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    Disability and multi-dimensional quality of life: a capability approach to health status assessment

    Smith, Ron P. and Anand, P. and Culyer, A. and Roope, L. (2019) Disability and multi-dimensional quality of life: a capability approach to health status assessment. Discussion Paper. IZA, Bonn, Switzerland.

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    This paper offers an approach to assessing quality-of-life, based on Sen’s (1985) theory, which it uses to understand loss in quality-of-life due to mobility-impairment. Specifically, it provides a theoretical analysis which is able to account for the possibility that some functionings may increase when a person’s capabilities decrease, if substitution effects are large enough. We then develop novel data consistent with our theoretical Senian framework that permits comparison of quality-of-life between those with a disability (mobility-impairment) and those without. Empirical results show that mobility impairment has widespread rather than concentrated impacts on capabilities and is associated with higher psychological costs.. We also find evidence that a small number of functionings are higher for those with a disability, as our theory allows. The paper concludes by discussing possible implications for policy and health assessment methods.


    Item Type: Monograph (Discussion Paper)
    Additional Information: ISSN: 2365-9793. IZA DP No. 12686
    Keyword(s) / Subject(s): mobility impairment, disability, capabilities, health, Sen, extra-welfarism
    School: Birkbeck Faculties and Schools > Faculty of Business and Law > Birkbeck Business School
    Depositing User: Ron Smith
    Date Deposited: 20 Nov 2019 14:40
    Last Modified: 02 Aug 2023 17:55


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