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Handling request for non-disclosure of clinical information in paediatrics

Sok Bee Lim1

  • 1Department of Child Development, KK Women's and Children's Hospital, Singapore. Lim.Sok.Bee@kkh.com.sg

Annals of the Academy of Medicine, Singapore
|March 4, 2011
PubMed

Insights

Parental decision-making in pediatric care is evolving. Historically, parents and doctors jointly decided on child treatment, but this paternalistic approach is increasingly challenged globally.

Area of Science:

  • Pediatric healthcare ethics
  • Medical decision-making

Background:

  • Historically, parental autonomy dominated pediatric medical decisions.
  • A paternalistic model involved joint decision-making between parents and medical professionals.

Purpose of the Study:

  • To examine the controversial issue of non-disclosure in pediatric practice.
  • To analyze the shift away from sole parental responsibility in child healthcare decisions.

Main Methods:

  • Literature review on historical and contemporary pediatric practice.
  • Analysis of ethical frameworks concerning parental rights and child welfare.

Main Results:

  • The traditional paternalistic approach to pediatric decision-making is being questioned.
  • Global challenges to the notion of parents holding sole responsibility for treatment decisions.

Conclusions:

  • The concept of exclusive parental authority in pediatric healthcare is undergoing significant re-evaluation.
  • Contemporary pediatric practice increasingly involves shared decision-making and consideration of the child's perspective.

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