Cost-effectiveness analysis is the evaluation of alternatives
taking into account both their costs and their effect in producing an outcome or
set of outcomes. Clearly the measurement of cost-effectiveness is normally a
complex science. This is even more true in distance education where not only is
it extremely difficult to assess or to place a value on the outcomes; even the
appropriateness of the choice of the set of outcomes is not universally agreed.
Furthermore, as the last section demonstrated, different outcomes are deemed to
be more or less important by different