Capabilities as menus: A non-welfarist basis for QALY evaluation

Bleichrodt, Han; Quiggin, John

doi:10.1016/j.jhealeco.2012.10.004

Cited by 27 publications

(20 citation statements)

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“…But in doing so, it is unclear whether they differentiate what they are able to do (their “capability”) from what they actually do (their “functioning”). The assumption that capability and functioning can differ lies at the very heart of the capability approach (Bleichrodt & Quiggin, 2013); the focus of this paper is to study the extent to which reported capability and functioning actually differ in different areas of life.…”

Section: Introductionmentioning

confidence: 99%

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Do capability and functioning differ? A study of U.K. survey responses

Al‐Janabi

2017

Health Economics

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SummaryA core feature of the capability approach is that a person's capabilities (what they are able to do and be in their life) can differ from their functionings (what they actually do and are in their life). However, the degree to which capability and functioning differ in practice is unclear. This paper investigates this issue, focusing on capability and functioning differences (CFD) across different aspects of life and different individuals. In the study, the ICECAP‐A capability questionnaire was modified to measure both functionings and capabilities and was completed by U.K.‐based convenience sample of 943 people. Around one third of people reported CFD in at least one area of their life, most commonly in terms of their “achievement.” People were more likely to report CFD when they had a degree‐level education and when they had impaired health. An additional finding was that capability varied more with education whereas functioning varied more with health status. This finding needs further examination, but it suggests that the choice of evaluative space may influence how priorities are set for public spending.

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Section: Introductionmentioning

confidence: 99%

“…heart of the capability approach (Bleichrodt & Quiggin, 2013); the focus of this paper is to study the extent to which reported capability and functioning actually differ in different areas of life.…”

mentioning

confidence: 99%

Do capability and functioning differ? A study of U.K. survey responses

Al‐Janabi

2017

Health Economics

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“…The capability approach assumes that additional choices improve well-being, even if the preferred choice of an individual was already available to him. In this respect, the capability approach differs from the standard economic model (Bleichrodt & Quiggin, 2013;Sen, 1987a;Cookson, 2005).…”

Section: Functionings and Capabilitymentioning

confidence: 99%

The Capability Approach: A Critical Review of Its Application in Health Economics

2016

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Abstract:The capability approach is an approach to assessing well-being developed by Amartya Sen. Interest in this approach has resulted in several attempts to develop questionnaires to measure and value capability at an individual level in health economics. The methods of measuring and valuing capability used in the questionnaires are critically reviewed in this paper. It is argued that the methods used to measure capability result in a capability profile that is often an inaccurate description of the individual's true capability set. In addition, existing methods of valuing capability do not consider that capability is a set, consisting of multiple combinations of functionings rather than a single combination, which means that existing methods of valuing capability may be inadequate. The difficulties in measuring and valuing capability faced by existing questionnaires means that using the capability approach in economic evaluations will require a significant amount of further research.

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“…1 Economists working on health have emphasised that disability can profoundly impact the ability of people to convert resources into valued activities or states and this paper provides an opportunity to complement the work of Trani, Bakhshi, Brown, Lopez, and Gall (2018) and to test the proposition in a high-income country context. 2 Following his widely cited International Health Economics Association (IHEA) presidential address published in this journal, Sen (2002), a wide array of topics have been shown to be addressable with the approach including work on maternal health, Osmani and Sen (2003), disability classification, Saleeby (2007), recovery in mental health, Hopper (2007), health inequalities and social determinants, Marmot et al (2008), the value of agency for health, Abel and Frohlich (2012), health and justice, Venkatapuram (2013), patient-centred care, Entwistle and Watt (2013), theoretical foundations for health assessment, Bleichrodt and Quiggin (2013) and Brazier and Tsuchiya (2015), psychometric properties of health measures, Al-Janabi et al (2013), Hofmann, Schori, and Abel (2013), Vergunst et al (2017) and ageing and quality of life Zaidi and Howse (2017). For a review of applications of the Sen-Nussbaum capability approach in health see Mitchell, Roberts, Barton, and Coast (2017).…”

Section: Introductionmentioning

confidence: 99%

Disability and multidimensional quality of life: A capability approach to health status assessment

et al. 2020

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This paper offers an approach to assessing quality of life, based on Sen's (1985) theory, which it uses to understand loss in quality of life due to mobility impairment. Specifically, it provides a novel theoretical analysis that is able to account for the possibility that some functionings may increase when a person's capabilities decrease, if substitution effects are large enough. We then develop new data consistent with our theoretical framework that permits comparison of quality of life between those with a disability (mobility impairment) and those without. Empirical results show that mobility impairment has widespread rather than concentrated impacts on capabilities and is associated with high psychological costs. We also find evidence that a small number of functionings are higher for those with a disability, as our theory allows. The paper concludes by discussing possible implications for policy and health assessment methods. K E Y W O R D Scapabilities, disability, extra-welfarism, health, mobility impairment, Sen J E L C L A S S I F I C A T I O ND60; I31

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Capabilities as menus: A non-welfarist basis for QALY evaluation

Cited by 27 publications

References 57 publications

Do capability and functioning differ? A study of U.K. survey responses

Do capability and functioning differ? A study of U.K. survey responses

The Capability Approach: A Critical Review of Its Application in Health Economics

Disability and multidimensional quality of life: A capability approach to health status assessment

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