ArticleMaternal and child health journal2026
The Association Between Shared Decision-Making and Child Health in the General Pediatric Population.
Article in Maternal and child health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
Abstract
objectiveShared decision-making (SDM) is a decision-making approach that aims to enhance collaboration between patients and providers. SDM is associated with improved health outcomes and decreased healthcare expenditure among children with special health care needs. However, much remains unknown about the role of SDM in the broader general pediatric population. We sought to describe associations between SDM and child health and healthcare utilization in a national pediatric sample.
methodsUsing data from the 2019-2021 National Survey of Children's Health, we examined the association between SDM and forgone health care, missed school days due to illness or injury, and emergency department (ED) visits. Bivariate and multivariable logistic regression analyses were performed and adjusted for sociodemographic variables.
resultsThe study sample included 31,791 children who needed medical decisions made in the prior 12 months (mean age 8.7 years, 42.3% with special health care needs). Most (85%) experienced SDM. In adjusted analysis, SDM was associated with significantly lower odds of children forgoing needed health care (adjusted odds ratio [aOR] = 0.22, 95% confidence interval [CI] 0.17-0.27), and lower odds of > 4 missed school days (aOR = 0.80, 95% CI 0.66-0.95). Experiencing SDM was not associated with ED visits. CONCLUSIONS FOR PRACTICE: SDM may confer benefits for all children in a general pediatric population. Experiencing SDM was associated with less forgone health care and fewer missed school days due to illness or injury. Future work should explore approaches to SDM that consider the needs and preferences of families across the spectrum of pediatric care.
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