ArticleHealth expectations : an international journal of public participation in health care and health policy2008
When doctors disagree: a qualitative study of doctors' and parents' views on the risks of childhood food allergy.
Article in Health expectations : an international journal of public participation in health care and health policy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 30 citations in OpenAlex.
- Parent experiences with paediatric allergy pathways in the West Midlands: A qualitative study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019Trial
- Translating and communicating evidence on allergy prevention in children to parents: implementation study protocol.Archives of public health = Archives belges de sante publique · 2025Article
- Inter-embodied parental vigilance; the case of child food allergy.Frontiers in sociology · 2023Article
- Prevalence of reported food allergies in Brazilian preschoolers living in a small Brazilian city.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022Article
- The perceived impact of pediatric food allergy on mental health care needs and supports: A pilot study.The journal of allergy and clinical immunology. Global · 2022Article
- Awareness, Information-Seeking Behavior, and Information Preferences About Early Childhood Allergy Prevention Among Different Parent Groups: Protocol for a Mixed Methods Study.JMIR research protocols · 2021Article
- Parent perceptions in managing children with food allergy: An Australian perspective.The World Allergy Organization journal · 2020Article
- Myths, facts and controversies in the diagnosis and management of anaphylaxis.Archives of disease in childhood · 2019Review
- Food-Induced Anaphylaxis: an Update.Current allergy and asthma reports · 2018Review
- Food allergy and related risk factors in 2540 preschool children: an epidemiological survey in Guangdong Province, southern China.World journal of pediatrics : WJP · 2015Article
- Expectations, hopes and moral norms.Health expectations : an international journal of public participation in health care and health policy · 2009Article
- Fatal Anaphylaxis: Mortality Rate and Risk Factors.The journal of allergy and clinical immunology. In practiceReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the views of doctors which underpin clinical practice variation concerning an uncertain health risk, and the views of parents who had sought advice from these doctors, using the example of childhood food allergy. STUDY
designQualitative study involving in-depth interviews and participant observation over 16 months. Focus groups and consultation audio-recordings provided corroborative data.
settingThree specialist allergy clinics located in one metropolitan area.
participantsEighteen medical specialists and trainees in allergy, and 85 parents (from 69 families) with food allergic children.
resultsDoctors expressed a spectrum of views. The most divergent views were characterized by: scientific scepticism rather than precaution in response to uncertainty; emphasis on quantifiable physical evidence rather than parental histories; professional roles as providers of physical diagnosis and treatment rather than of information and advocacy; libertarian rather than communitarian perspectives on responsibility for risk; and values about allergy as a disease and normal childhood. Parents held a similar, but less divergent range of views. The majority of parents preferred more moderate doctors' views, with 43% (30 of 69) of families expressing their dissatisfaction by seeking another specialist opinion. Many were confused by variation in doctors' opinions, preferring relationships with doctors that recognized their concerns, addressed their information needs, and confirmed that they were managing their child's allergy appropriately.
conclusionsIn uncertain clinical situations, parents do not expect absolute certainty from doctors; inflexible certainty may not allow parental preferences to be acknowledged or accommodated, and is associated with the seeking of second opinions.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.