CBA Flashcards

1
Q

what does CBA stand for

A

cost benefit analysis

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2
Q

what is CBA

A

a method to compare the value in monetary terms of all resources consumed (costs) in providing an intervention against the value of the outcome (benefits) from that program or intervention

aka the yield of an investment

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3
Q

when to use CBA

A

when comparing interventions with DIFFERENT outcomes

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4
Q

limitation to CBA

A

does not evaluate the internal efficiency of a program

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5
Q

goal of CBA

A

conduct an economic evaluation for programs with a wide range of benefits

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6
Q

how are results discussed in CBA

A

in net monetary gain

attempts to value benefits, so outcomes are measured in $ and costs of the program are too

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7
Q

CBA makes what assumptions

A

-treatments/services can be separated from each other
-a choice can be made between available options
-outcomes of each intervention can be estimated
-these outcomes can be valued
-costs of each intervention can be estimated
-costs and benefits of each intervention can be weighed against each other

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8
Q

direct benefits in CBA

A

costs usually borne that are averted by implementation of the program

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9
Q

indirect benefits in CBA

A

potential increased earnings or productivity gains that would not be possible without the program

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10
Q

intangible benefits in CBA

A

psychological benefits of health, such as satisfaction with life or health

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11
Q

how are money values assigned to health outcomes in CBA

A

human capital approach (HCA) or willingness to pay (WTP)

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12
Q

what is the human capital approach (HCA)

A

places monetary weights on healthy time using market wage rates

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13
Q

what is willingness to pay (WTP)

A

the patient’s willingness to pay for trade-offs of time or money for relief from various probabilities of illness or adverse effects

values what you would pay for relief of a condition or prevention of an adverse effect (also called contingent valuation)

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14
Q

what is the benefit to cost ratio

A

total benefits / costs

a ratio of >1 means each dollar invested produces more than one dollar of benefits

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15
Q

what is net benefit/net present value (NPV)

A

benefits-costs

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16
Q

what is return on investment (ROI)

A

net benefits (B-C) / costs

17
Q

if B/C>1

A

benefits exceed costs
DESIRABLE

18
Q

if B/C=1

A

benefits equal costs
no effect

19
Q

if B/C<1

A

costs exceed benefits
NOT DESIRABLE

20
Q

advantages to CBA

A

can assess single or multiple interventions
guides decision on allocation of funds
useful when programs result in different benefits
forces quantification of outcomes

21
Q

disadvantages in CBA

A

challenging to include all costs and benefits generated by the program
difficult to translate clinical & quality of life outcomes to monetary terms