Evaluating Interventions in Health: A Reconciliatory Approach

Bioethics 26 (9):455-463 (2012)
  Copy   BIBTEX


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.



    Upload a copy of this work     Papers currently archived: 93,069

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Normative and Non-normative Concepts: Paternalism and Libertarian Paternalism.Kalle Grill - 2013 - In Daniel Strech, Irene Hirschberg & Georg Marckmann (eds.), Ethics in Public Health and Health Policy. Springer. pp. 27-46.
Towards self-determination in quality of life research: a dialogic approach.Leah McClimans - 2010 - Medicine, Health Care and Philosophy 13 (1):67-76.


Added to PP

31 (#532,577)

6 months
9 (#355,594)

Historical graph of downloads
How can I increase my downloads?

Author Profiles

Jonathan Wolff
Oxford University
Sarah Richmond
University College London
Shepley Orr
University College London
1 more

References found in this work

No references found.

Add more references