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Should the capability approach be applied in Health Economics?

Author

Listed:
  • Joanna Coast

    (Department of Health Economics, University of Birmingham, Birmingham, UK)

  • Richard Smith

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Paula Lorgelly

    (Section of Public Health and Public Policy, University of Glasgow, Glasgow, UK)

Abstract

This editorial questions the implications of the capability approach for health economics. Two specific issues are considered: the evaluative space of capablities (as opposed to health or utility) and the decision-making principle of maximisation. The paper argues that the capability approach can provide a richer evaluative space enabling improved evaluation of many interventions. It also argues that more thought is needed about the decision-making principles both within the capability approach and within health economics more generally. Specifically, researchers should analyse equity-oriented principles such as equalisation and a 'decent minimum' of capability, rather than presuming that the goal must be the maximisation of capability. Copyright © 2008 John Wiley & Sons, Ltd.

Suggested Citation

  • Joanna Coast & Richard Smith & Paula Lorgelly, 2008. "Should the capability approach be applied in Health Economics?," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 667-670.
  • Handle: RePEc:wly:hlthec:v:17:y:2008:i:6:p:667-670
    DOI: 10.1002/hec.1359
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    File URL: http://hdl.handle.net/10.1002/hec.1359
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    References listed on IDEAS

    as
    1. Paul Dolan & Mathew White, 2006. "Dynamic Well-Being: Connecting Indicators of what People Anticipate with Indicators of what they Experience," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 75(2), pages 303-333, January.
    2. Ingrid Robeyns, 2003. "Sen'S Capability Approach And Gender Inequality: Selecting Relevant Capabilities," Feminist Economics, Taylor & Francis Journals, vol. 9(2-3), pages 61-92.
    3. Richard Cookson, 2005. "QALYs and the capability approach," Health Economics, John Wiley & Sons, Ltd., vol. 14(8), pages 817-829.
    4. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
    5. Martha Nussbaum, 2003. "Capabilities As Fundamental Entitlements: Sen And Social Justice," Feminist Economics, Taylor & Francis Journals, vol. 9(2-3), pages 33-59.
    6. Anand, Paul & van Hees, Martin, 2006. "Capabilities and achievements: An empirical study," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 35(2), pages 268-284, April.
    7. Sudhir Anand and Amartya Sen, 1994. "Human development Index: Methodology and Measurement," Human Development Occasional Papers (1992-2007) HDOCPA-1994-02, Human Development Report Office (HDRO), United Nations Development Programme (UNDP).
    8. Richardson, Jeff & McKie, John, 2005. "Empiricism, ethics and orthodox economic theory: what is the appropriate basis for decision-making in the health sector?," Social Science & Medicine, Elsevier, vol. 60(2), pages 265-275, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. The potential of the super QALY to reconcile the key contentions in health economics
      by Chris Sampson in The Academic Health Economists' Blog on 2013-05-20 11:54:41

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    Cited by:

