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/
|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.:
- Phipps, Shelley A & Burton, Peter S, 1998.
"What's Mine Is Yours? The Influence of Male and Female Incomes on Patterns of Household Expenditure,"
London School of Economics and Political Science, vol. 65(260), pages 599-613, November.
- 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.
- 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.
- Julie A. Nelson, 1995. "Feminism and Economics," Journal of Economic Perspectives, American Economic Association, vol. 9(2), pages 131-148, Spring.
- Nancy Folbre, 1995. ""Holding hands at midnight": The paradox of caring labor," Feminist Economics, Taylor & Francis Journals, vol. 1(1), pages 73-92.
- 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.
- 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.
- Chiappori, Pierre-Andre, 1992.
"Collective Labor Supply and Welfare,"
Journal of Political Economy,
University of Chicago Press, vol. 100(3), pages 437-67, June.
- Fuchs, Victor R., 2000. "The future of health economics1," Journal of Health Economics, Elsevier, vol. 19(2), pages 141-157, March.
- 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.
- 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.
- Lundberg, Shelly & Pollak, Robert A, 1994. "Noncooperative Bargaining Models of Marriage," American Economic Review, American Economic Association, vol. 84(2), pages 132-37, May.
- 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.
- 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.
- 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.
- Sandra Harding, 1995. "Can feminist thought make economics more objective?," Feminist Economics, Taylor & Francis Journals, vol. 1(1), pages 7-32.
- Shoup, Donald, 2002. "Roughly Right or Precisely Wrong," University of California Transportation Center, Working Papers qt2x8639t7, University of California Transportation Center.
- 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.
- Marc A. Koopmanschap, 1998. "Cost-of-Illness Studies: Useful for Health Policy?," PharmacoEconomics, Springer Healthcare | Adis, vol. 14(2), pages 143-148.
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 references are entirely missing, you can add them using this form.