Several factors can impede voluntariness, including: - Lack of Information: Patients may not have access to all the relevant information needed to make an informed decision. - Emotional Distress: A cancer diagnosis can cause significant emotional distress, which may affect decision-making capabilities. - Cultural and Societal Norms: Cultural beliefs and societal pressures can influence a patient’s decision. - Healthcare System Constraints: Time pressures and resource limitations within the healthcare system can hinder thorough patient-provider communication.
