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Assessing sufficient capability: A new approach to economic evaluation.

Paul Mark Mitchell¹, Tracy E Roberts¹, Pelham M Barton¹

¹Health Economics Unit, School of Health and Population Sciences, Public Health Building, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.

Social Science & Medicine (1982)

|July 13, 2015

Summary

This study introduces a new economic evaluation method for Amartya Sen's capability approach, focusing on "sufficient capability" to enhance equity in health economics. The approach retains longitudinal outcome estimation while incorporating poverty shortfall concepts.

Keywords:

Capability approach Decision rules Economic evaluation Multidimensional poverty Sufficient capability

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Area of Science:

Health Economics
Capability Approach
Equity in Healthcare

Background:

Amartya Sen's capability approach is influential in health economics.
Existing measures assess capability but lack clear decision rules for economic evaluation.
There's a need for methods aligning economic evaluation with the equity focus of the capability approach.

Purpose of the Study:

To develop new methods for economic evaluation within the capability approach.
To focus on the objective of achieving "sufficient capability" for greater equity.
To integrate multidimensional poverty and health economics literature.

Main Methods:

Developed new decision rules for economic evaluation based on the capability approach.
Drew upon literature from multidimensional poverty and health economics.
Illustrated the method using an osteoarthritis patient group undergoing joint replacement, assessing capability wellbeing with ICECAP-O.

Main Results:

The proposed method allows for economic evaluation focused on achieving "sufficient capability".
It retains the longitudinal aspect of outcome estimation, similar to quality-adjusted life years (QALYs).
The approach incorporates notions of shortfall from poverty assessments.

Conclusions:

The "sufficient capability" approach offers a more equitable perspective for economic evaluation in health.
This method provides a framework for decision-making aligned with the capability approach's equity concerns.
Recommendations are provided for advancing the sufficient capability approach in practice and research.