du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Questioning context: a set of interdisciplinary questions for investigating contextual factors affecting health decision making
Show others and affiliations
2011 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 14, no 2, 115-132 p.Article in journal (Refereed) Published
Abstract [en]

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.

Findings: We present an exploratory tool consisting of questions organized into four thematic domains – Bodies, Technologies, Place and Work (BTPW) – articulating wide-ranging contextual factors relevant to health decision making. The BTPW tool encompasses health-related scholarship and research from a range of disciplines pertinent to health decision making, and identifies concrete points of intersection between its four thematic domains. Examples of the practical application of the questions are also provided.

Conclusions: These exploratory questions provide an interdisciplinary toolkit for identifying the complex contextual factors affecting decision making. The set of questions comprised by the BTPW tool may be applied wholly or partially in the context of clinical practice, policy development and health-related research.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2011. Vol. 14, no 2, 115-132 p.
Keyword [en]
contextual factors; health decision making; interdisciplinary; non-medical factors; preference-sensitive
National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
URN: urn:nbn:se:du-5176DOI: 10.1111/j.1369-7625.2010.00618.xISI: 000290772200002OAI: oai:dalea.du.se:5176DiVA: diva2:520296
Available from: 2011-01-08 Created: 2011-01-08 Last updated: 2015-06-15Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Elf, Marie
By organisation
Caring Science/Nursing
In the same journal
Health Expectations
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 545 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf