-efficiency, aldehyde-free, and low-cost bio-based adhesives.

Economic Burden of Sickle Cell Disease in Saudi Arabia

ObjectiveThis study aimed to determine the direct and indirect costs of sickle cell disease (SCD) in Saudi Arabia. MethodsData were collected from 217 participants aged ≥18 years in the eastern region of Saudi Arabia, using a prevalence-based cost-of-illness approach. The Institute for Medical Technology Assessment Medical Consumption Questionnaire and Institute for Medical Technology Assessment Productivity Cost Questionnaire were used to assess costs. A multistage process was used, encompassing patient data collection over 3 months, cost calculation from clinic visits and drug prices, and extrapolation for annual estimates. ResultsThe study revealed substantial societal costs of SCD, with an average per-patient cost of SAR181 899 (US$48 506), covering healthcare and productivity losses. Healthcare costs, including hospitalization, informal care, and medication, averaged SAR80 306 (US$21 415). In addition, productivity costs, including unpaid work and presenteeism, averaged SAR101 594 (US$27 092). Obtaining higher levels of education, such as a diploma and BSc degree or higher, has been found to significantly decrease the costs associated with SCD (P = .016, P = .001). Furthermore, when comparing different employment statuses, students (B = −0.301, P = .058) were found to have marginally lower SCD costs, suggesting that their expenses were lower than those of individuals in other employment categories. The predictive model used in this study explained 11.2% of the variation in costs. ConclusionOur study highlights a significant economic burden of SCD in Saudi Arabia and highlights the need for targeted strategies to alleviate financial challenges and improve patient well-being.

Financial risk analysis of Public-Private Partnership (PPP) projects case study on Pandaan - Malang Toll Road

This study aims to analyze the financial risks faced by the Pandaan-Malang Toll Road PPP (Public-Private Partnership) project in Indonesia. Data collection techniques include semi-structured in-depth interviews with parties related to the PPP project, including the Directorate General of Infrastructure Financing, the Tolling Road Management Agency (government), and Business Entities (PT Jasamarga Pandaan Malang). The collected data will be analyzed to determine the financial risk factors faced by PPP projects and the financial controls carried out to overcome financial risks in PPP. The results show that the risk of errors in forecasting in the calculation of demand, cost, and revenue projections is a risk that almost often occurs. The Government emphasizes the importance of optimizing the role of PII (Persero) or Indonesia Infrastructure Guarantee Fund (IIGF) as an Infrastructure Guarantee Business Entity (BUPI) to ensure financial sustainability and minimize the impact of sudden shocks on the State Budget due to the provision of Government Guarantees for cooperation projects. This study provides insights or frameworks that can be applied to similar projects, helping to improve risk assessment and decision-making processes in future infrastructure developments.

A Budget Impact Analysis of Adalimumab Biosimilars; The Albanian Context

Adalimumab is used to treat various autoimmune conditions, such as rheumatoid arthritis, ankylosing spondylitis, psoriasis, psoriatic arthritis, Crohn’s disease, and ulcerative colitis. Adalimumab is a tumor necrosis factor (TNF) inhibitor. Adalimumab biosimilars have the potential to reduce costs for the healthcare system. The aim of the study is to develop a drug budget impact analysis to assess the potential financial impact of the availability of the biosimilar adalimumab-aacf in terms of cost savings due to its lower price compared to adalimumab-adaz. Methods: This is a budget impact analysis and cost calculator model in Microsoft Excel based on FDSKSH’s data for 2023. Results: Adalimumab biosimilars accounted for approximately 25% of biologic drug prescriptions in 2023. The reimbursement cost of biologic drugs for autoimmune diseases was ALL 186,523,409 in 2023 (1 ALL = 0.01 USD). Of that cost, 15.21% accounted for treatment with adalimumab biosimilars. Adalimumab-aacf was available at a 15.82% lower price than adalimumab–adaz. The analysis indicated that the replacement of the biosimilar adalimumab-adaz with the biosimilar adalimumab-aacf could have resulted in cost savings of ALL 968,138, and the reimbursement cost of biologic drugs for autoimmune diseases could have been 3% lower. With the potential cost savings, two more patients could have had access to biologic drugs in 2023. Conclusions: The Drug Budget Impact Analysis estimated that the availability of adalimumab-aacf would be more profitable in terms of cost savings compared to adalimumab-adaz. The scenario could result in increased treatment access for patients.

