Shared decision-making and children with disabilities: Pathways to consensus

Richard C. Adams, Susan E. Levy

Research output: Contribution to journalArticle

29 Scopus citations

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.

Original languageEnglish (US)
Article numbere20170956
JournalPediatrics
Volume139
Issue number6
DOIs
StatePublished - Jun 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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