| Autor: |
Dicé, Francesca, Dolce, Pasquale, Maiello, Assunta, Freda, Maria Francesca |
| Předmět: |
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| Zdroj: |
Child Care in Practice; Oct2024, Vol. 30 Issue 4, p434-445, 12p |
| Abstrakt: |
Objective: This paper presents an analysis of the shared decision-making between parents, children and physicians in paediatric primary care, taking into consideration that it is difficult but useful to promote the engagement of both the parents and the children in medical practice. Concordance between medical professionals and patients is a therapeutic strategy that is useful for achieving engagement between them, as they are the co-producers for the patients' health and are both responsible for their choices during the course of treatment. Methods: The study involved observing and audio recording 185 medical visits that included children with a mean age of 8.16 years (±2.41). Medical dialogues are described, with particular attention paid to the clinical conditions discussed, and the outcomes of the visits are reported. Shared decision-making is analyzed through the Observing PaTient Involvement in shared decisiON making (OPTION) tool, an observational grid composed of 12 items aimed at evaluating doctors' abilities to involve their patients in the decisions made concerning their therapeutic plans. The observations were carried out to obtain the paediatricians' dialogue with the parents and children. Results: In all the dialogues, low levels of shared decision-making were detected. This type of communication allows for a fast and efficient execution of the visit, without the active involvement of the patients and with evident risks for their tendency to go to various health facilities. Conclusions: Dialogue in the field of paediatric primary care seems to be influenced and characterized by unconditional forms of adherence to medical knowledge. Further exploration of this would be useful, along with the implementation of specific interventions aimed at promoting shared decision-making, to enhance the decision-making skills of mothers and children and to promote their engagement during the process of the medical care. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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