Capabilities as menus: a non-welfarist basis for QALY evaluation

Bleichrodt, Han and Quiggin, John (2013) Capabilities as menus: a non-welfarist basis for QALY evaluation. Journal of Health Economics, 32 1: 128-137. doi:10.1016/j.jhealeco.2012.10.004

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Author Bleichrodt, Han
Quiggin, John
Title Capabilities as menus: a non-welfarist basis for QALY evaluation
Journal name Journal of Health Economics   Check publisher's open access policy
ISSN 0167-6296
Publication date 2013-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.jhealeco.2012.10.004
Open Access Status
Volume 32
Issue 1
Start page 128
End page 137
Total pages 10
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2013
Language eng
Abstract Quality-Adjusted Life Years (QALYs) are the most widely used measure of health in economic evaluations of health care. Within a welfarist framework QALYs are consistent with people's preferences under stringent assumptions. Several authors have argued that QALYs are a valid measure of health within an extra-welfarist framework. This paper studies the applicability of QALYs within the best-known extra-welfarist framework, Sen's capability approach. We propose a procedure to value capability sets and provide a foundation for QALYs within Sen's capability approach. We show that, under appropriate conditions, the ranking of capabilities can be represented locally by a QALY measure and that a willingness to pay for QALYs can be defined. The validity of QALYs as a general measure of health requires the same stringent conditions as in a welfarist framework.
Keyword Capability approach
Menu-dependent choice
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online: 30 October 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Economics Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
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