Lacking knowledge or lacking support? An informed choice study of support for mileage fees as an alternative to gas taxes

Governing bodies are continuing to research, conduct pilot programs, and adopt policy for mileage fees as alternatives to the gas tax, yet public support remains critically low. Lack of support generally stems from assumptions that mileage fees will cost more, be inequitable for rural and low-income households, and will impede privacy through invasive mileage collection. In this study, we assess the extent to which these perceptions of mileage fees, which ultimately shape policy opinion formation, are related to low levels of information or lacking information. We also evaluate the unique aspects of policy opinion formation, including engagement with both individual and aggregate ideologies and material self-interests. Our survey instrument encourages issue engagement through iterative voting and educational experiences, through which we see information has a statistically significant effect on policy opinions and changes what we think we know about public support for mileage fees. Across the educational experiences, which include policy-relevant information provided through videos and tailored annual cost calculations for the policy alternatives, 24% of respondents changed their opinion by the end of the study, and 44% changed their opinion at least once during the study. We conclude with suggestions for public opinion polling around controversial policies that apply to both researchers and practitioners looking to engage with their constituents.

Rail journey cost calculator for Great Britain

Rail journey cost calculator for Great Britain

Analisis Perhitungan Harga Pokok Produksi Secara Tradisional Berdasarkan Pesanan Untuk Memperoleh Informasi Laba Rugi

This research aims to analyze traditional production cost calculations based on orders to obtain profit and loss information. As time goes by, many small companies still use traditional calculations of the cost of goods manufactured, but not according to orders, so these calculations are less accurate if used in the long term, which results in the profit and loss not being known for certain. Therefore, small businesses, especially the Kurnia Welding Workshop, should calculate the cost of production according to orders so that they obtain a profit or loss each year. The techniques used consist of observation, interviews and documentation. The results of this research show that the HPP calculation according to the Kurnia Las Workshop, especially for BOP and Non-Production Costs, is based on the owner's estimate, so the resulting HPP is less relevant and accurate. Determining the selling price according to the Kurnia Welding Workshop without calculating the cost of production first, is only based on the owner's estimate, which results in losses when the Kurnia Welding Workshop calculates the cost of production to produce a profit and loss report at the end of the period. Meanwhile, calculating the cost of production based on orders produces a HPP value that is smaller than the calculation for the Kurnia Welding Workshop because the costs are calculated according to the orders received. Meanwhile, in determining the selling price, it is calculated by adding the desired profit after calculating the COGS, so that when preparing the profit and loss report at the end of the period, the Kurnia Welding Workshop makes a profit.

Calculation of the Variable Costs of Traditional Medical Treatment for the Example of Hypergastric Disease

Calculation of the Variable Costs of Traditional Medical Treatment for the Example of Hypergastric Disease

Cost Calculation Using Full and Variable Costing in Sandal Cantikku

Cost Calculation Using Full and Variable Costing in Sandal Cantikku

Increasing the Potential of Pensioners at the Universitas Islam Bandung Foundation through Training on Cost of Production Calculations

This study analyzes the increase in the understanding of the pensioners of the Universitas Islam Bandung Foundation who are registered with the Universitas Islam Bandung Foundation Pension Fund after being given training and assistance on the cost of production. The number of respondents to the research are 48 people. This research used primary data collected through interviews and questionnaires. The research method used is descriptive analysis and inferential analysis called average difference test to see differences in pre-test and post-test scores. Based on the test results with SPSS, the result of independent sample test is <0.05, this indicated that training and assistance on cost of production and sales had a significant effect on increasing understanding of the calculation of cost of production for pensioners of the Universitas Islam Bandung Foundation. Keywords: cost of production, community partnership program, pension

Cognitive Load and Dual-Task Performance in Individuals with and without Forward Head Posture.

Background: Recent studies have found forward head posture (FHP) is associated with altered physiology. There is a lack of research into whether FHP is associated with altered gait parameters when cognitively challenged. Our hypothesis is that individuals with FHP and those without will demonstrate different responses when undergoing dual-task assessment. Methods: Forty-five asymptomatic participants with FHP, defined as a craniovertebral angle (CVA) < 50°, were matched to forty-five participants with normal head posture (NHP) with a CVA > 55°. Participants walked along a 10 m platform under a control condition (no cognitive load) while an optical motion-capture system assessed gait kinematics. Secondly, participants were assessed under a dual-task cognitive load condition to identify the impact on gait kinematics. Results: Under the single-task condition, there were no significant differences for any gait parameter. In the dual-task condition, 12/13 gait parameters were significantly altered for the FHP vs. NHP group (p < 0.01). A calculation of the dual-task cost (DTC) percentage showed significant increases in all gait parameters in participants with FHP (p < 0.02). Correlations between the CVA and gait parameters were not significant for the single-task condition, but all gait parameters were correlated to CVA for the dual-task condition (p < 0.01). The correlation between CVA and DTC for all gait variables was significant (p < 0.04). Conclusions: This study demonstrates that FHP significantly increases the cognitive cost during walking, highlighting the importance of proper postural alignment for maintaining cognitive function under a dual-task condition.

The Development of a New Approach for the Harmonized Multi-Sectoral and Multi-Country Cost Valuation of Services: The PECUNIA Reference Unit Cost (RUC) Templates.

Increasing healthcare costs require evidence-based resource use allocation for which assessing costs rigorously and comparably is crucial. Harmonized cross-country costing methods for evaluating interventions from a societal perspective are lacking. This study presents the development process and content of the service costing templates developed as part of the European project PECUNIA. The six developmental steps towards technological readiness of the templates included (1) a common conceptual costing framework and review of methodological costing issues, (2) harmonization strategy formulation, (3) proof-of-concept with expert feedback, (4) piloting, (5) validation, and (6) demonstration in six European countries. The PECUNIA Reference Unit Cost (RUC) Templates for service costing are three new self-completion tools to be used with secondary or primary data for top-down micro-costing or top-down gross-costing approaches. Complementary data collection and unit cost aggregation/weighting templates are available. The applications leading to the final versions including (4) piloting through calculation of 15-unit costs, (5) validation within a Health Technology Assessment framework, and (6) RUC calculations mostly based on secondary data demonstrated the templates' general feasibility, with feedback for improved usability incorporated and a supplementary user guide developed. The validated PECUNIA RUC Templates for multi-sectoral and multi-country service costing allow for harmonized RUC development while incorporating flexibility and transparency in the choice of costing approaches, data sources and magnitude of remaining heterogeneity. The templates are expected to significantly improve the quality, comparability and availability of unit costs for economic evaluations, and promote the transferability of service cost information across Europe.

2317 Geriatrician-led perioperative services: an example of value-based care

Abstract Background Perioperative services must adapt to the needs of an increasingly older surgical population. Perioperative medicine for Older People undergoing Surgery (POPS) services integrate geriatric medicine teams into surgical pathways to provide quality and cost-effective medical care. This project aims to examine value-based outcomes (clinical and financial impact) of embedding a POPS service at a district general hospital. Methods Following a period of implementation on an acute Trauma and Orthopaedic (T&amp;O) ward, a two-week pilot was undertaken. All emergency fragility fracture admissions aged over 65 years with Clinical Frailty Scores (CFS) of ≥5 were included. Patients with hip fractures were excluded. The POPS service provided medical consultation, medicine rationalisation, proactive treatment escalation planning and shared decision making, as well as leading multidisciplinary team meetings. Outcome metrics: geriatric medicine consults, medical emergency team (MET)/cardiac arrest calls, staff/patient satisfaction and clinical coding. The REDUCE trial cost calculator was used to estimate savings. Results 35 patients were included, mean age 84 years, mean CFS score 7. Ward MET calls and cardiac arrest calls were reduced from a weekly average of 2.5 to 0, and weekly referrals to geriatric medicine reduced from 3 to 0. Experience-based design surveys identified thematic improvements relating to leadership, communication, dignity and respect. Improved quality of documentation resulted in the comorbidity score tariff increasing from £3325 to £6096 per patient. For services introduced by POPS including Comprehensive Geriatric Assessment and delirium assessments, the REDUCE trial cost calculator estimated an additional saving of £2926 per patient totalling hospital savings of £2 million per year (for an estimated 700 patients per year). Conclusion Implementation of a POPS service at a district general hospital can lead to cost savings, improved patient and staff experience, and improved clinical outcomes within a sustainable workforce model.

