Measuring clinicians' shared decision-making (SDM) performance is a key requirement given the intensity of policy interest in many developed countries - yet it remains one of the most difficult methodological challenges, which is a concern for many stakeholders. In this Viewpoint Article, we investigate the development of existing patient-reported measures (PRMs) of SDM identified in a recent r...

Although the importance of patient participation is acknowledged in today's healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process of improving patient participatio...

Many countries are considering adopting political quotas for under-represented and disadvantaged minorities, but critics of the policy claim that it undermines political competition. Using evidence from India, I examine the impact of mandated political representation for disadvantaged minorities. Aggregate turnout falls by 9% of the baseline, but I find no negative impact on electoral competiti...

Gender inequality varies across nations, where such inequality is defined as the disproportionate representation of one sex over the other in desirable social, economic, and biological roles (typically male over female). Thus in Norway, 40% of parliamentarians are women, in the USA 17%, and in Saudi Arabia 0%. Some of this variation is associated with economic prosperity but there is evidence t...

The long-term health effects of concussion and sub-concussive impacts in sport are unknown. Growing evidence suggests both inflammation and neurodegeneration are pivotal to secondary injury processes and the etiology of neurodegenerative diseases. In the present study we characterized circulating brain injury and inflammatory mediators in healthy male and female athletes according to concussion...

Despite economic growth, fertility reductions, and increases in female educational attainment, overall female labor force participation in India declined from 35 percent to 27 percent between 1999 and 2012. I examine the degree to which this puzzling decline can be attributed to an increase in earnings of married males. I first show that between 1999 and 2012, districts that experience a relati...

OBJECTIVE To identify women's perceptions on men's participation in contraception. METHODS Home interviews in the southern region of the city of S. Paulo, SP, Brazil, were carried out. The participant sample was of 254 female users of reversible contraceptive methods, who claimed to have sexual partners at moment of the interview. Statistical analysis of the demographic variables and content ...

BACKGROUND Community participation is increasingly seen as a pre-requisite for successful health service uptake. It is notoriously difficult to assess participation and little has been done to advance tools for the assessment of community participation. In this paper we illustrate an approach that combines a 'social psychology of participation' (theory) with 'spider-grams' (method) to assess pa...

This study characterized measures of community activity and participation of transtibial amputees based on combined data from separate accelerometer and GPS devices. The relationship between community activity and participation and standard clinical measures was assessed. Forty-seven participants were recruited (78% male, mean age 60.5 years). Participants wore the accelerometer and GPS devices...