The Economic Impact of Artificial Intelligence on Healthcare: A Literature Review

Background: This review delves into the effects of artificial intelligence (AI) on healthcare, which is a crucial aspect considering the increasing costs of healthcare worldwide. While there is potential for AI to enhance healthcare delivery and efficiency, there are still uncertainties surrounding its effectiveness, value, and broader adoption. This comprehensive literature review aims to explore and synthesize existing knowledge on the economic impact of AI in healthcare. The primary objective of this review is to understand the potential cost savings and efficiency improvements associated with the deployment of AI in healthcare settings. By highlighting the economic implications of AI, this review seeks to offer insights into the value proposition of investing in AI technologies for stakeholders such as healthcare providers, payers, and policymakers. Methods: To conduct this review, we conducted a search of literature from 2020 to 2023 across three databases: PubMed, Scopus and Google Scholar. We specifically focused on studies that discuss the impacts of AI in healthcare and include cost evaluations, using combinations of keywords related to AI, economics, healthcare, and cost evaluation. The inclusion criteria were studies that conducted some form of economic evaluation related to AI in healthcare settings, while exclusion criteria were studies without a cost evaluation component. Data extraction and quality assessment using the CASP checklist were undertaken on the final set of included studies. Results: After screening studies, we identified 10 out of a total of 28 studies and reports that met our criteria of outlining any form of economic impact and evaluation of AI in healthcare settings. Based on our findings, implementing AI in healthcare could potentially lead to cost savings. Several studies suggest savings ranging from $200 billion to $360 billion in the United States alone. The use of AI in healthcare sectors such as ophthalmology, radiology and disease screening has shown positive economic impacts. Conclusion: While AI has potential for cost savings and efficiency improvements, in healthcare settings, it’s crucial to conduct detailed context specific cost evaluations to optimize the adoption and implementation strategies of AI.

Health and Economic Impacts of Air Pollution in China: A Comparison of the General Equilibrium Approach and Human Capital Approach

In China, combustion of fossil fuels and biomass has produced serious air pollution that does harm to human health. Based on dose-response relationships derived from epidemiological studies, the authors calculated the number of deaths and people with health problems which were thought to be attributable to China＇s air pollution in the year of 2000. In order to estimate the corresponding economic impacts from the national point of view, the general equilibrium approach was selected as an analysis tool for this study. A computable general equilibrium （CGE） model was constructed involving 39 sectors and 32 commodities. The human capital approach （HCA） was also used for comparison. The economic burden of disease for people estimated by HCA was equivalent to 1.26‰ （ranging from 0.44‰ to 1.84‰） of China＇s gross domestic product （GDP）. China＇s GDP loss estimated by the general equilibrium approach reached 0.38‰ （ranging from 0.16‰ to 0.51‰）. The difference between the two approaches and the implications of the results were discussed.

Clinical and economic impact of infliximab one-hour infusion protocol in patients with inflammatory bowel diseases:A multicenter study

AIM To assess the impact of short infliximab(IFX) infusion on hospital resource utilization and costs.METHODS All inflammatory bowel diseases(IBD) patients who received IFX 1 h infusion from March 2007 to September 2014 in eight centers from Southern Italy were included in the analysis. Demographic, clinical and infusion related data were collected. The potential benefits related to the short infusion protocol were assessed both in terms of time saving and increased infusion unit capacity. In addition, indirect patient-related cost savings were evaluated.RESULTS One hundred and twenty-five patients were recruited(64 with ulcerative colitis and 61 with Crohn's disease). Median duration of disease was of 53 mo and mean age of pts at diagnosis was of 34 years(SD: ± 13). Adverse infusion reactions were reported in less than 4% both before and after short infusion. The total number of infusions across the selected centers was of 2501(30.5% short infusions). In the analyzed cohort, 1143 h were saved(762 in the infusion and 381 in observation phases) through the rapid IFX infusion protocol. This time saving(-15% compared to the standard protocol in infusion phase) represents, from the hospital perspective, an opportunity to optimize infusion unit capacity by allocating the saved time in alternative cost-effective treatments. This is the case of opportunity cost that represents the value of forgone benefit which could be obtained from a resource in its next-best alternative use. Hence, an extra hour of infusion in the case of standard 2-h IFX represents a loss in opportunity to provide other cost effective services. The analysis showed that the short infusion increased the infusion units capacity up to 50% on days when the IFX infusions were scheduled(infusion phase). Furthermore, the analysis showed that the short IFX infusion protocol leads to time savings also in the post-infusion phase(observation) leading to a time saving of 10% on average among the analyzed centers. Finally, the short infusion protocol has been demonstrated to lead to indirect cost savings of €138/patient(average-€17.300 on the whole cohort).CONCLUSION A short IFX infusion protocol can be considered time and cost saving in comparison to the standard infusion protocol both from the hospital's perspective, as it contributes to increase infusion units capacity, and the patients' perspective, as it reduces indirect costs and the impact of treatment on everyday life and work productivity.

