Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma.
Communication
Consensus
Doctor-patient relationship
Paediatric
Severe asthma
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
04 Mar 2019
04 Mar 2019
Historique:
received:
19
11
2018
accepted:
25
02
2019
entrez:
6
3
2019
pubmed:
6
3
2019
medline:
7
8
2019
Statut:
epublish
Résumé
Asthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies. Participants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON' T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship. Participants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships. The future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.
Sections du résumé
BACKGROUND
BACKGROUND
Asthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies.
METHODS
METHODS
Participants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON' T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship.
RESULTS
RESULTS
Participants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships.
CONCLUSIONS
CONCLUSIONS
The future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.
Identifiants
pubmed: 30832703
doi: 10.1186/s13052-019-0623-0
pii: 10.1186/s13052-019-0623-0
pmc: PMC6399976
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
31Investigateurs
Filomena Bugliaro
(F)
Silvia Maria Elena Caimmi
(SME)
Valeria Caldarelli
(V)
Lucia Caminiti
(L)
Enza D'Auria
(E)
Emanuela di Palmo
(E)
Marzia Duse
(M)
Alessandro Giovanni Fiocchi
(AG)
Francesco Gesualdo
(F)
Ahmad Kantar
(A)
Enrico Lombardi
(E)
Anna Lucania
(A)
Margherita Marchiani
(M)
Maria Giulia Marini
(MG)
Gianluigi Marseglia
(G)
Maria Carmela Montera
(MC)
Elio Massimo Novembre
(EM)
Guido Pellegrini
(G)
Giorgio Piacentini
(G)
Alessandro Policreti
(A)
Francesca Santamaria
(F)
Références
J Health Serv Res Policy. 1999 Oct;4(4):236-48
pubmed: 10623041
BMJ. 2000 Apr 8;320(7240):976-80
pubmed: 10753149
J Clin Pharm Ther. 2001 Feb;26(1):5-14
pubmed: 11286603
Ann Intern Med. 2003 Dec 2;139(11):907-15
pubmed: 14644893
Prev Chronic Dis. 2005 Jan;2(1):A11
pubmed: 15670464
Pediatrics. 2006 Dec;118(6):2504-13
pubmed: 17142537
Appetite. 2007 Nov;49(3):572-7
pubmed: 17490786
Patient Educ Couns. 2007 Oct;68(2):179-85
pubmed: 17643912
Br J Gen Pract. 2007 Nov;57(544):904-11
pubmed: 17976292
Jt Comm J Qual Improv. 2000 May;26(5):244-53
pubmed: 18350769
Appetite. 2008 Nov;51(3):570-5
pubmed: 18501474
Nurse Res. 2008;16(1):56-71
pubmed: 19025106
Thorax. 2009 Jun;64(6):476-83
pubmed: 19237391
Clin Exp Allergy. 2009 Nov;39(11):1652-8
pubmed: 19622089
J Asthma. 2010 May;47(4):478-85
pubmed: 20528605
Paediatr Respir Rev. 2013 Dec;14(4):219-23
pubmed: 23434178
J Asthma. 2013 Sep;50(7):791-8
pubmed: 23730868
J Child Health Care. 2014 Sep;18(3):261-74
pubmed: 23818146
J Asthma. 2014 Jun;51(5):498-507
pubmed: 24517110
J Asthma. 2014 Nov;51(9):989-95
pubmed: 24945884
Pediatr Allergy Immunol. 2015 May;26(3):197-205
pubmed: 25704083
BMJ. 2015 Mar 05;350:h996
pubmed: 25742964
Adv Psychosom Med. 2015;34:10-23
pubmed: 25832510
Med Care. 1989 Mar;27(3 Suppl):S110-27
pubmed: 2646486
Front Psychol. 2016 Nov 10;7:1747
pubmed: 27891107
Asthma Res Pract. 2017 Jan 6;3:1
pubmed: 28078100
J Allergy Clin Immunol Pract. 2018 Mar - Apr;6(2):536-544.e1
pubmed: 28847656
J Pediatr Health Care. 2018 Jan - Feb;32(1):21-28
pubmed: 28866436
BMJ. 2018 Mar 7;360:k1041
pubmed: 29514780
Electron Physician. 2017 Dec 25;9(12):6058-6062
pubmed: 29560160
J Med Internet Res. 2018 Mar 28;20(3):e117
pubmed: 29592845
Br J Gen Pract. 2018 Apr;68(669):190
pubmed: 29592935
ERJ Open Res. 2018 May 04;4(2):null
pubmed: 29740592
Soc Sci Med. 1995 Apr;40(7):903-18
pubmed: 7792630
Eur J Surg Suppl. 1996;(576):5-8
pubmed: 8908460
Allergy. 1997 Oct;52(10):971-7
pubmed: 9360747