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Teaching About Better Family-Clinician Partnerships in High-Risk Pediatric Asthma Care
Georgia Michalopoulou1, Sherylyn Briller2,3, Stephanie Myers-Schim4,5
1Department of Psychiatry and Behavioral Neurosciences, School of Medicine, Wayne State University, Detroit, MI, USA.
Insights
Building strong family-clinician partnerships in pediatric asthma care is crucial. Improving clinician sensitivity and skills in family-centered care can enhance treatment strategies and reduce health disparities.
Area of Science:
- Pediatric Healthcare
- Family-Centered Care
- Health Disparities
Background:
- Family-clinician partnership is vital in pediatrics, encompassing communication, trust, respect, and power dynamics.
- Effective partnerships are essential for managing complex pediatric conditions like asthma.
Purpose of the Study:
- To illustrate factors that support or hinder family-clinician partnerships in a high-risk urban pediatric asthma clinic.
- To identify key interactional elements influencing partnership dynamics.
Main Methods:
- Qualitative analysis of a 100-minute observational case study.
- Application of codes to themes based on family-centered principles.
Main Results:
- Three categories emerged: partnership supported, partnership missed, and partnership hindered.
- Specific interactions and their sequencing were analyzed to understand partnership dynamics.
Conclusions:
- Clinicians need enhanced sensitivity to families' lives and improved family-centered care skills.
- Educating clinicians on partnership can lead to better treatment negotiation for conditions like asthma and reduce health disparities.
Abstract:
Family-clinician partnership including communication, trust, respect, and power leveling is essential in pediatrics. Our case study illustrates elements supporting/hindering partnership in a high-risk urban pediatric asthma clinic. Data from observation of a 100-minute visit were qualitatively analyzed by applying codes to themes, using family-centered principles. Three key categories emerged from examining interactions and their sequencing: (1) partnership supported, (2) partnership missed, and (3) partnership hindered. Practitioners must become more sensitive to families' lives and skilled in family-centered care delivery. Clinician education about partnership can help with negotiating workable treatment strategies for complex conditions such as asthma and reduce health disparities.
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