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J Pediatr. 2016 Apr;171:307-9.e1-2. doi: 10.1016/j.jpeds.2015.12.071. Epub 2016 Jan 23.

Physicians' Perceptions of Shared Decision Making in Chronic Disease and Its Barriers and Facilitators.

Author information

  • 1Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • 2Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.
  • 3University of Cincinnati College of Medicine, Cincinnati, OH; Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • 4University of Cincinnati College of Medicine, Cincinnati, OH; Division of Rheumatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • 5Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address: ellen.lipstein@cchmc.org.

Abstract

This study assessed pediatric physicians' use of shared decision making (SDM) in 2 chronic conditions. Most physicians indicated that parent and adolescent trust and emotional readiness facilitated SDM, physicians' preferred approach to decision making. At the same time, they perceived few barriers, other than insurance limitations, to using SDM.

PMID:
26817588
PMCID:
PMC4808590
[Available on 2017-04-01]
DOI:
10.1016/j.jpeds.2015.12.071
[PubMed - indexed for MEDLINE]
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