What Is the Potential for Applying Cost-Utility Analysis to Facilitate Evidence-Based Decision Making in Schools?

Education decision makers routinely make choices among programs and strategies to implement. Policy demands increasingly require that such decisions are based on evidence regarding program effectiveness at improving student outcomes. However, research evidence is but one of the considerations that practitioners must juggle, along with local conditions, capacity, resource availability, and stakeholder values. We investigated the feasibility of applying a multicriteria decision-making framework based on cost-utility analysis to facilitate evidence-based decisions by educators. Working with a total of 183 aspiring school leaders in class settings, we determined to what extent they could implement the initial steps of the framework. We subsequently invited three educators to apply the full framework to substantive decisions in their schools and report the results.

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How to choose tools and programs that are worth the investment

Phi Delta Kappan ◽

10.1177/00317217211043633 ◽

2021 ◽

Vol 103 (1) ◽

pp. 54-57

Author(s):

Fiona Hollands ◽

Anna Kushner

Keyword(s):

Decision Making ◽

Evidence Base ◽

Cost Utility ◽

Cost Utility Analysis ◽

Decision Makers ◽

Evidence Based ◽

Utility Analysis ◽

Program Strategy ◽

Impossible Task ◽

Education Decision

Making evidence-based decisions in schools seems like an impossible task when hundreds of activities are available, the evidence base fails to address most of them, and budget deadlines are immovable. In addition, different stakeholders hold different views on what it means for a program, strategy, or intervention to “work.” Fiona Hollands and Anna Kushner describe a 10-step decision-making framework developed in collaboration with practicing education decision makers to tackle these kinds of complex decisions. It is based on cost-utility analysis, which addresses two main questions: What resources are required to implement a program, and how useful or satisfying is each program to stakeholders?

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Economic Evaluation of CAM Use

Complementary and Alternative Medicine and Kidney Health - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-5225-2882-1.ch009 ◽

2017 ◽

pp. 232-271

Author(s):

Li-Chia Chen ◽

Mayuree Tangkiatkumjai

Keyword(s):

Decision Making ◽

Economic Evaluation ◽

Cost Effectiveness ◽

Conventional Medicine ◽

Kidney Diseases ◽

Developed Countries ◽

Cost Utility ◽

Cost Utility Analysis ◽

Utility Analysis ◽

Healthcare Interventions

Economic evaluation (EE) of health care interventions has been used to inform and affect policy decision-making by considering both costs and outcomes of the interventions. National guidelines in many countries consider cost-effectiveness evidence for making recommendations of healthcare interventions. In such case, EE of complementary and alternative medicine (CAM) is crucial to guide reimbursement decision-making. However, there is currently a lack of cost-effectiveness evidence of using CAM for kidney diseases. There are three types of full EEs, including a cost-benefit, cost-effectiveness, and cost-utility analysis, of which, results of cost-utility analysis is preferred and widely used by healthcare authorities in several developed countries. General approaches for EE of conventional medicine are likely to be applied to assess economic outcomes of CAM for kidney diseases. This chapter depicts the overall principles of EEs, interpretations of economic results and summaries the currently available EE for CAM.

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Cost-utility analysis: the nirvana to health economists and an enigma to decision-makers?

Expert Review of Pharmacoeconomics & Outcomes Research ◽

10.1586/14737167.2.1.3 ◽

2002 ◽

Vol 2 (1) ◽

pp. 3-5 ◽

Cited By ~ 2

Author(s):

Michael E Minshall

Keyword(s):

Cost Utility ◽

Cost Utility Analysis ◽

Decision Makers ◽

Utility Analysis

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THE VALUE COMPONENT OF EVIDENCE-BASED MEDICINE: GUIDELINES TO MASTER WHEN PERFORMING OR EVALUATING A COST-UTILITY ANALYSIS

Evidence-Based Ophthalmology ◽

10.1097/01.ieb.0000169298.79469.15 ◽

2005 ◽

Vol 6 (3) ◽

pp. 169-174

Author(s):

Melissa M Brown ◽

Gary C Brown ◽

Sanjay Sharma

Keyword(s):

Evidence Based Medicine ◽

Cost Utility ◽

Cost Utility Analysis ◽

Evidence Based ◽

Utility Analysis ◽

Based Medicine

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Cost-Utility Analysis of Assistive Technologies in the European Commission's Tide Program

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462300006899 ◽

1995 ◽

Vol 11 (2) ◽

pp. 276-283 ◽

Cited By ~ 6

Author(s):

Håkan Brodin ◽

Jan Persson

Keyword(s):

Decision Making ◽

Research Program ◽

Cost Utility ◽

Cost Utility Analysis ◽

Assistive Technologies ◽

Utility Analysis

AbstarctSocioeconomic evaluation is an issue dealt with in the European Commission's research program TIDE. The principles of cost-utility analysis have been examined for usability in the assessment of rehabilitative technologies. A case study, the choice of a type of wheelchair, is described to demonstrate how estimates of utility can be derived and how cost-utility ratios can be used to guide decision making.

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