Pelatihan dan Pendampingan Perhitungan RAB sebagai Kontrol dalam Pelaksanaan Pembangunan Insfrastruktur di Wilayah RT 11 RW 07 Desa Mranggen

&lt;p&gt;&lt;em&gt;I&lt;/em&gt;&lt;em&gt;n building infrastructure, cost calculations are needed, organized in the form of a Budget Plan (RAB) according to government standards. The RAB provides an overview of the total cost required for building infrastructure or construction projects. Additionally, the RAB calculations can also determine the need for building materials, the number of workers required, and the duration of the project. This Community Service program aims to provide knowledge and new skills to the community on how to calculate the Budget Plan (RAB) for building both private homes and community infrastructure, such as meeting halls, neighborhood watch posts, water channels, and so on. The implementation method begins with interviews to assess understanding of creating an RAB, followed by socializing the benefits of making an RAB, training, and practical exercises on how to calculate the RAB. Subsequent steps include monitoring and evaluating the results of the calculations. This Community Service program equips the community with the skills to calculate the RAB for infrastructure development, better understand the volume of work calculations, determine material prices or unit prices for work, and prevent cost overruns during the construction phase.&lt;/em&gt;&lt;/p&gt;

Implementasi Building Information Modeling (BIM) terhadap Mutual Check 100 pada Pekerjaan Struktur Proyek Rusun Asrama Polisi Pingit Yogyakarta

Along with the development of Industry 4.0 technology, Building Information Modeling (BIM) has emerged as an innovation in planning, designing, and executing construction projects. BIM is a technological concept with methods and workflows based on project work information, all integrated into a digital model, which is then translated into a three-dimensional representation to enhance building design and construction productivity. In the Police Dormitory Apartment Project in Pingit, the need for quick and accurate calculations, cost projections, and volume of structural work is crucial. This can be easily realized through the application of Tekla Structures Building Information Modeling (BIM). It is expected that there will be a clear depiction of how BIM-based construction technology can be effectively utilized in this project. The method used is the BIM method with Tekla as the supporting software. From this modeling, it was found that the total cost of foundation work had a cost difference of IDR 19.973.729,42, which is 1,63%; the total cost of pedestal column work had a cost difference of IDR 13,713,600.03, which is 6,37%; and the total cost of sloof work had a cost difference of IDR 14.423.328,99, which is 6,06%. The total cost difference for all structural work on the foundation, sloof, and pedestal column was IDR 48.110.658,44, which is 2.86%. This suggests that the cost calculations using Tekla Structures are smaller compared to the MC100 work quantity.

Methods for Estimating Costs for Stays at Inpatient Rehabilitation Facilities and Long-Term Care Hospitals

ObjectiveTo describe and compare 3 methods for estimating stay-level Medicare facility (Part A) costs using claims and cost report data for inpatient rehabilitation facilities (IRFs) and long-term care hospitals (LTCHs), the 2 hospital-based postacute care providers. DesignWe calculated stay-level facility costs using different methods. Method 1 used routine costs per day and ancillary cost-to-charge ratios. Method 2 used routine and ancillary cost-to-charge ratios (freestanding IRFs and LTCHs only). Method 3 used facility-specific operating cost-to-charge ratios from the Provider Specific File. For each method, we compared the costs with payments and charges at the claim and facility levels and examined facility margins. SettingData are from 1619 providers, including 266 freestanding IRFs, 909 IRF units, and 444 LTCHs. ParticipantsThe analyses included 239,284 claims from 2014, of which 86,118 claims were from freestanding IRFs, 92,799 claims were from IRF units, and 60,367 claims were from LTCHs. InterventionsNot applicable. Main Outcome MeasuresCosts and payments in 2014 United States Dollars. ResultsFor freestanding IRFs, the mean facility stay-level costs were calculated to be $13,610 (method 1), $13,575 (method 2), and $13,783 (method 3). For IRF units, the mean facility stay-level costs were $17,385 (method 1) and $19,093 (method 3). For LTCHs, the mean facility stay-level costs were $36,362 (method 1), $36,407 (method 2), and $37,056 (method 3). ConclusionsThe 3 methods resulted in small differences in facility mean stay-level costs. Using the facility-level cost-to-charge ratio (method 3) is the least resource-intensive method. Although more resource-intensive, using routine cost per day and ancillary cost-to-charge ratios (method 1) for cost calculations allows for differentiation in costs across patients based on differences in the mix of services used. As policymakers consider postacute care payment reforms, cost, rather than charge or payment data, needs to be calculated and the results of the methods compared.

