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Paper Information

Journal:   INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT   2018 , Volume 7 , Number 10; Page(s) 958 To 960.

On Fundamental Premises for Addressing “ Context” and “ Contextual Factors” Influencing Value Decisions in Healthcare Comment on “ Contextual Factors Influencing Cost and Quality Decisions in Health and Care: A Structured Evidence Review and Narrative Synthesis” (Commentary)

Author(s):  Baeroe Kristine*
* Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
In this commentary on Williams and colleagues’ paper, I will address some essential issues related to research on contextual factors that influence value decision-making in healthcare. Based on the presumption that scientific work requires coherence in its ontological, epistemological and methodological approaches, I identify some challenges in their text and reflect on how those challenges might be addressed. I recommend that more normative work be done to make this a comprehensive area of research and suggest that the fundamental premises structuring investigations in this field be explicitly clarified.
Keyword(s): Healthcare Decision-Making,Value Decisions,Contextual Factors,Normative Ideals,Methodological Challenges
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