Shared Decision-Making and Children With Disabilities: Pathways to Consensus

被引:115
作者
Adams, Richard C. [1 ]
Levy, Susan E. [2 ,3 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Texas Scottish Rite Hosp Children, Dallas, TX 75390 USA
[2] Childrens Hosp Philadelphia, Ctr Autism Res, Div Dev & Behav Pediat, Philadelphia, PA 19104 USA
[3] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
FAMILY-CENTERED CARE; PARENTAL PERCEPTIONS; MEDICAL ENCOUNTER; YOUNG-CHILDREN; BARRIERS; PARTICIPATION; FACILITATORS; ANTIBIOTICS; ADOLESCENTS; PHYSICIANS;
D O I
10.1542/peds.2017-0956
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Shared decision-making (SDM) promotes family and clinician collaboration, with ultimate goals of improved health and satisfaction. This clinical report provides a basis for a systematic approach to the implementation of SDM by clinicians for children with disabilities. Often in the discussion of treatment plans, there are gaps between the child's/family's values, priorities, and understanding of perceived "best choices" and those of the clinician. When conducted well, SDM affords an appropriate balance incorporating voices of all stakeholders, ultimately supporting both the child/family and clinician. With increasing knowledge of and functional use of SDM skills, the clinician will become an effective partner in the decision-making process with families, providing family-centered care. The outcome of the process will support the beneficence of the physician, the authority of the family, and the autonomy and well-being of the child.
引用
收藏
页数:9
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