Strategies for the economic evaluation of end of life care: Making a case for the capability approach

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Abstract

Economic evaluation of end of life care is increasingly expected from both research funders and those making decisions about the use of health and social care resources. There are, however, difficulties in applying the currently established evaluative methods to end of life. These are partly associated with the sensitivity of the topic and the feasibility of data collection but also, more fundamentally, a lack of agreement about the terms in which such care should be evaluated. This paper examines different theoretical perspectives from which economic evaluation of end of life care could be conducted, and argues for the application of a capability approach focusing on the opportunity for a good death. It then examines challenges with taking forward such an approach, including defining, measuring and valuing appropriate outcomes. It concludes that such an approach is viable, and explores how it might be taken forward to assist with resource allocation decisions.
Original languageEnglish
Pages (from-to)473-482
Number of pages10
JournalExpert Review of Pharmacoeconomics & Outcomes Research
Volume14
Issue number4
DOIs
Publication statusPublished - 2 May 2014

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