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Cost-Utility Analysis

Cost-Utility Analysis (CUA) is a specialized form of cost-effectiveness analysis that incorporates individual preferences or utilities into the assessment of outcomes. It provides a comprehensive measure of value based on how people perceive the benefits of an intervention.

480-1440 min1-5 peopleHard
When to Use

Use when needing to account for individual preferences and values in the evaluation of health or social programs, especially when quality of life is a key outcome.

How It Works

Solves: Difficulty in capturing the subjective value of program outcomes; needing a way to incorporate individual preferences into the analysis.

Step-by-Step Instructions
Follow these steps to facilitate this method
  1. 1

    Step 1: Define the objective and identify alternative interventions (120 min)

  2. 2

    Step 2: Measure the costs of each intervention (120 min)

  3. 3

    Step 3: Elicit individual preferences or utilities for the outcomes of each intervention (240 min)

  4. 4

    Step 4: Calculate the cost-utility ratio for each intervention (60 min)

  5. 5

    Step 5: Compare the cost-utility ratios and identify the most efficient option (30 min)

  6. 6

    Step 6: Conduct sensitivity analysis to assess the impact of uncertainty (30 min)

Facilitator Tips
  • Use appropriate utility elicitation methods.
  • Ensure the utility measures are reliable and valid.
  • Conduct sensitivity analysis to assess the robustness of the results.
Variations
  • Quality-Adjusted Life Years (QALYs)
  • Disability-Adjusted Life Years (DALYs)
Source: BetterEvaluation Rainbow FrameworkLearn more