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Towards capability-adjusted life years in public health and social welfare: Results from a Swedish survey on ranking capabilities

Author

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  • Anna Månsdotter
  • Björn Ekman
  • Kaspar Walter Meili
  • Inna Feldman
  • Lars Hagberg
  • Anna-Karin Hurtig
  • Lars Lindholm

Abstract

Introduction: The aim of this study was to rank capabilities and suggest a relevant set of capabilities for the Swedish context to inform the development of capability-adjusted life years (CALYs). CALYs is a quality of life measure for policy making based on the capability approach by Amartya Sen. Materials and methods: A Swedish governmental review proposed the following 10 relevant capabilities: time, financial situation, mental/physical health, political resources, knowledge, living environment, occupation, social relations, security, and housing. Researchers in health-related disciplines from 5 universities ranked these capabilities from 1 to 10 (most to least important) in a web-based cross-sectional survey; 115 of 171 responses were eligible. Results: Health, social relations, and financial situation were deemed most important. Stratification by gender, research field, and age group revealed few differences. We found that it was possible to rank capabilities and that health, social relations, and financial situation were ranked highest by a non-representative sample of researchers and doctoral students from health-related disciplines at five Swedish universities. Conclusions: The revealed ranking is dependent on the metric and must be further explored. The findings support continued development of CALYs for monitoring and evaluating outcomes in public health and social-welfare interventions.

Suggested Citation

  • Anna Månsdotter & Björn Ekman & Kaspar Walter Meili & Inna Feldman & Lars Hagberg & Anna-Karin Hurtig & Lars Lindholm, 2020. "Towards capability-adjusted life years in public health and social welfare: Results from a Swedish survey on ranking capabilities," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-15, December.
    • Handle: RePEc:plo:pone00:0242699
    DOI: 10.1371/journal.pone.0242699
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    References listed on IDEAS

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    1. Johansson,Per-Olov, 1991. "An Introduction to Modern Welfare Economics," Cambridge Books, Cambridge University Press, number 9780521356954, Enero-Abr.
    2. Anna Månsdotter & Björn Ekman & Inna Feldman & Lars Hagberg & Anna-Karin Hurtig & Lars Lindholm, 2017. "We Propose a Novel Measure for Social Welfare and Public Health: Capability-Adjusted Life-Years, CALYs," Applied Health Economics and Health Policy, Springer, vol. 15(4), pages 437-440, August.
    3. Hurley, Jeremiah, 2000. "An overview of the normative economics of the health sector," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 2, pages 55-118, Elsevier.
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    1. Kaspar Walter Meili & Anna Månsdotter & Linda Richter Sundberg & Jan Hjelte & Lars Lindholm, 2022. "An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-21, February.
    2. Hassad de Andrade, Liz & Moreira Antunes, Jorge Junio & Araújo de Medeiros, Antônio Mamede & Wanke, Peter & Nunes, Bernardo Pereira, 2022. "The impact of social welfare and COVID-19 stringency on the perceived utility of food apps: A hybrid MCDM approach," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).

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