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Elizabeth Cox, MD, PhD
Assistant Professor, Department of Pediatrics, UW-Madison
Dr. Cox’s research seeks to improve children’s health outcomes by optimizing decision-making during pediatric healthcare visits. Her work melds evidence-based practice approaches with the preferences and values of children and their parents. Central to this effort are investigations of both child and parent participation in healthcare decision-making and how their participation changes with children’s development and in relation to family characteristics, provider characteristics, and specific health concerns. Her work has produced validated tools to assess participation in decision making for visits that include a physician, a patient, and a caregiver, such as pediatric or geriatric visits. Her studies have highlighted how frequently parents and children are only passively involved in decisions during acute pediatric visits. Moreover, the work has identified both targets for interventions (e.g., less experienced physicians who have less participatory visits) and specific interventions (e.g., increasing time available for decision making) that may promote active participation by parents and children.
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“Patients increasingly want to obtain information and to be involved in decision-making… The goal...is to customize care to the specific needs and circumstances of each individual, that is, to modify the care to respond to the person, not the person to the care.” |
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From the Institute of Medicine report: "Crossing the Quality Chasm: A New Health System for the 21st Century" (2001) |
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