Roadside Safety Analysis Program: A Cost-Effectiveness Analysis Procedure

Author(s):  
King K. Mak ◽  
Dean L. Sicking ◽  
Karl Zimmerman

Brief descriptions are provided of a new cost-effectiveness analysis program, known as the Roadside Safety Analysis Program (RSAP), which was developed under NCHRP Project 22-9. RSAP is an improvement over existing cost-effectiveness analysis procedures for evaluation of roadside safety improvements, such as the procedures in the 1977 AASHTO barrier guide and the ROADSIDE program. RSAP improves on many of the algorithms in the procedures and provides a user-friendly interface to facilitate use. The program has undergone extensive testing and validation, including evaluation by an independent reviewer. It is anticipated that RSAP will be available to the public through the McTrans Center at the University of Florida.

1974 ◽  
Vol 4 (2) ◽  
pp. 325-352 ◽  
Author(s):  
Herbert E. Klarman

As an economic technique for evaluating specific projects or programs in the public sector, cost-benefit analysis is relatively new. In this paper, the theory and practice of cost-benefit analysis in general are discussed as a basis for considering its role in assessing technology in the health services. A review of the literature on applications of cost-benefit or cost-effectiveness analysis to the health field reveals that few complete studies have been conducted to date. It is suggested that an adequate analysis requires an empirical approach in which costs and benefits are juxtaposed, and in which presumed benefits reflect an ascertained relationship between inputs and outputs. A threefold classification of benefits is commonly employed: direct, indirect, and intangible. Since the latter pose difficulty, cost-effectiveness analysis is often the more practicable procedure. After summarizing some problems in predicting how technologic developments are likely to affect costs and benefits, the method of cost-benefit analysis is applied to developments of health systems technology in two settings-the hospital and automated multiphasic screening. These examples underscore the importance of solving problems of measurement and valuation of a project or program in its concrete setting. Finally, barriers to the performance of sound and systematic analysis are listed, and the political context of decision making in the public sector is emphasized.


2020 ◽  
Author(s):  
NANCY MUCOGO NJERU ◽  
Elizabeth Owiti ◽  
Aabid Ahmed

Abstract An Organization Capacity Assessment done in Bomu hospital in April 2015 with an aim to strengthen the local institution’s capacity for sustainable fight against HIV Aids pandemic led to the development of this excel-based cost effectiveness analysis tool. Objective: The specific objectives were to develop a cost-effectiveness analysis excel tool complete with instruction manual for use in costing, determining prices of services and carrying out economic evaluations. Method: A technical working team (TWG) comprising of senior management of the hospital and the University of Nairobi Fellow was formed. The TWG identified program where cost indicators would be derived, developed cost indicators collection tools, collected costing data and build necessary consensus and assumptions. The data was used to design the tool complete with working instructions. Results: The tool comprises of processes, instructions, excel data entry provisions and inbuilt formulae in excel sheets. The unique tool features include; simple to use instructions, systematic listing of cost elements with a drop down option to allow selection as required, allows additional cost elements to be added thus increasing scope of use . The tool also separates costs and sub-costs in a manner that allows cost drivers to be known precisely as well as avoid double costing among others. Conclusion: The tool is transferable to other facilities and can be replicated in all hospitals within the country, in private, public and non – governmental organizations. Its regular review, improvements and utilization will be important for the health sector to fully benefit from its use. It will be necessary to sensitize health facilities to address information gaps and also ensure that data is available in form and detail necessary for costing purposes. Key words: Economic evaluation, Costing, Resources, Treatment outcomes


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