title: Physicians' Perceptions of Shared Decision Making in Chronic Disease and Its Barriers and Facilitators.
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.
authors.affiliation: Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Cassandra M
authors.initials: CM
authors.lastname: Dodds
authors.affiliation: Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Britto
authors.affiliation: University of Cincinnati College of Medicine, Cincinnati, OH; Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Lee A
authors.initials: LA
authors.lastname: Denson
authors.affiliation: University of Cincinnati College of Medicine, Cincinnati, OH; Division of Rheumatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Lovell
authors.affiliation: University of Cincinnati College of Medicine, Cincinnati, OH; Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Shehzad
authors.initials: S
authors.lastname: Saeed
authors.affiliation: Center for Innovation in Chronic Disease Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address: ellen.lipstein@cchmc.org.
authors.forename: Ellen A
authors.initials: EA
authors.lastname: Lipstein
mesh_terms: D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000175:diagnosis / Q000188:drug therapy*; D001291:Attitude of Health Personnel; D002648:Child; D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D003657:Decision Making; D005260:Female; D005762:Gastroenterology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000188:drug therapy*; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D010290:Parents; D010358:Patient Participation; D010372:Pediatrics / Q000379:methods; D010817:Physician-Patient Relations; D010820:Physicians; D012219:Rheumatology; D014409:Tumor Necrosis Factor-alpha / Q000037:antagonists & inhibitors; D000078329:Workforce
chemical_list: D014409:Tumor Necrosis Factor-alpha
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