Pragmatic Strategies for Shared Decision-making

被引：16

作者：

Walter, Jennifer K. ^{[1
]}

Hwang, Jennifer ^{[1
]}

Fiks, Alexander G. ^{[1
]}

机构：

[1] Childrens Hosp Philadelphia, Dept Pediat, 2716 South St,11th Floor, Philadelphia, PA 19146 USA

来源：

PEDIATRICS | 2018年 / 142卷

关键词：

HEALTH-CARE; AID; COMMUNICATION; PARENTS; MODEL;

D O I：

10.1542/peds.2018-0516F

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Shared decision-making (SDM) is a process that brings together clinical expertise and families' values to arrive at a treatment choice. The process is especially useful for situations with >1 reasonable option, a condition of equipoise. However, for pediatricians who want to adhere to SDM best practices, there is limited practical guidance regarding how to communicate with parents and patients. With the following text, we describe pragmatic strategies to support SDM around both high-stakes decisions in the acute setting as well as in the ongoing management of chronic conditions in settings such as primary care.

引用

收藏

页码：S157 / S162

页数：6

相关论文

共 24 条

[1] Shared Decision-Making and Children With Disabilities: Pathways to Consensus [J].

Adams, Richard C. ;

Levy, Susan E. .

PEDIATRICS, 2017, 139 (06)

[2]

Agency for Healthcare Research and Quality, 2017, SHARE APPR

[3]

[Anonymous], 2001, CROSS QUAL CHASM NEW

[4]

Back A., 2009, Mastering Communication with Seriously Ill Patients

[5] Shared decision-making in the medical encounter: What does it mean? (Or it takes at least two to tango) [J].

Charles, C ;

Gafni, A ;

Whelan, T .

SOCIAL SCIENCE & MEDICINE, 1997, 44 (05) :681-692

[6] Shared Decision Making: A Model for Clinical Practice [J].

Elwyn, Glyn ;

Frosch, Dominick ;

Thomson, Richard ;

Joseph-Williams, Natalie ;

Lloyd, Amy ;

Kinnersley, Paul ;

Cording, Emma ;

Tomson, Dave ;

Dodd, Carole ;

Rollnick, Stephen ;

Edwards, Adrian ;

Barry, Michael .

JOURNAL OF GENERAL INTERNAL MEDICINE, 2012, 27 (10) :1361-1367

[7] Collaborative communication in pediatric palliative care: A foundation for problem-solving and decision-making [J].

Feudtner, Chris .

PEDIATRIC CLINICS OF NORTH AMERICA, 2007, 54 (05) :583-+

[8] Shared Decision-Making and Health Care Expenditures Among Children With Special Health Care Needs [J].

Fiks, Alexander G. ;

Mayne, Stephanie ;

Localio, A. Russell ;

Alessandrini, Evaline A. ;

Guevara, James P. .

PEDIATRICS, 2012, 129 (01) :99-107

[9] Using freelisting to understand shared decision making in ADHD: Parents' and pediatricians' perspectives [J].

Fiks, Alexander G. ;

Gafen, Angela ;

Hughes, Cayce C. ;

Hunter, Kenya F. ;

Barg, Frances K. .

PATIENT EDUCATION AND COUNSELING, 2011, 84 (02) :236-244

[10] Contrasting Parents' and Pediatricians' Perspectives on Shared Decision-Making in ADHD [J].

Fiks, Alexander G. ;

Hughes, Cayce C. ;

Gafen, Angela ;

Guevara, James P. ;

Barg, Frances K. .

PEDIATRICS, 2011, 127 (01) :E188-E196