Shared Decision-Making in Pediatrics - 14/11/23

Doi : 10.1016/j.pcl.2023.08.001

Kimberly E. Sawyer, MD, MA, HEC-C ^a,^⁎ , Douglas J. Opel, MD, MPH ^b,^c
^a Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital Palliative Care Team, 6621 Fannin Street, Suite W.1990, Houston, TX 77030, USA
^b Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA, USA
^c Treuman Katz Center for Pediatric Bioethics, Seattle Children’s Research Institute, 1900 9th Avenue, JMB 6, Seattle, WA 98101, USA

^∗Corresponding author. Texas Children’s Hospital Palliative Care Team, 6621 Fannin Street, Suite W.1990, Houston, TX 77030, USATexas Children’s Hospital Palliative Care Team6621 Fannin Street, Suite W.1990HoustonTX77030USA

Resumen

This article briefly reviews a 4-step process for implementing shared decision-making (SDM) in pediatrics. The authors address difficulties with determining whether SDM should occur and comment on how the SDM process relates to, and may be conflated with, other decision-making models that leverage similar patient-centered and family-centered communication strategies.

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Keywords : Pediatric, Shared decision-making, Framework, Bioethics, Standard of care, Standard practice, Benefit, Burden