BACKGROUND Respect for autonomy is a key principle in bioethics. However, respecting autonomy in practice is complex because most people define themselves and make decisions influenced by a complex network of social relationships. The extent to which individual autonomy operates for each partner within the context of decision-making within marital or similar relationships is largely unexplored....

Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementatio...

Enterprise Application Integration (EAI) technology has emerged to overcome integration problems at different levels such as process and data. Although, many public and private organisations have successfully implemented EAI solutions, the adoption of EAI in healthcare organisations is slow and problematic. The research that has been published in this area remains limited and has mainly focused...

Defining data quality and realising the need for information that is free of defects and that possesses the right qualities for the task at hand remains a difficult issue. This is particularly so in the healthcare sector where the need for effective decision making is high. This case study addresses the development of a data quality evaluation framework for the NZ health sector. It discusses a ...

BACKGROUND Policy guidance and bioethical literature urge the involvement of adolescents in decisions about their healthcare. It is uncertain how roles and expectations of adolescents, parents and healthcare professionals influence decision-making and to what extent this is considered in guidance. AIMS To identify recent empirical research on decision-making regarding care and treatment in ad...

Cancer Care Ontario (CCO) has implemented multiple information technology solutions and collected health-system data to support its programs. There is now an opportunity to leverage these data and perform advanced end-to-end analytics that inform decisions around improving health-system performance. In 2014, CCO engaged in an extensive assessment of its current data capacity and capability, wit...

The healthcare model is shifting from a paternalistic towards a more inclusive and participative approach, such as shared decision making (SDM). SDM considers patients as autonomous and responsible agents. SDM is a therapeutic approach where healthcare providers and patients share the best evidence available to make a decision according to the values and preferences of the patient. Decision aid...

OBJECTIVES To consider whether implied rates of discounting from the perspectives of individual and society differ, and whether implied rates of discounting in health differ from those implied in choices involving finance or "goods". DESIGN The study comprised first a review of economics, health economics and social science literature and then an empirical estimate of implied rates of discoun...

Given that more than 30% of healthcare costs are wasted on inappropriate care, suboptimal care is increasingly connected to the quality of medical decisions. It has been argued that personal decisions are the leading cause of death, and 80% of healthcare expenditures result from physicians' decisions. Therefore, improving healthcare necessitates improving medical decisions, ie, making decisions...