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.

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