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Health can be seen as a capital asset, subject to depreciation due both to the passage of time (ageing) and to 'wear and tear'. It is valued for the flow of pain-free time and energy it offers us, and we can increase the quantity and quality of this 'flow' by appropriate care and maintenance,...

This paper considers the role of the Hamble Estuary Partnership, a local voluntary coastal stakeholder partnership that is focused on the coordinated management of a small estuary in the Solent. More specifically, the paper critically examines the relationship between the Hamble Estuary...

It is well known that different methods of eliciting the valuations attached to various health states, such as the Visual Analogue Scale (VAS) and the Time Trade Off (TTO), yield different results. This study gathers qualitative data from a group of 43 respondents who had previously taken part...

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A review of relevant literature within health economics, psychology and moral philosophy suggests that people want resource allocation decisions in health to be informed by considerations of equity as well as efficiency. A number of empirical studies demonstrate that people are willing to...

Objective: to measure a health-related quality of life in a way that reflects salient features of health as perceived by a representative sample of the adult population of the UK. Choosing a descriptive system: with data from a survey of 600 people in the West Midlands, we appraised 6 existing...

Priority setting reflects ideology, and so, more surprisingly, does the quest for “efficiency”. A great deal of the current debate about alternative methods of finance and about reform of management structures, in health services all over the world, purports to be about some notion of...