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

35 Pages Posted: 28 Oct 2019

See all articles by Paul Anand

Paul Anand

The Open University - Department of Economics; London School of Economics & Political Science (LSE) - Centre for Philosophy of Natural and Social Science (CPNSS); IZA; University of Oxford

Laurence S. J. Roope

University of Oxford - Health Economics Research Centre (HERC)

Anthony J Culyer

University of York - Department of Economics and Related Studies

Ron Smith

Birkbeck College

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: mobility impairment, disability, capabilities, health, Sen, extra-welfarism

JEL Classification: D60, I31

Suggested Citation

Anand, Paul and Roope, Laurence S. J. and Culyer, Anthony and Smith, Ron P., Disability and Multi-Dimensional Quality of Life: A Capability Approach to Health Status Assessment. IZA Discussion Paper No. 12686, Available at SSRN: https://ssrn.com/abstract=3475792

Paul Anand (Contact Author)

The Open University - Department of Economics ( email )

Walton Hall
Milton Keynes, MK7 6AA
United Kingdom

London School of Economics & Political Science (LSE) - Centre for Philosophy of Natural and Social Science (CPNSS) ( email )

United Kingdom

IZA ( email )

University of Oxford ( email )

Mansfield Road
Oxford, Oxfordshire OX1 4AU
United Kingdom

Laurence S. J. Roope

University of Oxford - Health Economics Research Centre (HERC) ( email )

Department of Public Health
Old Road Campus
Oxford OX3 7LF
United Kingdom

Anthony Culyer

University of York - Department of Economics and Related Studies ( email )

Heslington
York, YO1 5DD
United Kingdom

Ron P. Smith

Birkbeck College ( email )

Malet Street
London WC1E 7HX
United Kingdom
+44 207 631 6413 (Phone)
+44 207 631 6416 (Fax)

Do you have a job opening that you would like to promote on SSRN?

Paper statistics

Downloads
11
Abstract Views
126
PlumX Metrics