TY  - RPRT
        AU  - Anand, Paul
AU  - Roope, Laurence
AU  - Culyer, Anthony J.
AU  - Smith, Ron P.
        TI  - Disability and Multi-Dimensional Quality of Life: A Capability Approach to Health Status Assessment
        PY  - 2019/Oct/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 12686
        UR  - https://www.iza.org/index.php/publications/dp12686
        AB  - 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.
        KW  - capabilities
KW  - disability
KW  - mobility impairment
KW  - health
KW  - Sen
KW  - extra-welfarism
        ER  -