    1. Ryan, Mandy & Kinghorn, Philip & Entwistle, Vikki A. & Francis, Jill J., 2014. "Valuing patients' experiences of healthcare processes: Towards broader applications of existing methods," Social Science & Medicine, Elsevier, vol. 106(C), pages 194-203.
    2. Wildman, John & McMeekin, Peter & Grieve, Eleanor & Briggs, Andrew, 2016. "Economic evaluation of integrated new technologies for health and social care: Suggestions for policy makers, users and evaluators," Social Science & Medicine, Elsevier, vol. 169(C), pages 141-148.
    3. Lorgelly, Paula K. & Lorimer, Karen & Fenwick, Elisabeth A.L. & Briggs, Andrew H. & Anand, Paul, 2015. "Operationalising the capability approach as an outcome measure in public health: The development of the OCAP-18," Social Science & Medicine, Elsevier, vol. 142(C), pages 68-81.
    4. Donaldson, Cam & Roy, Michael & Hill-O'Connor, Clementine & Biosca, Olga & Baker, Rachel & Kay, Alan & Gillespie, Morag & Godwin, Jon & Morgan, Antony & Skelton, Dawn A & Stewart, John & Anderson, Iso, 2014. "Global issues, local solutions: rethinking wealth and health through the lens of social enteprise," Health Economics Working Paper Series 201402, Glasgow Caledonian University, Yunus Centre.
    5. McHugh, Neil & Baker, Rachel & Mason, Helen & Williamson, Laura & van Exel, Job & Deogaonkar, Rohan & Collins, Marissa & Donaldson, Cam, 2014. "Extending life for people with a terminal illness: a moral right or an expensive death? Exploring societal perspectives," Health Economics Working Paper Series 201403, Glasgow Caledonian University, Yunus Centre.
    6. Herlitz, Anders & Horan, David, 2016. "Measuring needs for priority setting in healthcare planning and policy," Social Science & Medicine, Elsevier, vol. 157(C), pages 96-102.
    7. Coast, Joanna & Smith, Richard D. & Lorgelly, Paula, 2008. "Welfarism, extra-welfarism and capability: The spread of ideas in health economics," Social Science & Medicine, Elsevier, vol. 67(7), pages 1190-1198, October.
    8. repec:spr:pharme:v:35:y:2017:i:6:d:10.1007_s40273-017-0495-3 is not listed on IDEAS
    9. Joanna Coast & Philip Kinghorn & Paul Mitchell, 2015. "The Development of Capability Measures in Health Economics: Opportunities, Challenges and Progress," The Patient: Patient-Centered Outcomes Research, Springer;Johns Hopkins Bloomberg School of Public Health, vol. 8(2), pages 119-126, April.
    10. Helen Weatherly & Rita Faria & Bernard Van den Berg & Mark Sculpher & Peter O’Neill & Kay Nolan & Julie Glanville & Jaana Isojarvi & Erin Baragula & Mary Edwards, 2017. "Scoping review on social care economic evaluation methods," Working Papers 150cherp, Centre for Health Economics, University of York.
    11. Bleichrodt, Han & Quiggin, John, 2013. "Capabilities as menus: A non-welfarist basis for QALY evaluation," Journal of Health Economics, Elsevier, vol. 32(1), pages 128-137.
    12. repec:spr:aphecp:v:15:y:2017:i:6:d:10.1007_s40258-017-0343-9 is not listed on IDEAS
    13. Paula Lorgelly, 2015. "Choice of Outcome Measure in an Economic Evaluation: A Potential Role for the Capability Approach," PharmacoEconomics, Springer, vol. 33(8), pages 849-855, August.
    14. Mitchell, Paul Mark & Roberts, Tracy E. & Barton, Pelham M. & Coast, Joanna, 2015. "Assessing sufficient capability: A new approach to economic evaluation," Social Science & Medicine, Elsevier, vol. 139(C), pages 71-79.
    15. Richard D. Smith & Tracey H. Sach, 2009. "Contingent valuation: (still) on the road to nowhere?," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 863-866.
    16. Philip Kinghorn & Angela Robinson & Richard Smith, 2015. "Developing a Capability-Based Questionnaire for Assessing Well-Being in Patients with Chronic Pain," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(3), pages 897-916, February.
    17. Simon, Judit & Anand, Paul & Gray, Alastair & Rugkåsa, Jorun & Yeeles, Ksenija & Burns, Tom, 2013. "Operationalising the capability approach for outcome measurement in mental health research," Social Science & Medicine, Elsevier, vol. 98(C), pages 187-196.
    18. Kevin Marsh & Ceri Phillips & Richard Fordham & Evelina Bertranou & Janine Hale, 2012. "Estimating cost-effectiveness in public health: a summary of modelling and valuation methods," Health Economics Review, Springer, vol. 2(1), pages 1-6, December.
    19. Coast, Joanna, 2009. "Maximisation in extra-welfarism: A critique of the current position in health economics," Social Science & Medicine, Elsevier, vol. 69(5), pages 786-792, September.
    20. repec:spr:pharme:v:36:y:2018:i:1:d:10.1007_s40273-017-0565-6 is not listed on IDEAS

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