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An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi
Kaspar Walter Meili1, Anna Månsdotter1,2, Linda Richter Sundberg1
1Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Plos One
|February 8, 2022
Summary
A new Swedish measure, Capability-Adjusted Life Years Sweden (CALY-SWE), assesses quality of life and social welfare. It identifies vital capabilities for a flourishing life in Sweden.
Area of Science:
- Health Economics
- Quality of Life Measurement
- Social Welfare Assessment
Background:
- The capability approach offers a framework for understanding well-being beyond traditional economic metrics.
- Existing quality of life measures may not fully capture the social welfare consequences relevant to Swedish policy.
- There is a need for a context-specific measure to inform cost-effectiveness evaluations in Sweden.
Purpose of the Study:
- To develop and validate Capability-Adjusted Life Years Sweden (CALY-SWE), a novel questionnaire for quality of life assessment.
- To identify vital capabilities essential for a flourishing life in the Swedish population.
- To integrate equity considerations into the measurement of social welfare consequences.
Main Methods:
- A Delphi process involving Swedish civil society representatives was used to select key capabilities.
- Web surveys with 1500 Swedish participants assessed capability distributions and inequality aversion.
- Normative reasoning and population data informed the final questionnaire phrasing.
Main Results:
- Six vital capabilities were identified: Financial situation & housing, health, social relations, occupations, security, and political & civil rights.
- A questionnaire was developed based on these capabilities, considering normative aspects and population data.
- The study established a capability-based model tailored for Swedish cost-effectiveness evaluations.
Conclusions:
- CALY-SWE provides a robust, capability-based measure for assessing quality of life and social welfare in Sweden.
- The developed measure is suitable for cost-effectiveness analyses, incorporating broader social consequences.
- This work contributes a context-specific tool for enhancing social policy and welfare evaluations in Sweden.
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