ArticleAsia-Pacific journal of oncology nursing
Iranian Cancer Patients Perceptions of Barriers to Participation in Decision-Making: Potential Impact on Patient-Centered Care.
Article in Asia-Pacific journal of oncology nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
What it found
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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
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers and facilitators to shared decision-making for patients with cancer and health care providers based on the COM-B model: a systematic review.BMC medical informatics and decision making · 2025Pooled it
- Patient-centered care in the Middle East and North African region: a systematic literature review.BMC health services research · 2023Pooled it
- Exploring patient-centered care delivery in outpatient settings for older adults: a scoping review and recommendations for implementation in countries with low and middle income.BMC geriatrics · 2025Article
- Cognitive Authority Theory: Reframing health inequity, disadvantage and privilege in palliative and end-of-life care.Palliative medicine · 2025Article
- Factors Influencing Paternalistic Clinical Environment in Iran: An Exploratory Research Brief.Journal of patient experience · 2025Article
- "I am not just a place for implementation. I should be a partner": a qualitative study of patient-centered care from the perspective of diabetic patients in Saudi Arabia.BMC health services research · 2023Article
- The shadow of paternalism on patient-centeredness in oncology nursing care: A barrier of health-care promotion.Journal of education and health promotion · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to explore perceptions about barriers to decision-making in Iranian patients with cancer about their care.
methodsUtilizing a qualitative approach, semi-structured interviews were conducted with 15 cancer patients.
resultsData analysis revealed four central categories reflecting patient perceptions about barriers that included medical dominance (uninformed decision-making, perceived inability to disagree secondary to despair, and patient objectification), healthcare system mistrust (physician, nurse, and medical center facility and equipment), healthcare system characteristics (services and facilities' limitations, poor communication, healthcare setting compulsion), and cultural barriers (feeling unfamiliar, insecurity in an unfamiliar environment, language barriers, limited attention to religious beliefs).
conclusionsBarriers may impact the perceived ability of Iranian patients' with cancer ability to participate in decision-making regarding their care. Such barriers contain the potential to disrupt patient-centered care. Perceptions about barriers articulated by patients are modifiable. While some Iranian healthcare systems may have problematic challenges, targeted allocation of resources and education of healthcare providers convey strong possibilities to enhance patient-centered care.
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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.