Developing Attributes for a Generic Quality of Life Measure for Older People : Preferences or Capabilities ?  

Oleh:

Grewal, Ini ; Lewis, Jane ; Flynn, Terry ; Brown, Jackie ; Bond, John ; Coast, Joanna

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 8 (Apr. 2006), page 1891-1901.
Topik: LIFE; UK; Quality of life; utility; capability

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Current UK policy with respect to the provision of health and social care for older people suggests that freater integratio is required. Economists' attempts to assist resource allocation decisions, however are very health focused, with concentration on the use of health related quality of life meaures. This paper reports an attempt to determine attributes for a new index clearly focusing on quality of life for older people rather than health or other influences on quality of life. In depth interviews were conducted with 40 purposively selected informants aged 65 and over in private households to explore their views about what is important to them in terms of quality of life. Data were analysed using framework qualitative analysis. Tnitial discussions tended to concentrate upon factors inflencing quality of life including activites, relationships, health, wealth and surroundings. Further probing and analysis suggested five conceptial attributes attachment, role enjoyment, security and control. The data also suggested that the quality of informants' lives was limited by the loss of ability to pursue these attributes. So, for example, it is not poor health in itself, which reduces quality of life, but the influence of that poor health upon each informant's ability to say be independent, that is important. Amartya sen's work on functioning and capability is particularly pertinent here. using this work, it is possible to interpret the five conceptual attributes as a set of functionings important for older people in the UK in the 21st century, but nothing that it is the capacity to achieve these functionings that appears to be of importance. This suggests that further development of this measure should focus on an index of capability rather than preference based utility.

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