Health outcomes derived from public health programmes must outweigh the costs of implementation and adoption. This chapter discusses how return on investment (ROI) analyses can help those spending the budget both to determine how it can be best allocated in order to maximise health benefit and to justify increased budget allocation from a centralised budget. Before an ROI analysis is commenced, one has to define the “decision problem” considering the needs of the audience or end users of the ROI analysis/tool. A major difference between the development of ROI tools and standard economic evaluation models is that the ROI tools are commissioned directly to facilitate immediate decisions through demonstrating a business case for the introduction of potential programmes or policies.
KeywordsCost-benefit Budget Public health Return on investment ROI
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