Welfarism, Extra-Welfarism and Capability: The Spread of Ideas in Health Economics  

Oleh:

Coast, Joanna ; Smith, Richard D. ; Lorgelly, Paula

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 67 no. 7 (Oct. 2008), page 1190-1198.
Topik: Capability; Health Economics; Extra-Welfarism; Decision Making; UK; NICE

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.23 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This paper explores the spread of ideas within health economics, in relation to the impact of the capability approach to date and the extent to which it might impact in the future. The paper uses UK decision making to illustrate this spread of ideas. Within health economics, Culyer used the capabiltiy approach in developing the extra-welfarist perpective where health status directly influences which social state is preferred). It is not a direct application of capability as the evaluation's focus remains narrow; the concern is with functioning, and maximisation is retained. Culyer's work provided a theoretical basis for using quality-adjusted life-years in decision making and this perspective is accepted as the basis for evaluation by the UK National Insititute of Health and Clinical Excellence (NICE). To the extent that extra-welfarism represents a capability approach, capabilities influence NICE's decision making and hence UK health care provision. This paper explores the extent to which extra-welfarism draws on the capability approach; the spread of extra-welfarist ideas; and recent interest in more direct applications of the capability approach.

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