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Normative needs in healthcare: toward a new conceptualization of equity and capabilities

Author

Listed:
  • Silvia Coretti

    (ALTEMS - Alta Scuola di economia e management dei sistemi sanitari, Universita` Cattolica del Sacro Cuore, Roma)

  • Matteo Ruggeri

    (Istituto di Politica Economica, Universita` Cattolica del Sacro Cuore, Milano)

Abstract

According to the World Health Organization (WHO), health is a state of complete physical and psychological well-being. Such a definition entails a multi-dimensional approach to the promotion of health. This issue rules out the application of normative judgments relying on Welfare Economics framework. Based on the existing literature, this paper discusses the implications of the application of different theories of justice to address allocative decisions within the healthcare sector. In particular, we discuss inconsistencies of the Welfare Economics framework, as well as, possible backdrops of extra-welfarist approaches. Among those, the capability approach by Sen seems to capture best the multidimensional nature of health emphasized by the WHO. However, further research is needed to develop a measurement framework consistent with the capability approach.

Suggested Citation

  • Silvia Coretti & Matteo Ruggeri, 2014. "Normative needs in healthcare: toward a new conceptualization of equity and capabilities," Rivista Internazionale di Scienze Sociali, Vita e Pensiero, Pubblicazioni dell'Universita' Cattolica del Sacro Cuore, vol. 122(4), pages 383-400.
    • Handle: RePEc:vep:journl:y:2014:v:122:i:4:p:383-400
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    More about this item

    Keywords

    Health policy; Health inequalities; Social Values.;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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