학술논문

Shared Decision-Making and Children With Disabilities: Pathways to Consensus.
Document Type
Article
Source
Pediatrics. Jun2017, Vol. 139 Issue 6, p1-9. 9p.
Subject
*CONVERSATION
*DECISION making
*FAMILIES
*FAMILY medicine
*INTERPROFESSIONAL relations
*PATIENT-family relations
*MEDICAL ethics
*PEDIATRICIANS
*PEDIATRICS
*QUALITY of life
*DECISION making in clinical medicine
*CHILDREN with disabilities
*PATIENT autonomy
*PATIENT decision making
Language
ISSN
0031-4005
Abstract
Shared decision-making (SDM) promotes family and clinician collaboration, with ultimate goals of improved health and satisfaction. This clinical report provides a basis for a systematic approach to the implementation of SDM by clinicians for children with disabilities. Often in the discussion of treatment plans, there are gaps between the child's/family's values, priorities, and understanding of perceived "best choices" and those of the clinician. When conducted well, SDM affords an appropriate balance incorporating voices of all stakeholders, ultimately supporting both the child/family and clinician. With increasing knowledge of and functional use of SDM skills, the clinician will become an effective partner in the decision-making process with families, providing family-centered care. The outcome of the process will support the beneficence of the physician, the authority of the family, and the autonomy and well-being of the child. [ABSTRACT FROM AUTHOR]