@TechReport{iza:izadps:dp12686, author={Anand, Paul and Roope, Laurence and Culyer, Anthony J. and Smith, Ron P.}, title={Disability and Multi-Dimensional Quality of Life: A Capability Approach to Health Status Assessment}, year={2019}, month={Oct}, institution={Institute of Labor Economics (IZA)}, address={Bonn}, type={IZA Discussion Paper}, number={12686}, url={https://www.iza.org/index.php/publications/dp12686}, 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={capabilities;disability;mobility impairment;health;Sen;extra-welfarism}, }