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Shared Decision-Making in Pediatrics

Kimberly E Sawyer1, Douglas J Opel2

  • 1Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Palliative Care Team, 6621 Fannin Street, Suite W.1990, Houston, TX 77030, USA.

Pediatric Clinics of North America
|November 16, 2023
PubMed

Insights

This article reviews a 4-step process for shared decision-making (SDM) in pediatrics. It discusses challenges in applying SDM and distinguishes it from other patient-centered communication approaches.

Area of Science:

  • Pediatric Healthcare
  • Clinical Communication
  • Health Decision-Making

Background:

  • Shared decision-making (SDM) is crucial in pediatrics.
  • Implementing SDM involves specific communication strategies.
  • Distinguishing SDM from other models is important for clarity.

Purpose of the Study:

  • To review a 4-step process for implementing SDM in pediatrics.
  • To address challenges in determining when SDM should be used.
  • To clarify the relationship between SDM and other decision-making models.

Main Methods:

  • Literature review of SDM implementation in pediatrics.
  • Analysis of decision-making models in pediatric care.
  • Discussion of communication strategies in SDM.

Main Results:

  • A 4-step implementation process for pediatric SDM is outlined.
  • Difficulties in initiating SDM in pediatric settings are identified.
  • Potential conflation of SDM with other patient-centered communication strategies is discussed.

Conclusions:

  • Effective implementation of SDM in pediatrics requires a structured approach.
  • Clear understanding of SDM is needed to differentiate it from similar models.
  • Addressing challenges in SDM initiation can improve pediatric patient-centered care.

Keywords:
BenefitBioethicsBurdenFrameworkPediatricShared decision-makingStandard of careStandard practice

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