Fler Goda år om vi satsar på kostnadseffektivitet inom social välfärd

Abstract

Large amounts of resources are used in general welfare, but not all needs can be met. At the same time, there is a lack of methods for cost-effectiveness analyses of welfare interventions in non-healthcare areas. This article describes the development, the theoretical foundations, and the application of the quality of life measure CALY-SWE, which aims to enable cost-effectiveness analyses of general social welfare.
The theoretical foundations of the CALY-SWE measure are Sen’s capability approach and methods for cost-effectiveness analyses in health care. The research project for developing CALY-SWE encompassed the selection of capabilities through a Delphi panel, the formulation of capability statements for the questionnaire, and a valuation study to produce weights that are used to calculate capability-adjusted life expectancy and thus enable economic analyses. Another study mapped the distribution of capability-related quality of life in Sweden, and several projects are ongoing where the CALY-SWE concept is further developed and applied.