BackgroundAsthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies.MethodsParticipants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON' T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship.ResultsParticipants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships.ConclusionsThe future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.

Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Piacentini, Giorgio;
2019-01-01

Abstract

BackgroundAsthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies.MethodsParticipants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON' T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship.ResultsParticipants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships.ConclusionsThe future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.
2019
Communication
Consensus
Doctor-patient relationship
Paediatric
Severe asthma
Adolescent
Asthma
Child
Child, Preschool
Communication
Female
Humans
Male
Parent-Child Relations
Pediatrics
Severity of Illness Index
Attitude of Health Personnel
Consensus
Physician-Patient Relations
Quality Improvement
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1028016
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