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Navigating Humanism in Pediatric Neurology: A Global Survey of Attitudes, Challenges, and Cultural Influences

Rekha Mittal1, Vishal Sondhi2, Lauren Treat3

  • 1Department of Pediatrics, Madhukar Rainbow Children's Hospital, New Delhi, India.

Pediatric Neurology
|May 21, 2026
PubMed

Insights

Pediatric neurologists globally value humanistic care principles but struggle with consistent application. Practice varies significantly based on factors like resources, experience, and cultural context, highlighting a need for improved strategies.

Area of Science:

  • Pediatric Neurology
  • Medical Ethics
  • Global Health

Background:

  • Humanism in medicine underscores compassionate care and patient dignity.
  • These principles are crucial in child neurology for managing complex, long-term conditions.
  • Understanding global pediatric neurologists' views on humanistic care is limited.

Purpose of the Study:

  • To assess how pediatric neurologists worldwide perceive and implement humanistic care principles.
  • To identify factors influencing the practice of humanism in child neurology.

Main Methods:

  • A modified, validated humanism assessment tool was used.
  • 155 pediatric neurologists across diverse settings participated (Feb-May 2024).
  • Responses were analyzed for agreement and application, stratified by demographics and setting.

Main Results:

  • Over 90% agreed with core humanistic principles like dignity and autonomy.
  • Consistent application varied, with less than 65% always treating patients with dignity.
  • Adherence was higher in high-resource settings, but distractions were more common.
  • Experience correlated with engagement; younger physicians faced challenges with high-needs patients.
  • Regional differences emerged in communication styles and cultural influences.

Conclusions:

  • Pediatric neurologists globally affirm humanistic values but face contextual barriers to consistent application.
  • Factors such as healthcare structure, culture, and physician experience significantly impact practice.
  • This study underscores the need for targeted strategies to enhance empathy, resilience, and patient connection in child neurology.
Abstract

Keywords:
BurnoutChild neurologyEthicsHumanismPatient-doctor relationshipResilience

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