The Use of a Comprehensive Concept of Capability for Wellbeing Assessment: A Best-Fit Framework Synthesis.

IF 1.8 3区 哲学 Q2 ETHICS Health Care Analysis Pub Date : 2024-08-19 DOI:10.1007/s10728-024-00488-w
Jasper Ubels, Karla Hernandez-Villafuerte, Erica Niebauer, Michael Schlander
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Abstract

Developing an instrument with the capability approach can be challenging, since the capability concept of Sen is ambiguous concerning the burdens that people experience whilst achieving their capabilities. A solution is to develop instruments with a comprehensive concept of capability, such as the concept of 'option-freedom'. This study aims to develop a theoretical framework for instrument development with the concept of option-freedom. A best-fit framework synthesis was conducted with seven qualitative papers by one researcher. Two researchers supported the synthesis by discussing interim results during the synthesis. A priori concepts of option-freedom were used to deductively code against. Themes and subthemes were developed inductively when data did not match a priori themes. Seven paper were identified that fulfilled the eligibility criteria. Four themes emerged from the synthesis. (1) Option Wellbeing represents a range of options that need to be satisfied for individuals to experience wellbeing. (2) Self-Realization represents that there are experiences in an individual's life that have value beyond realizing options. (3) Perceived Access to Options represents the perceived ability of individuals to realize freedoms. (4) Perceived Control represents the experience of having control. Developing an instrument with the proposed framework has two benefits. First, it acknowledges the importance of assessing impediments in realizing capabilities for wellbeing assessment. Secondly, the themes form a broad informational base by including themes related to subjective wellbeing. Future research should study the feasibility of implementing the framework for instrument development.

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使用综合能力概念进行福祉评估:最佳框架综述。
由于森的能力概念对于人们在实现其能力时所承受的负担并不明确,因此采用能力方法来开发工具可能具有挑战性。解决的办法是开发具有全面能力概念的工具,如 "选择自由 "概念。本研究旨在为使用 "选择自由 "概念开发工具制定一个理论框架。一位研究人员对七篇定性论文进行了最佳框架综合。两位研究人员在综合过程中对临时结果进行了讨论,为综合提供了支持。选择自由的先验概念被用来对其进行演绎编码。当数据与先验主题不一致时,则以归纳的方式确定主题和次主题。确定了七篇符合资格标准的论文。综合得出四个主题。(1) 选择性幸福代表了个人体验幸福所需要满足的一系列选择。(2) 自我实现是指个人生活中的一些经历具有超越实现选择的价值。(3) 感知到的选择机会代表个人感知到的实现自由的能力。(4) 感知到的控制权代表拥有控制权的体验。利用拟议框架开发一种工具有两个好处。首先,它承认了评估实现能力的障碍对于福祉评估的重要性。其次,通过纳入与主观幸福感相关的主题,这些主题形成了广泛的信息基础。未来的研究应研究在工具开发中实施该框架的可行性。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
3
期刊介绍: Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.
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