Regional Economic Impacts of Biochemical and Pyrolysis Biofuel Production in the Southeastern US: A Systems Modeling Approach

This research developed a regional economic model to estimate the ex-ante impacts of biofuel production on the economy of the southeastern United States. The analysis focuses on biofuels produced using biochemical and pyrolysis technologies. The primary feedstocks considered include switchgrass (Panicum virgatum) and poplar (Populus spp.). The economic analysis modifies the Impact Analysis for Planning (IMPLAN) input-output model to determine the macroeconomic impacts of a mature industry producing biofuels using these technologies and feedstocks. Optimal facility locations are determined using a site locator model that minimizes the costs of procuring feedstock. Given a change in the land use caused by industry demand for feedstock, shocks to the farm economy are forward-linked to sectors supporting biofuel production. Key economic indicators analyzed include changes in employment and value added to the economy. System output is analyzed using a nonparametric bootstrap procedure to simulate the distributions of the impacts. The null hypothesis is that the economic impacts following the introduction of the industries are not different from baseline economic activity. Findings suggest that the net changes in employment and value added to the regional economy are positive, but modest. For example, job increases attributed to the advancement of the industries analyzed range between 0.18% and 0.95%. Total value added to the regional economy ranged between 0.15% and 0.83%.

The Socio-Economic Impacts of Aged-Dam Removal: A Review

Water storage dams worldwide are ageing, and many will reach the end of their designed lifespan by the middle of the 21st century. Some of these dams will likely need to be removed. While dam construction impacts have been widely discussed, dam removal impacts on society and the economy need to be synthesized and considered in the ageing dams’ decision-making process. This paper summarizes dam removal impacts on the local economy and industry, culture, history and heritage, property value, recreation, aesthetics, and disaster avoidance from identified studies worldwide. It demonstrates that these impacts may vary depending on geography and between developed and developing countries. It concludes that dam removal should consider the cost, environmental, and the socio-economic impacts while including all stakeholders who could be positively and negatively impacted by dam removal.

Economic Impact of Clinical Research to Research Centers and Opportunity Cost for the Reimbursement System in Turkey

Introduction: Clinical research is a key component of drug development with a significant economic value. It has been reported that the development of a new molecule requires 10 - 15 years and costs almost $1.3 billion. Around 75% of the cost is spent on the Phase I-IV clinical research process. This study aimed to show the economic value of clinical research in Turkey. Methods: Clinical trial budgets were estimated from the raw data of the Report of Istanbul Medical Faculty Clinical Research (ITFKAR). In the research, the estimated cost of drugs used in the clinical trials for the Turkish reimbursement agency (SGK) was calculated to show the cost of medicines acquired through clinical research. Results: The total budget for sponsored pharmaceutical research was $107 million in Turkey, and the government saved close to $311,096,130 during 2006-2010, due to not reimbursing the patients for the drugs in the clinical trials. Conclusion: Despite the limitations of the study, the findings are unique for Turkey. The results can lead to revisiting the importance and economic value of clinical trials in Turkey.

Economic Impact of ANC Election Victory

ON May 7, South Africans went to the polls in throngs to exercise their constitutional right to vote. In a country where the majority of the population wasonce excluded from casting their votes and from participating in the political decision making process, elections are an integral part of democracy for large parts of society,

The Impact of Human Resource Management on Regional Economic Development

A company that does a good job in human resource management will promote the process of regional economic development,and related enterprises will develop rapidly as a result.In future work,enterprises should carefully study the relationship between the two,and innovate their human resource management and development methods while fully considering the needs of talent development and regional economic development,in order to fundamentally optimize the regional economic development status.

Impacts of Future Changes in Heavy Precipitation and Extreme Drought on the Economy over South China and Indochina

Heavy precipitation and extreme drought have caused severe economic losses over South China and Indochina(INCSC)in recent decades.Given the areas with large gross domestic product(GDP)in the INCSC region are distributed along the coastline and greatly affected by global warming,understanding the possible economic impacts induced by future changes in the maximum consecutive 5-day precipitation(RX5day)and the maximum consecutive dry days(CDD)is critical for adaptation planning in this region.Based on the latest data released by phase 6 of the Coupled Model Intercomparison Project(CMIP6),future projections of precipitation extremes with bias correction and their impacts on GDP over the INCSC region under the fossil-fueled development Shared Socioeconomic Pathway(SSP5-8.5)are investigated.Results indicate that RX5day will intensify robustly throughout the INCSC region,while CDD will lengthen in most regions under global warming.The changes in climate consistently dominate the effect on GDP over the INCSC region,rather than the change of GDP.If only considering the effect of climate change on GDP,the changes in precipitation extremes bring a larger impact on the economy in the future to the provinces of Hunan,Jiangxi,Fujian,Guangdong,and Hainan in South China,as well as the Malay Peninsula and southern Cambodia in Indochina.Thus,timely regional adaptation strategies are urgent for these regions.Moreover,from the sub-regional average viewpoint,over two thirds of CMIP6 models agree that maintaining a lower global warming level will reduce the economic impacts from heavy precipitation over the INCSC region.

Incorporating transportation network modeling tools within transportation economic impact studies of disasters

Transportation system disruption due to a disaster results in ＂ripple effects＂ throughout the entire transportation system of a metropolitan region. Many researchers have focused on the economic costs of transportation system disruptions in transportation-related industries, specifically within commerce and logistics, in the assessment of the regional economic costs. However, the foundation of an assessment of the regional economic costs of a disaster needs to include the evaluation of consumer surplus in addition to the direct cost for reconstruction of the regional transportation system. The objective of this study is to propose a method to estimate the regional consumer surplus based on indirect economic costs of a disaster on intermodal transportation systems in the context of diverting vehicles and trains. The computational methods used to assess the regional indirect economic costs sustained by the highway and railroad system can utilize readily available state departments of transportation （DOTs） and metropolitan planning organizations （MPOs） traffic models allowing prioritization of regional recovery plans after a disaster and strengthening of infrastructure before a disaster. Hurricane Katrina is one of the most devastating hurricanes in the history of the United States. Due to the significance of Hurricane Katrina, a case study is presented to evaluate consumer surplus in the Gulf Coast Region of Mississippi. Results from the case study indicate the costs of rerouting and congestion delays in the regional highway system and the rent costs of fight-of-way in the regional railroad system are major factors of the indirect costs in the consumer surplus.

Implementation methods and economic impacts of national node strategies

Pilot reforms gradually implemented through key nodes have become an important pattern of regional development in China since the policy of reform and opening up was in- troduced in 1978. On the basis of an analysis of the evolution processes and characteristics of regional development policies in post-reform China, this paper develops the concept and analytical framework of national node strategies （NNS）, defined as regional development strategies centered on specific spatial nodes, by addressing their theoretical basis and re- search scope. The regional economic impacts of NNS were explored quantitatively through the examples of the Shenzhen Special Economic Zone, Pudong New Area and Tianjin Binhai New Area in different stages of the reform and opening up. The results indicate that the evo- lution of China＇s regional development policies can be divided into three stages： the explora- tion stage led by Special Economic Zones （SEZs）, the expansion stage dominated by Eco- nomic Development Zones and the optimization stage featuring State-level New Areas and National Comprehensive Reform Pilot Areas. During all the three stages, NNS have played an important demonstrative and leading role and promoted the rapid evolution of China＇s regional development policies from localized to widespread implementation, and the role of the government has also changed accordingly. As an innovative application and development of the growth pole theory in transitional China, NNS have become engines of regional de- velopment as well as important conduits of institutional innovations. NNS and regional de- velopment have achieved a benign coupling and formed a gradated regional development model. Empirical research indicates that NNS are an important method used by the govern- ment to guide and regulate regional economic development, with complex and diverse eco- nomic effects that differ depending on the stage of regional development and the spatial scale of analysis.

