A framework for whole lifecycle cost of long-term digital preservation

Digital preservation, also known as digital curation, is the active management of digital information, over time, to ensure its accessibility and usability. Digital preservation is nowadays an active area of research, for many reasons: the rapid evolution of technology, which also results in the rapid obsolescence of old technologies; degradation of physical records; constantly increasing volumes of digital information and, importantly, the fact that it has started to become a legal obligation in many countries. This research project aims to develop an innovative framework estimate costs of long term digital preservation. The framework can lead to generating a cost model that quantifies costs within different business sectors, while capturing the impact of obsolescence and uncertainties on predicted cost. Case studies from financial, healthcare and clinical trials sectors are used to prove the framework concept. Those sectors were chosen because between them they share all file types that are required to be preserved and all are either obliged by European or local laws, e.g. EU Data Retention Directive (2006/24/EC) and/or UK Data Retention Regulations 2014 No. 2042, or interested in preserving their digital assets. The framework comprises of three phases: assessing digital preservation activities, cost analysis and expansion and cost estimation. The framework has integrated two processes that will enable the user to reach a more accurate cost estimate; a process for identifying uncertainties with digital preservation activities and a cost modelling process. In the framework cloud computing was used as an example for storage and compute technologies. Combining different research methodology techniques was used in this research project. Starting with conducting a thorough literature review covering digital preservation and cost modelling. Following the literature review; is a combination qualitative and quantitative approaches, using semi-structured interview technique to collect data from industry experts. Industry experts were chosen from companies, firms and government bodies working with or researching digital preservation. Finalising with validating results by real-life case studies from businesses in selected sectors and experts’ verdict. Comparing the output of the framework to real-life case studies, demonstrated how companies/firms, who target to preserve their digital assets, can utilise it to predict accurately future costs for undertaking such investment. By applying industrially-based cost modelling approaches the framework generates a cost model that predicts single-point and three-points cost estimates, an obsolescence taxonomy, uncertainties identification process and quantifying uncertainties and obsolescence impact on cost prediction. Providing decision makers with all the framework outputs, will provide them with quantifiable information about their future investment, while remaining clear to understand and easy to amend. This makes the framework provide long-term total cost prediction solution for digital preservation to firms; helping, guiding and adding insight into digital preservation added value

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially