A Methodology for Evaluating the Cost-Effectiveness of Alternative Management Tools in Public-Sector Institutions: Application to Public Education

The purpose of the article was to reveal the analytical tools for evaluating the effectiveness of the allocated financing funds for the provision of the services provided in the public sector of the economy, the application of which does not have a uniform methodology today. The possibility to solve this issue is shown with regard to the compulsory health insurance system. To achieve the goal, the study reveals the definition of such categories as “effect” and “efficiency” of the medical institutions activities, “efficiency of spending” of the Territorial Fund for Compulsory Health Insurance. There is revealed the analytical significance of the existing methodological approaches to assessing the effectiveness of health care costs; their comparative analysis is carried out. Based on the results, the alternative is proposed, based on the system of the cost-effectiveness indices to achieve the health, social and economic effects of medical institutions; the analytical advantages of the alternative proposed are justified.

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Applying Pavement Preservation Concepts to Low-Volume Roads

Transportation Research Record Journal of the Transportation Research Board ◽

10.3141/1819a-13 ◽

2003 ◽

Vol 1819 (1) ◽

pp. 81-87 ◽

Cited By ~ 5

Author(s):

Kathryn A. Zimmerman ◽

David G. Peshkin

Keyword(s):

Cost Effectiveness ◽

Preventive Maintenance ◽

Road Network ◽

Pavement Management ◽

Management Information ◽

Management Tools ◽

Pavement Preservation ◽

The Road ◽

Low Volume ◽

The Cost

As the challenges associated with managing a low-volume road network increase, agencies have realized the benefits associated with the use of pavement management tools for the road network. One of the benefits of the use of these tools is the ability to illustrate quickly and effectively the impacts of various pavement preservation strategies (such as worst-first repair) on overall network conditions. As a result, agencies are in a better position to communicate the needs of the road network to individuals responsible for the allocation of funds. In some cases, agencies have successfully lobbied for additional funds to support their road management efforts. The benefit of pavement management tools in supporting the preservation of the low-volume road network is illustrated by their use in evaluating the long-term impact of various funding strategies, the cost-effectiveness of pavement preventive maintenance programs, and various cost analyses that can be used to enhance road system management. Information from a variety of transportation agencies is used for this illustration. For instance, a summary is presented of the use of pavement management information to compare a worst-first repair strategy with a strategy that includes pavement preservation techniques. Examples are provided of the types of presentations that can be given to top management to illustrate these effects. In addition, the cost-effectiveness of pavement preservation programs is illustrated by showing the reduction in life-cycle costs and the overall benefits provided to the agency through the implementation of preventive maintenance programs.

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A Methodology for Evaluating the Cost-Effectiveness of Alternative Management Tools in Public-Sector Institutions: An Application to Public Education

Journal of Management Accounting Research ◽

10.2308/jmar.2009.21.1.203 ◽

2009 ◽

Vol 21 (1) ◽

pp. 203-239 ◽

Cited By ~ 9

Author(s):

Yaw M. Mensah ◽

Michael P. Schoderbek ◽

Robert H. Werner

Keyword(s):

Public Schools ◽

Public Sector ◽

Cost Effective ◽

Education Economics ◽

Management Tools ◽

Accounting Systems ◽

Performance Budgeting ◽

Trade Offs ◽

Conflicting Objectives ◽

The Cost

ABSTRACT: The shift toward performance budgeting and outcome measures for public-sector institutions in recent decades has created a need to formally link inputs consumed and outcomes achieved. Given the inherent problems of cost accounting systems in public-sector institutions, we propose a statistical approach to identify the most cost-effective management tools that also recognize the endogeneity between costs and outcomes. The model developed allows for the examination of possible trade-offs that can be exercised by public-sector institutions facing multiple stakeholders with conflicting objectives. Using public schools in New Jersey and a set of variables identified from the education economics literature, we estimate cost and outcome functions to demonstrate empirically the choices made by school district superintendents that trade off the interests of various stakeholders, while seeking to meet the core objectives of the institutions. Our empirical results provide insight on the variables controllable by the superintendents that appear to be used inefficiently, or are subject to institutional constraints that limit the flexibility in input choice assumed by the proposed method. From a management accounting standpoint, the identification of such variables narrows the areas to be focused on in the search for improvements in performance.

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Cost-effectiveness of a combined classroom curriculum and parental intervention: economic evaluation of data from the Steps Towards Alcohol Misuse Prevention Programme cluster randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2018-027951 ◽

2019 ◽

Vol 9 (7) ◽

pp. e027951

Author(s):

Ashley Agus ◽

Michael McKay ◽

Jonathan Cole ◽

Paul Doherty ◽

David Foxcroft ◽

...

Keyword(s):

Cost Effectiveness ◽

Public Sector ◽

Alcohol Misuse ◽

Randomised Trial ◽

Economic Education ◽

Heavy Episodic Drinking ◽

Prevention Programme ◽

Cost Shifting ◽

Cluster Randomised ◽

The Cost

ObjectivesThis study aimed to assess the cost-effectiveness of the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) compared with education as normal (EAN) in reducing self-reported heavy episodic drinking (HED) in adolescents.DesignThis is a cost-effectiveness analysis from a public sector perspective conducted as part of a cluster randomised trial.SettingThis study was conducted in 105 high schools in Northern Ireland and in Scotland.ParticipantsStudents in school year 8/S1 (aged 11–12) at baseline were included in the study.InterventionsThis is a classroom-based alcohol education curricula, combined with a brief alcohol intervention for parents/carers.Outcome measuresThe outcome of this study is the cost per young person experiencing HED avoided due to STAMPP at 33 months from baseline.ResultsThe total cost of STAMPP was £85 900, equivalent to £818 per school and £15 per pupil. Due to very low uptake of the parental component, we calculated costs of £692 per school and £13 per pupil without this element. Costs per pupil were reduced further to £426 per school and £8 per pupil when it was assumed there were no additional costs of classroom delivery if STAMPP was delivered as part of activities such as personal, social, health and economic education. STAMPP was associated with a significantly greater proportion of pupils experiencing a heavy drinking episode avoided (0.08/8%) and slightly lower public sector costs (mean difference −£17.19). At a notional willingness-to-pay threshold of £15 (reflecting the cost of STAMPP), the probability of STAMPP being cost-effective was 56%. This level of uncertainty reflected the substantial variability in the cost differences between groups.ConclusionsSTAMPP was relatively low cost and reduced HED. STAMPP was not associated with any clear public sector cost savings, but neither did it increase them or lead to any cost-shifting within the public sector categories. Further research is required to establish if the cost-effectiveness of STAMPP is sustained in the long term.Trial registration numberISRCTN47028486; Results.

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