In this paper, we discuss the Charles et al. approach to shared treatment decision-making (STDM) as applied to patients with chronic conditions and their clinicians. We perceive differences between the type of treatment decisions (e.g. end-of-life care, surgical treatment of cancer) that generated existing approaches of shared decision-making for acute care conditions (including the Charles et ...

To learn more about how older people make decisions about long-term care (LTC), in-depth interviews were conducted with 63 elderly individuals and 56 of their relatives to obtain information on the decisionmaking process. This qualitative research showed that LTC decisionmaking does not always follow typical consumer decisionmaking models, in which a consumer seeks a product or service, selects...

This article estimates the effects of various parent and child characteristics on the choice of care arrangement of the parent, taking into account the potential endogeneity of some of the child characteristics. Three equations are estimated: a care choice equation, a child location equation, and a child work equation. Results suggest a hierarchy of family decision making; child locations affec...

There is a growing trend among developed countries to increase the participation of youth in societal and institutional decision-making. The challenge is to move away from an illusion of participation (tokenism) to genuine youth influence. This article transfers knowledge of a relatively new theory to the fields of youth engagement and community development. We pose deliberative democracy as a ...

Despite the availability of health and social care services designed to support people in their own homes, older people often underuse or refuse these services. It is now acknowledged that this phenomenon contributes to older people being admitted to hospital and long-term care in circumstances that could be avoided. To understand how the uptake of supportive and preventative services can be im...

PROMETHEE refers to a collection of methods of ranking in the field of multi-criteria decision making. These methods are characterized by conceptual simplicity and practical applicability. However, the nature of phenomena involving decision-making in real world leads us to use fuzzy method of preference ranking. The most common criticism on mathematical ranking procedures is that they tend to d...

BACKGROUND The ethical argument that shared decision-making is "the right" thing to do, however laudable, is unlikely to change how healthcare is organized, just as evidence alone will be an insufficient factor: practice change is governed by factors such as cost, profit margin, quality, and efficiency. It is helpful, therefore, when evaluating new approaches such as shared decision-making to c...