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Additionally, anticipated emotions that are imagined with potential outcomes of decision making may affect the decision [ 26].
However, to our knowledge, it is unknown to what degree healthcare professionals' perceptions regarding the value of cardiac risk scores in therapeutic decision making may affect the use of these scores in clinical practice.
Thus, experience gained from treating patients according to the PCT algorithm in the intervention arm or other factors attributable to the conduct of the study (for example increased awareness by physicians because of more conscious decision making) may affect antibiotic prescription in the guideline arm and could lead to reduced prescribing or treatment duration in the control group.
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Many factors, such as delayed referral, logistical factors at the treatment centre, and family decision-making, may affect the timing of surgery.
In Ghana, few studies have however examined how intra-familial decision-making may affect women's ability to access and use skilled maternal and healthcare services.
It has been suggested that the use of decision-making aids may affect the decision-making process and also surgical rates [ 38].
However, in relation to the DISCERN instrument, orthodontic PILs appear to be lacking sufficient information relating to treatment options, consequences of no treatment and support for shared decision-making which may affect the validity of the consenting process.
Disturbances in decision-making (DM) may affect quality of life as well as social environment interaction.
Patient expectations and preferences also play a role in decision-making and may affect outcomes.
With the data to hand, we cannot draw definitive conclusions about the pathways through which women's decision-making autonomy may affect their daughters' enrollment.
However, there are few studies that examine how intra-familial decision-making power may affect women's ability to access and use maternal health services.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com