Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 7 10 2018 10 01 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” 958 960 3510 10.15171/ijhpm.2018.62 EN Kristine Bærøe Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway 0000-0002-4626-7232 Journal Article 2018 05 30 <span class="fontstyle0">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.</span> https://www.ijhpm.com/article_3510_15e122e839dfdaa7ce969536f94aecf6.pdf