Economic and Psychosocial Impacts of Health Evacuations Abroad for Coronary Angioplasty in Togolese Patients

Introduction: Coronary artery disease is the leading cause of premature death worldwide. The management of its severe form requires angioplasty, not yet available a year ago in Togo, which motivated the evacuation of Togolese patients with this disease. Objectives: To evaluate the cost of angioplasty and the economic and psychosocial impacts in evacuated Togolese patients. Methodology: This was a three-year descriptive and prospective study (January 2015 to December 2018) that included all Togolese patients evacuated for coronary angiography from 4 health facilities in the city of Lomé. Results: The mean age was 56.8 ± 11 years. There was a male predominance with a sex ratio of 2.63. The main countries of evacuation were France (50%), Tunisia (25%) and Ivory Coast (20%). The main indications of coronary angiography were myocardial infarction in 47.5%, NSTEMI (22.5%) and ischemic heart disease (15%). Fifty-five percent of the patients had monotroncular involvement. Angioplasty was performed in 16 patients, 3 patients had bypass surgery and only one patient had medical treatment. Sixty percent of patients received an active stent and 20% a bare stent. The total cost of the 40 evacuations was four hundred and fifty one thousand four hundred and nineteen US dollars (US$451,419). The average cost per evacuation was eleven thousand two hundred and eighty-six US dollars (US$11,286), or 182 times the Togolese minimum wage. At the announcement of the disease and evacuation, 40% had been afraid and 35% had accepted their illness. Fifty-five percent perceived evacuation as a healthy outcome. In 25% of cases the coronary angiography was simple and 20% found it painful. After the coronary angiography 40% had regained hope of recovery, 37.5% had accepted their result and 37.5% were happy with the outcome. Conclusion: Coronary artery disease is a serious pathology in terms of cardiovascular morbidity and mortality, especially its severe form, which is myocardial infarction, the treatment of which requires angioplasty. This comes back during an evacuation that is too expensive for the average Togolese;only its implementation in our country remains the solution to fight against its often fatal complications as well as the flight of capital and the stress of patients and their families.

Evaluating the Economic and Environmental Impacts of a Global GMO Ban

The objective of this research is to assess the global economic and greenhouse gas emission impacts of banning GMO crops. This is done by modeling two counterfac-tual scenarios and evaluating them apart and in combination using a well-know Computable General Equilibrium (CGE) model, GTAP-BIO. The first scenario models the impact of a global GMO ban. The second scenario models the impact of increased GMO penetration. The focus is on the price and welfare impacts, and land use change greenhouse gas (GHG) emissions associated with GMO technologies. Much of the prior work on the economic impacts of GMO technology has relied on a combination of partial equilibrium analysis and econometric techniques. However, CGE model-ling is a way of analyzing economy-wide impacts that take into account the linkages in the global economy. Here the goal is to contribute to the literature on the benefits of GMO technology by estimating the impacts on price, supply and welfare. Food price impacts range from an increase of 0.27% to 2.2%, depending on the region. Total welfare losses associated with loss of GMO technology total up to $9.75 bil-lion. The loss of GMO traits as an intensification technology has not only economic impacts, but also environmental ones. The full environmental analysis of GMO is not undertaken here. Rather we model the land use change owing to the loss of GMO traits and calculate the associated increase in GHG emissions. We predict a substan-tial increase in GHG emissions if GMO technology is banned.

Risk Governance,Assessment,and Economic Impacts

Due to climate change,growing urbanization,and population migration the social and economic impacts of natural hazards have been increasing worldwide.The challenge for risk science,both methodologically and conceptually,is to integrate robust multi-hazard evaluation models with

Study on the Impact of Beijing-Shanghai Highspeed Railway on Highquality Economic and Social Development

Based on the new development concept in China's new stage of high-quality development,this paper qualitatively analyzes the impact of Beijing-Shanghai Highspeed Railway(HSR)on high-quality economic and social development.We select the data of areas along Beijing-Shanghai HSR and adjacent unopened areas for quantitative comparative study,and summarize the important demonstration and enlightenment role of Beijing-Shanghai HSR.The results show that Beijing-Shanghai HSR,as an important national infrastructure project,not only improves the travel quality of people,but also drives the high-quality economic and social development,which is of great significance in promoting the formation of a new pattern of high-quality development along the line,especially in promoting green development.

