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Decision Making01:20

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Pragmatic Strategies for Shared Decision-making.

Jennifer K Walter1, Jennifer Hwang2, Alexander G Fiks2

  • 1Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania walterj1@email.chop.edu.

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Shared decision-making (SDM) helps pediatricians involve families in treatment choices when multiple options exist. This guide offers practical communication strategies for both urgent and ongoing pediatric care decisions.

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Area of Science:

  • Pediatric Healthcare
  • Clinical Communication
  • Medical Ethics

Background:

  • Shared decision-making (SDM) is crucial when multiple treatment options exist, requiring integration of clinical expertise with family values.
  • Pediatricians face challenges in implementing SDM due to a lack of practical communication guidance for parents and patients.
  • Effective SDM is particularly important in pediatric care, encompassing both acute and chronic condition management.

Purpose of the Study:

  • To provide pediatricians with pragmatic strategies for implementing shared decision-making (SDM).
  • To enhance communication between clinicians, parents, and patients in pediatric healthcare settings.
  • To support SDM in both high-stakes acute care decisions and chronic condition management.

Main Methods:

  • The study outlines practical communication strategies for pediatricians.
  • Focuses on supporting SDM in acute care and primary care settings.
  • Emphasizes integrating clinical expertise with family values for treatment choices.

Main Results:

  • Provides actionable guidance for pediatricians on SDM communication.
  • Strategies are applicable to diverse clinical scenarios, from acute to chronic care.
  • Aims to improve the quality of decision-making by involving families.

Conclusions:

  • Implementing SDM in pediatrics requires practical communication tools for clinicians.
  • Effective SDM enhances patient and family engagement in treatment planning.
  • The described strategies support SDM across various pediatric care contexts.