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Evaluation Review, Vol. 4, No. 4, 549-568 (1980)
DOI: 10.1177/0193841X8000400407

Cost-Effectiveness Analysis in Health Program Evaluation

Mark S. Thompson

Harvard School of Public Health

Eric E. Fortess

Harvard School of Public Health

The growing demand for prospective evaluation enhances the popularity of cost-effective ness analysis, a technique for identifying best uses of scarce resources. Defined in diverse ways during its short history, cost-effectiveness analysis is now seen as the evaluative comparison of monetary and nonmonetary dimensions of impact. The cost-effectiveness ratio for health programs divides monetary effects by health effects. Decisions on com peting alternative programs should be resolved by regarding cost-effectiveness ratios on the differences between programs.


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