background decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. fiji has attempted two approaches to decentralisation. the current approach refl...

This article focuses on patients' participation in decision-making in meetings with healthcare professionals in a healthcare system, based on neoliberal regulations and ideas. Drawing on two constructed empirical cases, primarily from the perspective of patients, this article analyses and discusses the clinical practice around decision-making meetings within a Foucauldian perspective. Patients'...

In healthcare contexts, unfortunately for some diseases, surgery is not always considered a final cure, as it can result in a considerably high rate of disabilities, as well as the possibility of comorbidities; for example, types of cancer and even the development of bowel diseases. Further, there is the direct adverse impact on the patients and their families. Therefore, decision-making regard...

Context Despite the intense use of technology and aggressive medical care, intensive care units are common places of EOL decision-making and death.1–3 Most critically ill patients are unable to participate in EOL decision-making due to the severity of their illness or need for sedation. In an effort to respect the ethical principle of autonomy, healthcare professionals engage the patient’s fami...

BACKGROUND Patient participation means involvement of the patient in decision making or expressing opinions about different treatment methods, which includes sharing information, feelings and signs and accepting health team instructions. OBJECTIVES Given the importance of patient participation in healthcare decision making which empowers patients and improves services and health outcomes, thi...

OBJECTIVES We aimed to identify factors influencing communication and decision-making, and to learn how physicians and nurses view their roles in deciding about the use of life-sustaining technology for seriously ill hospitalised patients and their families. DESIGN The qualitative study used Flanagan's critical incident technique to guide interpretive description of open-ended in-depth indivi...

When thinking about priority setting in access to healthcare resources, decision-making requires that cost-effectiveness is balanced against medical ethics. The burden of disease has emerged as an important approach to the assessment of health needs for political decision-making. However, the disability adjusted life years approach hides conceptual and methodological issues regarding the claims...