Pediatric Decision Making: Consensus Recommendations

Erica K. Salter

doi:10.1542/peds.2023-061832

Pediatric Decision Making: Consensus Recommendations

2023-08-09

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Armand H. Matheny Antommaria

DOI：10.1542/peds.2023-061832

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Abstract

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Despite apparent disagreement in the scholarly literature on standards of pediatric decision making, a recognition that similar norms underpin many of the dominant frameworks motivated a June 2022 symposium Best Interests and Beyond: Standards of Decision Making in Pediatrics in St Louis, MO. Over the course of this 3-day symposium, 17 expert scholars (see author list) deliberated on the question In the context of US pediatric care, what moral precepts ought to guide parents and clinicians in medical decision making for children? The symposium and subsequent discussion generated 6 consensus recommendations for pediatric decision making, constructed with the primary goals of accessibility, teachability, and feasibility for practicing clinicians, parents, and legal guardians. In this article, we summarize these recommendations, including their justification, limitations, and remaining concerns.

Keywords:

INTEREST STANDARD

HARM PRINCIPLE

MINORS REFUSAL

ARGUMENTS

CLINICIAN

THRESHOLD

Pediatric Decision Making: Consensus Recommendations

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