Evaluating interventions in health: A reconciliatory approach

Bioethics 26 (9):455-463 (2012)
Abstract
Health-related Quality of Life measures have recently been attacked from two directions, both of which criticize the preference-based method of evaluating health states they typically incorporate. One attack, based on work by Daniel Kahneman and others, argues that ‘experience’ is a better basis for evaluation. The other, inspired by Amartya Sen, argues that ‘capability’ should be the guiding concept. In addition, opinion differs as to whether health evaluation measures are best derived from consultations with the general public, with patients, or with health professionals. And there is disagreement about whether these opinions should be solicited individually and aggregated, or derived instead from a process of collective deliberation. These distinctions yield a wide variety of possible approaches, with potentially differing policy implications. We consider some areas of disagreement between some of these approaches. We show that many of the perspectives seem to capture something important, such that it may be a mistake to reject any of them. Instead we suggest that some of the existing ‘instruments’ designed to measure HR QoLs may in fact successfully already combine these attributes, and with further refinement such instruments may be able to provide a reasonable reconciliation between the perspectives
Keywords No keywords specified (fix it)
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 9,351
External links
  • Through your library Configure
    References found in this work BETA

    No references found.

    Citations of this work BETA

    No citations found.

    Similar books and articles
    Jonny Anomaly (2011). Public Health and Public Goods. Public Health Ethics 4 (3):251-259.
    David A. Gruenewald (2012). Can Health Care Rationing Ever Be Rational? Journal of Law, Medicine and Ethics 40 (1):17-25.
    S. Andrew Schroeder (2013). Rethinking Health: Healthy or Healthier Than? British Journal for the Philosophy of Science 64 (1):131-159.
    Analytics

    Monthly downloads

    Added to index

    2011-04-30

    Total downloads

    22 ( #65,887 of 1,088,370 )

    Recent downloads (6 months)

    1 ( #69,449 of 1,088,370 )

    How can I increase my downloads?

    My notes
    Sign in to use this feature


    Discussion
    Start a new thread
    Order:
    There  are no threads in this forum
    Nothing in this forum yet.