Suchergebnisse

Objective - To combine insights from multiple disciplines into a set of questions that can be used to investigate contextual factors affecting health decision making. Background - Decision-making processes and outcomes may be shaped by a range of non-medical or contextual factors particular to an individual including social, economic, political, geographical and institutional conditions. Research concerning contextual factors occurs across many disciplines and theoretical domains, but few conceptual tools have attempted to integrate and translate this wide ranging research for health decision-making purposes. Methods - To formulate this tool we employed an iterative, collaborative process of scenario development and question generation. Five hypothetical health decision-making scenarios (preventative, screening, curative, supportive and palliative) were developed and used to generate a set of exploratory questions that aim to highlight potential contextual factors across a range of health decisions. ; During the writing of this paper, all authors were supported by doctoral (A.C., H.W., S.W., M.M., L.S., E.S., C.L., R.M. and J.B.) and postdoctoral (M.E. and J.E.) fellowships from the Health Care, Technology and Place (HCTP) Strategic Training Program, funded by the Canadian Institutes of Health Research (CIHR), the Supporting Institutes (Knowledge Translation Branch, Institution of Health Services and Policy Research, and Institute of Gender and Health). Additionally, J.B. was supported by a doctoral fellowship in the CIHR-funded Strategic Training Program in Cell Signaling in Mucosal Inflammation & Pain at the University of Toronto; E.S. and S.W. were supported by doctoral scholarships from CIHR; and A.C. and C.L. were supported by doctoral fellowships from the Social Sciences and Humanities Research Council of Canada (SSHRC).