Expanding Economic Costing in Health Care: Values, Gender and Diversity
In this paper we offer a normative analysis of economic evaluations by critically examining Canadian social values in relation to health, and contrasting these with the inherent values, methodological assumptions and pragmatic policy consequences of conventional cost of illness (COI) models. Through this analysis we reveal the value biases and resulting limitations of existing COI approaches, and propose an expanded framework for estimating costs that takes into account gender and diversity. This proposed framework builds upon fundamental shifts in values discourse emerging in the fields of economics, ethics, social policy, and feminist theory. Specifically, we demonstrate the implications of these cross-disciplinary convergences for COI studies. The analysis and framework provide arguments for why and how traditional costing methodologies need to be transformed to realize their full potential for informing health policy decisions. The paper reflects the work of a multidisciplinary group of researchers from the fields of economics, political science, sociology, and nursing.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 30 (2004)
Issue (Month): 3 (September)
|Contact details of provider:|| Postal: |
Web page: http://economics.ca/cpp/Email:
|Order Information:|| Web: http://www.utpjournals.com/cpp/ Email: |
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Peter A. Ubel & Jeff Richardson & Paul Menzel, 2000. "Societal value, the person trade-off, and the dilemma of whose values to measure for cost-effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 9(2), pages 127-136.
- Hoffman, Elizabeth & McCabe, Kevin A & Smith, Vernon L, 1998. "Behavioral Foundations of Reciprocity: Experimental Economics and Evolutionary Psychology," Economic Inquiry, Western Economic Association International, vol. 36(3), pages 335-52, July.
- Fuchs, Victor R., 2000. "The future of health economics1," Journal of Health Economics, Elsevier, vol. 19(2), pages 141-157, March.
- Elise Golan & Fred Kuchler, 1999. "Willingness to Pay for Food Safety: Costs and Benefits of Accurate Measures," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(5), pages 1185-1191.
- Phipps, S.A. & Burton, P.S., 1992.
"What's Mine is Yours?: The Influence of Male and Female Incomes on Patterns of Household Expenditure,"
Department of Economics at Dalhousie University working papers archive
92-12, Dalhousie, Department of Economics.
- Phipps, Shelley A & Burton, Peter S, 1998. "What's Mine Is Yours? The Influence of Male and Female Incomes on Patterns of Household Expenditure," Economica, London School of Economics and Political Science, vol. 65(260), pages 599-613, November.
- Julie A. Nelson, 1995. "Feminism and Economics," Journal of Economic Perspectives, American Economic Association, vol. 9(2), pages 131-148, Spring.
- Sethi, Rajiv & Somanathan, E, 1996. "The Evolution of Social Norms in Common Property Resource Use," American Economic Review, American Economic Association, vol. 86(4), pages 766-88, September.
- Nancy Folbre, 1995. ""Holding hands at midnight": The paradox of caring labor," Feminist Economics, Taylor & Francis Journals, vol. 1(1), pages 73-92.
- Shoup, Donald, 2002. "Roughly Right or Precisely Wrong," University of California Transportation Center, Working Papers qt2x8639t7, University of California Transportation Center.
- Lundberg, Shelly & Pollak, Robert A, 1994. "Noncooperative Bargaining Models of Marriage," American Economic Review, American Economic Association, vol. 84(2), pages 132-37, May.
- Jochimsen, Maren & Knobloch, Ulrike, 1997. "Making the hidden visible: the importance of caring activities and their principles for any economy," Ecological Economics, Elsevier, vol. 20(2), pages 107-112, February.
- Marc A. Koopmanschap, 1998. "Cost-of-Illness Studies: Useful for Health Policy?," PharmacoEconomics, Springer Healthcare | Adis, vol. 14(2), pages 143-148.
- Chiappori, Pierre-Andre, 1992.
"Collective Labor Supply and Welfare,"
Journal of Political Economy,
University of Chicago Press, vol. 100(3), pages 437-67, June.
- Drucilla Barker, 1995. "Economists, social reformers, and prophets: a feminist critique of economic efficiency," Feminist Economics, Taylor & Francis Journals, vol. 1(3), pages 26-39.
- Sandra Harding, 1995. "Can feminist thought make economics more objective?," Feminist Economics, Taylor & Francis Journals, vol. 1(1), pages 7-32.
- Behrens, Cornelia & Henke, Klaus-Dirk, 1988. "Cost of illness studies: no aid to decision making? Reply to Shiell et al. (Health Policy, 8 (1987) 317-323)," Health Policy, Elsevier, vol. 10(2), pages 137-141, October.
- Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
- Werner B.F. Brouwer & Marc A. Koopmanschap, 1998. "How to Calculate Indirect Costs in Economic Evaluations," PharmacoEconomics, Springer Healthcare | Adis, vol. 13(5), pages 563-569.
When requesting a correction, please mention this item's handle: RePEc:cpp:issued:v:30:y:2004:i:3:p:257-282. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Prof. Werner Antweiler)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.