Disability and Multi-Dimensional Quality of Life: A Capability Approach to Health Status Assessment

Paul Anand (), Laurence Roope, Anthony Culyer and Ronald Smith
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Paul Anand: The Open University

No 12686, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: 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.

Keywords: capabilities; disability; mobility impairment; health; Sen; extra-welfarism (search for similar items in EconPapers)
JEL-codes: D60 I31 (search for similar items in EconPapers)
Pages: 35 pages
Date: 2019-10
New Economics Papers: this item is included in nep-hap and nep-hea
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Published - published in: Health Economics, 2020, 29 (7), 748 - 765

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Journal Article: Disability and multidimensional quality of life: A capability approach to health status assessment (2020)
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