ArticleHealth expectations : an international journal of public participation in health care and health policy2011
Questioning context: a set of interdisciplinary questions for investigating contextual factors affecting health decision making.
Article in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Switching for the better? understanding how contextual conditions influence patients' choice of primary care provider.BMC health services research · 2026Article
- Development of a decision support tool in pediatric Differences/Disorders of Sex Development.Seminars in pediatric surgery · 2019Article
- Indirect effects of contextual factors on patients' consultations with healthcare professionals about health information found online.BMC health services research · 2016Article
- Shared decision making in designing new healthcare environments-time to begin improving quality.BMC health services research · 2015Article
- Philosophy, health services and research.Health expectations : an international journal of public participation in health care and health policy · 2011Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo combine insights from multiple disciplines into a set of questions that can be used to investigate contextual factors affecting health decision making.
backgroundDecision-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.
methodsTo 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.
findingsWe 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.
conclusionsThese 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.