Issues of Improving Expense Tracking and Calculating Prime Cost in Agriculture

Objectives : This article is devoted to the consideration of the issues of cost accounting and cost calculation in agriculture. In addition, the article highlights the issues of the correct distribution of costs by cost items and objects, as well as the correct calculation of the cost of Uzbekistan's products. In addition, Uzbekistan is an agrarian country, so the article presents suggestions and recommendations for improving the accounting of costs and production costs in agriculture. Previous studies in this area conducted in other parts of the world indicate a direct relationship between the indicators of production costs and market indicators; however, based on the features of Uzbekistan, it may be different, given the accounting policy and the specifics of agricultural costs. Methods: A linear regression method to determine the impact of costs and methods of calculating the cost of production was used. Costs are divided into variables and constants. Based on the features of agriculture, simple, advanced, and regulatory methods are used. Each of these methods is associated with variables and regresses individually for each type of agricultural product. Findings: Our results confirm that there are some methods of calculating the cost of production of farms. The results also indicate that the correct determination of the cost of production affects the profitability of these farms. The results obtained indicate that the calculation of the cost of agriculture is an indicator of the profitability of farms in Uzbekistan in the short term. The impact of the change in the cost of agricultural products influences profitability, in the end on profit; as it influences the prices of sales of products in the end affect the financial performance of farms. Novelty: The impact of the cost of agricultural products on the profitability of farms is becoming more important than ever before since the negative externalities of cost changes affect the financial performance of farms. Keywords: Farms, Expenses, Cost, Product cost, Accounting register

A Study on the Improvement of Shadow Regulations in the Paid Broadcasting Market : Focusing on the Channel Contract Procedure and Cost Calculation Area

A Study on the Improvement of Shadow Regulations in the Paid Broadcasting Market : Focusing on the Channel Contract Procedure and Cost Calculation Area

Effect of Oats and Millet composition in Gluten-free Nutrient wafer

Pearl Millet [Pennisetum glaucum (L.)] is a widely cultivated staple crop and nutritionally rich cereal grain. The cultivar can tolerate drought and high temperatures, making it suitable for arid and semi-arid regions, especially in Africa and Asia. Millet-based products have numerous health benefits like lowering cholesterol, managing blood sugar, and many others. It is rich in antioxidants, fiber, and various micronutrients. Millet is gluten-free, suitable alternative for individuals with gluten intolerance or celiac disease. Methods: Low-sugar-gluten-free Pearl millet wafer is a low-moisture baked food prepared from a mixed batter of millet powder, and oats. A waffle iron toaster (1000W) is used to prepare the wafer The nutritional components were analyzed and calorie calculation was done following the Atwater system. The total energy from a 100 gm wafer serving was found to be around 289 calories. Results and Discussions: The product was typically shaped in a square-grooved sheet, with a density around 0.2gm/cc, the matrix is aerated and fluffy. Total final moisture, ash and extracted fat content was also estimated. The average thickness of the wafer was around 5mm. Sensory parameters like crispiness, chewiness and mouthfeel were evaluated on a hedonic scale while the crispiness is correlated to the final moisture content. Product cost was calculated including the energy cost calculation. The cost of the final product was Rs 45/100gm which is at per the marketed wafers. Conclusion: The improved quality was targeted to achieve in a model of low-emission process to reduce the energy cost and increase production efficiency with better nutritional component retention.