Decision-making for Parents of Children With Medical Complexities: Activity Theory Analysis.

ABSTRACT:

Background

Shared decision-making (SDM), a collaborative approach to reach decisional agreement, has been advocated as an ideal model of decision-making in the medical encounter. Frameworks for SDM have been developed largely from the clinical context of a competent adult patient facing a single medical problem, presented with multiple treatment options informed by a solid base of evidence. It is difficult to apply this model to the pediatric setting and children with medical complexity (CMC), specifically since parents of CMC often face a myriad of interconnected decisions with minimal evidence available on the multiple complex and co-existing chronic conditions. Thus, solutions that are developed based on the traditional model of SDM may not improve SDM practices for CMCs and may

SUBMITTER: Buchanan F 

PROVIDER: S-EPMC8804956 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature