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Cost-effectiveness analysis in health care based on the capability approach
1Management Department, Frankfurt School of Finance & Management, Frankfurt, Germany.
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|October 30, 2013
Summary
This study explores operationalizing Sen's capability approach for healthcare allocation and cost-effectiveness analysis. It highlights the need for objective capability assessments and identifies irrelevant productivity changes for decision-making.
Area of Science:
- Health Economics
- Social Choice Theory
- Ethics
Background:
- Sen's capability approach and preference utilitarianism differ in distributional values.
- Healthcare allocation and cost-effectiveness analysis require robust ethical frameworks.
Purpose of the Study:
- To operationalize Sen's capability approach for healthcare allocation decisions.
- To adapt the capability approach for cost-effectiveness analysis in healthcare.
- To identify key requirements for measuring well-being within the capability framework.
Main Methods:
- Conceptual analysis comparing capability approach and preference utilitarianism.
- Identification of measurement requirements for health and well-being.
- Evaluation of productivity changes within the capability approach.
Main Results:
- Sen's capability approach offers a distinct framework for healthcare resource allocation.
- Objective assessment of capabilities is crucial for operationalization.
- Certain productivity changes are not relevant for allocation decisions under the capability approach.
Conclusions:
- The capability approach can be operationalized for healthcare resource allocation and cost-effectiveness analysis.
- Measuring capabilities objectively is a key challenge and requirement.
- A nuanced understanding of productivity's role is necessary for ethical healthcare decision-making.
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