Are parents of children hospitalized with severe community-acquired pneumonia more satisfied with care when physicians allow them to share decisions on the antibiotic route?

摘要: Context and objective Despite convincing evidence that oral injected amoxicillin have equal efficacy in children with severe community-acquired pneumonia (CAP), hospitalized often receive antibiotics. To investigate whether shared decision-making (choosing the antibiotic route) influences parental satisfaction. Design, setting participants In a one-year questionnaire-based study, we enrolled consecutive for CAP. At admission, all children's parents received leaflet on Parents arriving during daytime were assigned to group could choose route, those admitted at other times an unshared whom physicians chose route. Shared answered anonymous questionnaire investigating why they specific both groups another discharge assessing perceived satisfaction care. Main outcome measure Parents' medical information as assessed by data from questionnaire. Results Of 95 enrolled, more than (77 vs. 18). Of 18 group, 14 route mainly avoid painful injections. Doctors explanations considered better (P = 0.02). Discussion conclusions The larger number of reflects paediatricians' reluctance offer shared-decision making. Well-informed prefer therapy Allowing respects parents' wishes, reduces pain improves satisfaction.