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

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

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Arthritis, Juvenile / diagnosis
  • Arthritis, Juvenile / drug therapy*
  • Attitude of Health Personnel
  • Child
  • Chronic Disease / economics
  • Chronic Disease / therapy*
  • Decision Making*
  • Female
  • Gastroenterology
  • Humans
  • Inflammatory Bowel Diseases / diagnosis
  • Inflammatory Bowel Diseases / drug therapy*
  • Insurance, Health
  • Male
  • Middle Aged
  • Parents
  • Patient Participation
  • Pediatrics / methods
  • Physician-Patient Relations
  • Physicians*
  • Rheumatology
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors
  • Workforce

Substances

  • Tumor Necrosis Factor-alpha