Living with chronic heart failure (CHF) often involves lifelong contact with health care, more or less frequently, depending on fluctuating health-generating disruptions in everyday life. To reduce the influence on continuity in life, health-care professionals should preferably focus on supporting patients in managing their daily lives, based on their perspective. The aim of this study was to d...

1. Department of Pediatrics, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande do Sul – UFRGS – Porto Alegre (RS), Brazil. 2. Pediatric Intensive Care Unit, Hospital São Lucas, School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul – PUCRS – Porto Alegre (RS), Brazil. 3. D’Or Institute for Research and Education – IDOR – Rio de Janei...

BACKGROUND As in other countries, the traditional doctor-patient relationship in the Japanese healthcare system has often been characterised as being of a paternalistic nature. However, in recent years there has been a gradual shift towards a more participatory-patient model in Japan. With advances in technology, the possibility to use digital technologies to improve patient interactions is gro...

BACKGROUND As the practice of medicine inevitably raises both ethical and legal issues, it had been recommended since 1999 that medical ethics and human rights be taught at every medical school. Most Nigerian medical schools still lack a formal undergraduate medical ethics curriculum. Medical education remains largely focused on traditional medical science components, leaving the medical studen...

This paper has two purposes: first of all, we examine grandmothers' role and views of child feeding practices in northern Malawi, and their influence on younger women's practices. Secondly, we consider the implications of these findings for health promotion activities and models of health education. Data were collected from semi-structured interviews, focus groups and a participatory workshop. ...

OBJECTIVES Primary care physicians (PCPs) should prescribe faecal immunochemical testing (FIT) or colonoscopy for colorectal cancer screening based on their patient's values and preferences. However, there are wide variations between PCPs in the screening method prescribed. The objective was to assess the impact of an educational intervention on PCPs' intent to offer FIT or colonoscopy on an eq...

Medical care delivery has evolved from a paternalistic model to one of shared decisions and shared responsibility. This concept of partnership is fundamental to the model of the Patient-centered Medical Home (PCMH). In practice, implementing this shift is often problematic given constraints of both time and attitude. Tools available to foster the practice of shared decision making include decis...

Behavioral economics presents a “paternalistic”rationale for benevolent government intervention. This paper presents a model of public debt where voters have self-control problems and attempt to commit by accumulating illiquid assets. We introduce politicians who may indulge/exploit voters’behavioral biases. Three main insights emerge: (i) Individuals’attempts to privately undo the consequences...

BACKGROUND The Australian Home Medicines Review (HMR) program consists of a pharmacist reviewing a patient's medicines at his or her home and reporting findings to the patient's general practitioner (GP) to assist optimisation of medicine management. Previous research has shown that the complex HMR program rules impede access to the HMR program by Aboriginal and Torres Strait Islander clients. ...