The role of shared decision making in pediatric food allergy management

Publication date: Available online 18 September 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Aikaterini Anagnostou, Jonathan O’B Hourihane, Matthew GreenhawtAbstractShared decision-making was first highlighted in a report by the Institute of Medicine in 2001. The primary aim of this initiative was to improve the quality of care provided to patients in the United States by creating a health care system that is safe, effective, efficient and equitable. Currently, medical decision making is based on a patient-centered approach with the individuals’ preferences, needs and values guiding optimal care. Patients are frequently faced with a variety of treatment choices with no absolute guarantee of any desired outcome and no clear indication of the ‘best or least worse” option. In fact, in healthcare, each of these options, usually have potential trade-offs and outcomes. The process of how to choose a particular option becomes a discussion where the clinician and the patient have to jointly review the medical evidence, but also the patient’s openness and preference for balancing particular attributes of the treatment (both positive and negative). Shared decision-making is important for chronic diseases that require long-term management, such as most allergic conditions, including food allergies. The landscape of food allergies has changed considerably in recent years with multiple and significant scientific advances in both diagnostics a...
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research