Policy Towards Gender Equality in Employment in a Globalizing Economy——An outline of the analysis report on the impacts of China's economic reform on women employment

1.This study is one of The Applied Economic Institutes Linkages Project(AERIL)which is funded by theCanadian International Development Agency(CIDA)and jiontly managed by The Conference Board of Canada(CBOC)and the International Trade Research Institute in China.It is jointly implemented by the Institute ofEconomic Research of the Chinese State Planning Commission and the North—South Institute of Canada。

Landslide characteristics and its impact on tourism for two roadside towns along the Kathmandu Kyirong Highway

Frequent landslide events affect the Kathmandu Kyirong Highway(KKH),one of the most strategic Sino-Nepal highways,with multiple social effects.Amongst them,the impacts on local tourism,although being substantial,have not been studied so far.The aim of this research is to analyze the characteristics of such landslides and their influence on road damages and/or blockages as well as on local tourism industry.We analyzed the co-seismic landslides triggered by the Gorkha Earthquake,2015(7.8 Mw),the post-seismic landslides that occurred during the monsoons following the earthquake,as well as landslides which occurred or reactivated in 2018,with relation to the damage that they caused to the highway.High resolution satellite images from 2015 to 2018,and field data were used for the analysis.The Langtang avalanche that locates off the highway was also mapped due to its high impacts on tourism.Between 2015 and 2018,the number of road damaging landslides in the Betrawati-Rasuwagadhi section of KKH(where Dhunche and Syafrubesi towns are located)was 101 in the main track(MT)and 103 in the new track(NT),with respective average density of 1.46/km and 3.63/km.The dominant observed landslide types were debris slides and rock falls.Landslides were mostly concentrated in the locations with the following characteristics:1)having higher elevated area,2)being located with the‘main central thrust’and other lineaments’belts,3)belonging to the Proterozoic lesser Himalayan rocks,4)having a slope gradient of 25°-45°,5)having northern,western and southern slope aspect,6)being subjected to average annual rainfall of higher than 1,000 mm,and 7)having less than 4 km distance from the past earthquake epicenters.The results further indicated that 7 rain-induced and 4 co-and post-seismic landslides have great impact on tourist flows.An impact analysis was also assessed through a door to door questionnaire survey with local hotel operators from Dhunche and Syafrubesi towns(n=29+31).The results reveal that out of six rigorously affected sectors by landslides leading to road blockage,tourism business is the most impacted livelihood sector in these towns.The reduction of visitors in different hotels ranged from 50%-100%in Dhunche and 70%-100%in Syafrubesi for the first year aftermath of the tremor.This is higher than the respective 5%-50%tourist reduction due to raininduced landslides.Using as a reference the base year 2014,the income loss of hotels in both towns was found to be 50%-100%in 2015,20%-100%in 2016,5%-75%in 2017,and similar to 35%in 2018.These results provide insights on the synergic effect of contributing factors for cut slope as well as down slope instability along mountainous motorways and their impact on income sources for local communities.

The Influence of Sichuan-Tibet Railway on the Accessibility and Economic Development of City Propers along the Line: Taking Chengdu and Ya’an as Examples

The Chengdu-Ya’an section of Sichuan-Tibet Railway(STR),which has already started operation,is taken as an example.First,we apply the weighted average travel time and gravity model to analyze the accessibility of the site cities and the economic link intensity among them,with visualization by ArcGIS.Then,we use the difference-in-differences model with panel data of three cities from 2018 to 2019 to test the impact of the Chengdu-Ya’an section on regional urbanization along the route.The results show that the opening of the Chengdu-Ya’an section has significantly improved the accessibility and economic link of areas along the line and promoted regional economic development and urbanization.It is expected that the opening of the entire line of STR will have more significant impacts,which requires continuous research and attention in the future.

Economic benefits of Northeast Asia energy interconnection:A quantitative analysis based on a computable general equilibrium model

There has been an intense discussion on the energy infrastructure cooperation in Northeast Asia.Most studies have focused on the technical feasibility of grid interconnection,deployment of renewable energy,and have ignored the quantitative analysis of social and economic benefits of these proposals.This study uses a computable general equilibrium model to evaluate the effects of energy interconnection in Northeast Asia.Key model development tasks include 1)constructing a new nesting structure,2)econometrically estimating the constant elasticities of substitution(CES)between fossil-and non-fossil-power generation bundles,3)developing a new base-case scenario,and 4)developing the policy scenario.We found that while Northeast Asia will benefit from energy interconnection development with higher GDP than in the base-case;there will be a trade-off between higher investment and lower consumption.Sector results and environmental implications in this region are also discussed.