Welfarism, extra-welfarism and capability: The spread of ideas in health economics
Welfarism, extra-welfarism and capability: The spread of ideas in health economics
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DOI：
10.1016/j.socscimed.2008.06.027
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发表时间：
2008-10-01
影响因子：
5.4
通讯作者：
Lorgelly, Paula
中科院分区：
文献类型：
--
作者：
Coast, Joanna;Smith, Richard D.;Lorgelly, Paula
本文探讨了卫生经济学中的思想传播，与能力方法迄今为止的影响以及它在未来可能产生的影响程度有关。本文以英国的决策为例来说明这种思想的传播。在卫生经济学中，库耶使用能力方法发展了额外福利主义的观点（健康状况直接影响哪种社会状态是首选）。它不是直接应用能力，因为评价的重点仍然很窄;关注的是功能，并保留了最大化。Culyer的工作为在决策中使用质量调整生命年提供了理论基础，这一观点被英国国家健康与临床卓越研究所（NICE）接受为评估的基础。在某种程度上，额外的福利主义是一种能力的方法，能力影响尼斯的决策，因此英国的医疗保健提供。本文探讨了在何种程度上额外的福利借鉴能力的方法，额外的福利思想的传播，以及最近的兴趣，在更直接的应用能力的方法。(C)2008爱思唯尔有限公司保留所有权利。
This paper explores the spread of ideas within health economics, in relation to the impact of the capability approach to date and the extent to which it might impact in the future. The paper uses UK decision making to illustrate this spread of ideas. Within health economics, Culyer used the capability approach in developing the extra-welfarist perspective (where health status directly influences which social state is preferred). It is not a direct application of capability as the evaluation's focus remains narrow; the concern is with functioning, and maximisation is retained. Culyer's work provided a theoretical basis for using quality-adjusted life-years in decision making and this perspective is accepted as the basis for evaluation by the UK National Institute of Health and Clinical Excellence (NICE). To the extent that extra-welfarism represents a capability approach, capabilities influence NICE's decision making and hence UK health care provision. This paper explores the extent to which extra-welfarism draws on the capability approach; the spread of extra-welfarist ideas; and recent interest in more direct applications of the capability approach. (C) 2008 Elsevier Ltd. All rights reserved.