%0 Report
        %A Anand, Paul
%A Roope, Laurence
%A Culyer, Anthony J.
%A Smith, Ron P.
        %T Disability and Multi-Dimensional Quality of Life: A Capability Approach to Health Status Assessment
        %D 2019
        %8 2019 Oct
        %I Institute of Labor Economics (IZA)
        %C Bonn
        %7 IZA Discussion Paper
        %N 12686
        %U https://www.iza.org/index.php/publications/dp12686
        %X 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.
        %K capabilities
%K disability
%K mobility impairment
%K health
%K Sen
%K extra-welfarism