UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Evaluating interventions in health: a reconciliatory approach

Wolff, J; Edwards, S; Richmond, S; Orr, S; Rees, G; (2012) Evaluating interventions in health: a reconciliatory approach. Bioethics , 26 (9) 455 -463. 10.1111/j.1467-8519.2011.01888.x. Green open access

[img]
Preview
PDF
Wolff_et_al,_'Reconciliation'_September_2010_Template.pdf

Download (225kB)

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.

Type: Article
Title: Evaluating interventions in health: a reconciliatory approach
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/j.1467-8519.2011.01888.x
Publisher version: http://dx.doi.org/10.1111/j.1467-8519.2011.01888.x
Language: English
Additional information: This is the pre-peer reviewed version of the following article: Wolff, J; Edwards, S; Richmond, S; Orr, S; Rees, G; (2012) Evaluating interventions in health: a reconciliatory approach. Bioethics , 26 (9) 455-463,which has been published in final form at http://dx.doi.org/10.1111/j.1467-8519.2011.01888.x
Keywords: Cost-benefit qnalysis, Health services research, Health status, Humans, Patient preference, Quality of life, Quality-adjusted life years
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Civil, Environ and Geomatic Eng
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Science and Technology Studies
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Arts and Humanities > Dept of Philosophy
URI: https://discovery.ucl.ac.uk/id/eprint/1419508
Downloads since deposit
564Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item