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Shared decision making in pediatric dermatology: context, opportunities, and practical examples
Yuliya Kozina1, Mary C Politi2, Carrie C Coughlin3
1Washington University School of Medicine.
Insights
Shared decision making (SDM) is crucial in pediatric dermatology but underutilized. This review offers practical guidance for implementing SDM and highlights key areas for future research in child dermatology care.
Area of Science:
- Pediatric Dermatology
- Patient-Centered Care
- Health Outcomes Research
Background:
- Shared decision making (SDM) is integral to patient-centered care, yet its application in pediatric dermatology is limited.
- Both children and their guardians express a desire for SDM in clinical settings.
- Current research on SDM and specific decision aids for pediatric dermatology is scarce.
Purpose of the Study:
- To provide practical examples of implementing SDM in pediatric dermatology.
- To identify future research directions for SDM in pediatric dermatology.
- To encourage the adoption of SDM in pediatric dermatology practice.
Main Methods:
- Literature review of existing SDM practices and research in pediatric dermatology.
- Analysis of patient and clinician perspectives on SDM.
- Identification of barriers and facilitators to SDM implementation.
Main Results:
- SDM is underutilized and under-researched in pediatric dermatology.
- Practical strategies for integrating SDM into medical and surgical pediatric dermatology consultations were identified.
- Opportunities for SDM in preparing pediatric patients for transition to adult care were highlighted.
Conclusions:
- Implementing SDM in pediatric dermatology is feasible and beneficial for patient-centered care.
- Further research is needed to develop and evaluate SDM tools and interventions specific to pediatric dermatology.
- Addressing the underuse of SDM can improve patient engagement and outcomes in pediatric dermatology.
Purpose Of Review:
Shared decision making (SDM) is an important part of patient-centered care. However, it is neither widely practiced nor researched in pediatric dermatology. In this article, we provide practical examples of how to engage in SDM in pediatric dermatology, and identify future areas of research.
Recent Findings:
Children and parents/guardians desire SDM in clinical encounters. The process is applicable to discussions of medical as well as surgical care. Additionally, SDM can help prepare children for the transition from pediatric to adult/general providers. Clinicians often want more guidance on its implementation, and there is a dearth of research on SDM or decision tools specific to pediatric dermatology.
Summary:
SDM is underused and understudied in pediatric dermatology. This article highlights how to engage in SDM and presents opportunities for research and implementation in pediatric dermatology.
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