Qualitative cost–benefit evaluation of complex,emergent programs |
| |
| Authors: | Patricia J Rogers Kaye Stevens Jonathan Boymal |
| |
| Institution: | 1. CIRCLE (Collaboration for Interdisciplinary Research, Consulting and Learning in Evaluation), Building 15, Royal Melbourne Institute of Technology, 124 Latrobe Street, Melbourne, VIC 3000, Australia;2. School of Economics, Finance and Marketing, Royal Melbourne Institute of Technology, Australia;1. Divisions of Cardiology and Cardiothoracic Surgery, Emory University, Atlanta, Georgia;2. Department of Administration, Emory Healthcare, Atlanta, Georgia;3. Rollins School of Public Health, Emory University, Atlanta, Georgia;4. Department of Epidemiology, James T. Laney School of Graduate Studies, Emory University, Atlanta, Georgia;1. Institute of Global Health Innovation, Imperial College London, London SW7 2AZ, UK;1. Division of Pulmonary and Critical Care Medicine, Brigham and Women''s Hospital, Boston, MA 02115, USA;2. Department of Emergency Medicine, Brigham and Women''s Hospital, Boston, MA 02115, USA;3. Division of Global Health Equity, Brigham and Women''s Hospital, Boston, MA 02115, USA;4. Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA;5. Harvard Medical School, Boston, MA, USA;6. Partners In Health, Boston, MA, USA;7. Ministry of Health, Lilongwe, Malawi;8. Abwenzi Pa Za Umoyo/Partners In Health, Neno, Malawi;9. Harvard University T.H. Chan School of Public Health, Center for Communicable Disease Dynamics, Boston, MA, USA;10. Division of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA;11. Division of Hospital Medicine, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;12. Queen Elizabeth Central Hospital, Adult Emergency and Trauma Center, Blantyre, Malawi;13. University of Malawi College of Medicine, Blantyre, Malawi;1. University of Wisconsin-Milwaukee, Department of Economics, 3210N. Maryland Avenue, Milwaukee, WI 53211, United States;2. Penn State University, Department of Economics, Mont Alto, PA 17237, United States;3. Northeastern Illinois University, Department of Economics, Chicago, IL 60625, United States |
| |
| Abstract: | This paper discusses a methodology used for a qualitative cost–benefit evaluation of a complex, emergent program. Complex, emergent programs, where implementation varies considerably over time and across sites to respond to local needs and opportunities, present challenges to conventional methods for cost–benefit evaluation. Such programs are characterized by: ill-defined boundaries of what constitutes the intervention, and hence the resources used; non-standardized procedures; differing short-term outcomes across projects, even within the same long-term goals; and outcomes that are the result of multiple factors and co-production, making counter-factual approaches to attribution inadequate and the use of standardized outcome measures problematic. The paper discusses the advantages and limitations of this method and its implications for cost–benefit evaluation of complex programs. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
