Questioning Context: A set of interdisciplinary questions for investigating contextual factors affecting health decision-making
Artikel i vetenskaplig tidskrift, 2011

Objective: To combine insights from multiple disciplines into a set of questions that can be used to investigate contextual factors affecting health decision making. Background: Decision-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. Methods: To 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. Findings: We 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.


contextual factors


health decison making


A Charise

University of Toronto

H Witteman

University of Michigan

University of Toronto

S Whyte

University of Waterloo

University of Toronto

E Sutton

University of Toronto

M Massimi

University of Toronto

L Stephens

University of Toronto

J Bender

University of Toronto

J Evans

Athabasca University

University of Toronto

C Logie

University of Toronto

R Mirza

University of Toronto

Lena Marie Elf

Chalmers, Arkitektur

Health Expectations

1369-6513 (ISSN) 1369-7625 (eISSN)

Vol. 14 2 115-132






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