Smith C Veronica, Lee Aaron A, Hadden Benjamin W, Ellison Parker L
Department of Psychology, University of Mississippi.
Department of Gastroenterology, Louisiana State University Health Sciences Center.
Fam Syst Health. 2022 Sep;40(3):343-353. doi: 10.1037/fsh0000704. Epub 2022 Jun 2.
The aim of the current study was to determine whether parents of pediatric patients and health care providers (i.e., physicians and nurse practitioners) have different preferences for shared decision making (SDM) and whether these preferences vary across medical situations.
Participants consisted of parents of children presenting to pediatric clinics ( = 164) and their matched pediatric health care providers ( = 18). Parents and providers completed measures of preferred autonomy for decision-making in general and across specific medical scenarios.
Preferences for autonomy were not uniform and varied across situations among providers and among parents. Further, parents and their providers differed from one another in their autonomy preferences across most scenarios, but not in general preferences.
The results of this study provide evidence of the complex nature of the provider-parent relationship in pediatric practice. This study highlights the need for providers to consider contextual factors that impact parents' preferences for autonomy when making shared medical decisions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
本研究的目的是确定儿科患者的父母与医疗保健提供者（即医生和执业护士）在共同决策（SDM）方面是否有不同的偏好，以及这些偏好在不同医疗情况下是否有所不同。
参与者包括到儿科诊所就诊儿童的父母（n = 164）及其匹配的儿科医疗保健提供者（n = 18）。父母和提供者完成了关于一般决策和特定医疗场景下决策的首选自主权的测量。
自主权偏好并不一致，在提供者之间和父母之间因情况而异。此外，在大多数情况下，父母及其提供者在自主权偏好上彼此不同，但在一般偏好上没有差异。
本研究结果提供了儿科实践中提供者与父母关系复杂性的证据。这项研究强调，在做出共同医疗决策时，提供者需要考虑影响父母自主权偏好的背景因素。（PsycInfo数据库记录（c）2022美国心理学会，保留所有权利）
