Cost Benefit And Cost Effectiveness Analysis

The second edition of Handbook of Practical Program Evaluation offers managers, analysts, consultants, and educators in government, nonprofit, and private institutions a valuable resource that outlines efficient and economical methods for assessing program results and identifying ways to improve program performance. The Handbook has been thoroughly revised. Many new chapters have been prepared for this edition, including chapters on logic modeling and on evaluation applications for small nonprofit organizations. The Handbook of Practical Program Evaluation is a comprehensive resource on evaluation, covering both in-depth program evaluations and performance monitoring. It presents evaluation methods that will be useful at all levels of government and in nonprofit organizations.

Professor Brent s book is a superb and much-needed text in the field of health care evaluation. The economic approaches for appraisal of health care programs are presented with greater clarity than any other available text. A comprehensive review of cost-minimization, cost-effectiveness analysis, cost utility analysis, and cost benefit analysis is given in a simple and yet very insightful manner that pointedly demonstrates their fundamental principles, methodological requirements, and common linkages for evaluation research. The book skilfully merges theory and application of the economic analyses of health care, combining the latest literature with adroit illustrations of required methodologies and easily understandable examples that inform the reader of how empirical evaluation research should be conducted. Major evaluation concerns about the appropriateness of discounting health benefits, the appropriate discount (interest) rate, and intangible benefits and costs are critically appraised. Not only is the criterion of economic efficiency of health care programs explored directly and with lucidity, but the important social question of the equity of health interventions is also assessed straightforwardly. Students of health care as well as health policy analysts and administrators are provided with a considerable solid foundation for undertaking evaluation of complex health care issues. In short, Professor Brent has even made the economics of health care evaluation accessible to non-economists in the health care field. Paul L. Solano, University of Delaware, US Cost benefit analysis is the only method of economic evaluation which can effectively indicate whether a health care treatment or intervention is worthwhile. This book attempts to build a bridge between cost benefit analysis, as developed by economists, and the health care evaluation literature which relies on other evaluation approaches such as cost-minimization, cost-effectiveness analysis and cost utility analysis. Robert Brent explains the many different ways in which these other valuation techniques can be converted into cost benefit analysis and examines both the traditional (human capital) and modern (willingness to pay) approaches. Case studies are used throughout to explain and illustrate the various methodologies being examined. The author follows an applied economics approach, in which methods and ideas are evaluated according to practicability and not according to their theoretical purity. Ultimately, he resolves a number of disputes and makes some new, but subtle, contributions by reinterpreting, correcting and extending existing work. The book covers the topic in an accessible manner, from the foundations to the frontiers of the field, and clearly explains all the necessary economic principles along the way. Cost Benefit Analysis and Health Care Evaluations will be invaluable to students and researchers of economics, public policy and health care policy, as well as policymakers and health care practitioners. It can also be used as a comprehensive introductory text by anyone with an interest in cost benefit analysis.

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Health inequalities blight lives, generate enormous costs, and exist everywhere. This book is the definitive all-in-one guide for anyone who wishes to learn about, commission, and use distributional cost-effectiveness analysis to promote both equity and efficiency in health and healthcare.

Much evidence suggests that the US does not achieve good value for its health care spending. This book provides a unique perspective on this problem by considering the economic, social, political, and ethical factors that contribute to it, and by seeking to show how experience can guide better policy making in the future.

Cost-effectiveness analysis allows researchers and evaluators to determine if a particular program or policy has attained maximum effectiveness for a given budget. This book introduces cost-effectiveness analysis and gives readers step-by-step methods to plan and implement a cost-analysis study. It explains and illustrates the four major techniques : cost-effectiveness, cost-benefit, cost-utility, and cost-feasibility. It discusses choice of analysis, implementation, the nature of costs (including how to identify, measure, and distribute costs); measuring effectiveness, utility, and benefits; and, lastly the difficulties of including cost evaluations in the decision making process. Each chapter ends with exercises that enable readers to sharpen their ability to evaluate policy options and program effectiveness.

"The Guide, in Part I, begins with a brief description of generalized CEA and how it relates to the two questions raised above. It then considers issues relating to study design, estimating costs, assessing health effects, discounting, uncertainty and sensitivity analysis, and reporting results. Detailed discussions of selected technical issues and applications are provided in a series of background papers, originally published in journals, but included in this book for easy reference in Part II." (from the back cover).