Is sharing really caring? Viewpoints on shared decision-making in paediatrics.
Journal
Journal of paediatrics and child health
ISSN: 1440-1754
Titre abrégé: J Paediatr Child Health
Pays: Australia
ID NLM: 9005421
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
15
01
2020
revised:
17
01
2020
accepted:
20
01
2020
pubmed:
12
2
2020
medline:
15
5
2021
entrez:
12
2
2020
Statut:
ppublish
Résumé
Shared decision-making (SDM), the cornerstone of family-centred care and the gold standard in health decision-making, occurs when the patient, family members and the health-care team members partner to make health decisions about the child. This partnership involves an exchange of medical information and information about patient/family preferences and values. Together, the health-care team, parent and patient deliberate to determine the best course of action for the child. Despite high-quality evidence supporting its positive impact on outcomes, SDM has not been widely adopted in paediatric clinical practice. Greater understanding of the impact of SDM on all members of the decision triad (parent, patient and health-care provider) may increase the likelihood of SDM adoption. Therefore, we present the viewpoints of a paediatric patient, parent and paediatrician about the use of SDM. A youth living with a rare chronic disease discusses the impacts of being involved and excluded from health decisions. A mother of a son living with a rare nephrotic condition discusses working with a health-care team who are committed and skilled in SDM and the positive impacts SDM has had for her son's care. A general paediatrician with research expertise in SDM discusses the individual and system level challenges and rewards of using SDM in her clinical practice. Based on the viewpoints presented, we offer pragmatic recommendations for using SDM in paediatric clinical practice.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
672-674Subventions
Organisme : CIHR
ID : CIHR FDN #143237
Pays : Canada
Organisme : CIHR
ID : CIHR FDN #143237
Pays : Canada
Informations de copyright
© 2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
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