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- W2018757762 abstract "Purpose of review Shared decision-making (SDM) is an emerging field that promises to improve healthcare. We aim to explore the concept of SDM, how it has been studied or applied in the treatment of asthma, and how it might be implemented to improve adherence and outcomes in pediatric asthma. Recent findings Healthcare providers often fail to involve their patients in clinical decision-making by not presenting all available options, associated risks and benefits, in light of the patient's values, preferences, concerns, lifestyle, and perceived barriers to following various treatment regimens. It has been argued that SDM is preferable to a clinician-controlled approach and may improve patient outcomes (increase satisfaction with care, reduce decisional conflict and decisional regret, improve health-related quality of life, and increase decision-specific knowledge). This may be especially important in managing chronic conditions in which adherence to treatment regimen may increase if the patient was actively involved in the decision-making. In pediatrics, the decision process is further complicated by the clinician–parent(s)–child interaction. We found no studies on how to effectively involve and communicate with children at different developmental levels, or how to coalesce the parent and child's perspective to work as a unit. Summary SDM has the promise to improve satisfaction with disease management, treatment adherence and patient-centered outcomes in pediatric asthma, but further research is needed to determine its effectiveness and to establish guidelines on how to implement SDM in the clinical setting and incorporate the input and preferences of all stakeholders’ perspectives." @default.
- W2018757762 created "2016-06-24" @default.
- W2018757762 creator A5011065144 @default.
- W2018757762 creator A5012957775 @default.
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- W2018757762 date "2014-04-01" @default.
- W2018757762 modified "2023-10-08" @default.
- W2018757762 title "Shared clinician–patient decision-making about treatment of pediatric asthma" @default.
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- W2018757762 doi "https://doi.org/10.1097/aci.0000000000000046" @default.
- W2018757762 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24553296" @default.
- W2018757762 hasPublicationYear "2014" @default.
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