more than a decade ago, personalized medicine was presented in modern medicine. personalized medicine means that the right drug should be prescribed for the right patient based on genetic data. no doubt is developing medical sciences, and its shift into personalized medicine complicates ethical challenges more than before. in this review, we categorized all probable ethical considerations of pe...

BACKGROUND Over the last decade, patient involvement in treatment-related decision-making has been widely advocated in Japan, where patient-physician encounters are still under the influence of the long-standing tradition of paternalism. Despite this profound change in clinical practice, studies investigating the actual preferences of Japanese people regarding involvement in treatment-related d...

AIMS AND OBJECTIVES The purpose of this literature review was to search for and review, systematically, children's decision-making competence in health care in the scientific literature. Findings of both quantitative and qualitative studies were analysed thematically. BACKGROUND Most previous research in children's decision-making competence in health care concerns adults' care in the best in...

The principle of respect for patient autonomy and the right of self-determination dominate medical decision-making in developed countries. The concept of prospective autonomy proposes that personal choices ought to inform healthcare decisions for decisionallyincapacitated patients. Such extension of patient’s autonomy is accomplished through advance directive and surrogate decisionmaking; patie...

conclusions: marital age, and socioeconomic status had a direct association, and hopefulness and marital satisfaction had an indirect one with iranian women’s decision for timing motherhood. therefore, this is the responsibility of policy-makers and healthcare providers to advise women by providing appropriate interventions and facilities. results: the results revealed that among direct pathway...

Improving quality of healthcare for people with chronic conditions requires informed and knowledgeable healthcare providers and patients. Decision support and clinical information system are two of the main components to support improving chronic care. In this paper, we describe an ontology-based information and knowledge management framework that is important for chronic disease care managemen...

evidence-based dentistry (ebd) is very limitedly known in iran, and has been defined as an approach to oral healthcare that requires the judicious integration of systemic assessments of clinically relevant scientific evidences, related to patient’s history and oral and medical conditions, with dentist’s clinical expertise and patient’s treatment needs and preferences. (1-5) the ebd is a popular...

BACKGROUND Decision-making in healthcare is complex. Research on coverage decision-making has focused on comparative studies for several countries, statistical analyses for single decision-makers, the decision outcome and appraisal criteria. Accounting for decision processes extends the complexity, as they are multidimensional and process elements need to be regarded as latent constructs (compo...

PURPOSE/OBJECTIVES To examine the feasibility and acceptability of using a decision aid with an interactive decision-making process in patients with solid tumors and their caregivers during cancer-related treatment. RESEARCH APPROACH A phenomenologic approach was used to analyze qualitative data, with a focus on the meaning of participants' lived experiences. Interviews were conducted by tele...

BACKGROUND Despite a strong movement towards active patient involvement in healthcare policy decisions, systematic and explicit consideration of evidence of this research on patient preferences seems limited. Furthermore, little is known about the opinions of several stakeholders towards consideration of research evidence on patient preferences in healthcare policy decisions. This paper describ...