A. Gafni

Publications640
h-index80
Citations28,071
Highly Influential Citations936
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Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango).
Shared decision-making is increasingly advocated as an ideal model of treatment decision-making in the medical encounter. To date, the concept has been rather poorly and loosely defined. This paper… Expand
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Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model.
In this paper we revisit and add elements to our earlier conceptual framework on shared treatment decision-making within the context of different decision-making approaches in the medical encounter… Expand
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The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation.
PURPOSE To develop a conceptual tool for the systematic development of cancer treatment practice guidelines. MATERIALS AND METHODS The guidelines development tool, the Practice Guidelines… Expand
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What matters most in end-of-life care: perceptions of seriously ill patients and their family members
Background: Initiatives to improve end-of-life care are hampered by our nascent understanding of what quality care means to patients and their families. The primary purpose of this study was to… Expand
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Quality of Life of Individuals With Heart Failure: A Randomized Trial of the Effectiveness of Two Models of Hospital-to-Home Transition
Background. The growing number of patients with congestive heart failure has increased both the pressure on hospital resources and the need for community management of the condition. Improving… Expand
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Health care contingent valuation studies: a review and classification of the literature.
PURPOSE The contingent valuation method (CVM) is a survey-based approach for eliciting consumer's monetary valuations for programme benefits for use in cost-benefit analysis (CBA). We used the… Expand
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Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: the international randomized Term Breech Trial.
OBJECTIVE This study was undertaken to compare maternal outcomes at 2 years postpartum after planned cesarean section and planned vaginal birth for the singleton fetus in breech presentation at term.… Expand
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When Do the "Dollars" Make Sense?
There is growing interest in the application of cost-benefit analysis (CBA) as a tech nique for the economic evaluation of health care programs. A distinguishing feature of CBA is that costs and… Expand
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Effective/efficient mental health programs for school-age children: a synthesis of reviews.
The prevalence of mental health problems, some of which seem to be occurring among younger cohorts, leads researchers and policy-makers to search for practical solutions to reduce the burden of… Expand
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What do we mean by partnership in making decisions about treatment?
For many decades, the dominant approach to making decisions about treatment in the medical encounter has been one of paternalism.1–7 In recent years this model has been challenged by doctors,… Expand
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