Journal of East China Normal University(Educational Sciences) ›› 2020, Vol. 38 ›› Issue (8): 68-91.doi: 10.16382/j.cnki.1000-5560.2020.08.002

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Cost-effectiveness Analysis in Randomized Controlled Trials: Methods and Practice in China’s Rural Education

Nie Jingchun1, Gao Qiufeng1, Yang Jie1, Guan Hongyu1, Cai Jianhua2   

  1. 1. The Center for Experimental Economics in Education, Shaanxi Normal University, Xi’an, 710119, China;
    2. Administrators Training Center of the National Health Commission of the PRC, Beijing, 100024, China
  • Published:2020-08-14

Abstract: In recent years, scholars in the field of education have carried out a large number of randomized controlled trials (RCTs) and provided many evidence-based interventions to improve the academic performance and to increase enrollment rate from different perspectives. However, given limited resources, how can researchers compare among different options of interventions and choose the most effective plan? Such a question can be answered by conducting cost-effectiveness analysis. This paper hereby provides a detailed introduction to basic methods of cost-effectiveness analysis, including cost accounting methods and the interpretation of effectiveness. It also introduces a case to illustrate the steps of conducting a cost-effectiveness analysis. Further, the cost-effectiveness of RCTs in education conducted worldwide are summarized, which provide valuable implications for policy-makers to promote rural education in China. In conclusion, researchers suggest the cost-effectiveness of interventions should be included in the analysis of RCT results, so as to facilitate the comparisons among different projects and to provide more powerful evidence for policy-makers.

Key words: cost-effectiveness analysis, randomized controlled trials, social cost, marginal cost, Monte Carlo Simulations