title: Standard of Care in Pediatrics: Integrating Family-Centred Care and Social Determinants of Health.
abstract: In pediatric healthcare, there is a recognized need to address social determinants of health (SDOH) to positively influence child health and development. In addition, family-centred care (FCC) recognizes the value of the family unit in affecting individual patient experiences of illness and care. However, pediatric healthcare that incorporates principles of FCC and SDOH may be interpreted as calling on clinicians to deviate from or add to practices that form an accepted standard of care. This paper explores the legal and ethical considerations of doing so and describes practical responses to these challenging situations.
authors.affiliation: Practising physiotherapist and is currently pursuing her interests in ethics and the law as a student at Osgoode Hall Law School in Toronto, Ontario.
authors.forename: Karen
authors.initials: K
authors.lastname: Ho
authors.affiliation: Director of the Department of Bioethics at The Hospital for Sick Children and an associate professor in the Department of Pediatrics at the University of Toronto.
authors.forename: Randi Zlotnik
authors.initials: RZ
authors.lastname: Shaul
authors.affiliation: Triage lawyer at PBLO at SickKids, also known as the Family Legal Health Program. It is Canada's first Medical Legal Partnership, located at The Hospital for Sick Children, and is a free legal service to low and moderate income families addressing legal impediments to child health.
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Chapman
authors.affiliation: Infectious diseases specialist and clinical researcher in the Department of Pediatrics at The Hospital for Sick Children, as well as a professor of Pediatrics at the University of Toronto. Since June 2007, she has lead new educational initiatives in social pediatrics that targets disadvantaged youth and children.
authors.forename: Elizabeth Lee
authors.initials: EL
authors.lastname: Ford-Jones
mesh_terms: D000328:Adult; D002648:Child; D005190:Family; D006801:Humans; D007258:Informed Consent; D018802:Patient-Centered Care / Q000191:economics / Q000941:ethics*; D010372:Pediatrics / Q000941:ethics* / Q000379:methods*; D064890:Social Determinants of Health / Q000191:economics / Q000941:ethics*; D059039:Standard of Care / Q000941:ethics*