Author Affiliation: Dell Children's Medical Center of Central Texas, Austin.
The report by Fenerty et al highlights common difficulties in physician-patient interaction that can directly impact adherence to desired treatments, in this case for atopic dermatitis. This group and others have studied adherence to treatment regimens in the past. The gap highlighted in this publication is communication. Physicians have long assumed that information given during office or hospital visits will be carried out appropriately. More recently, as reported by Sleath et al,1 the use of a shared decision-making model in the clinical arena has been stressed by the US Institute of Medicine. The concept of patient-centered care is now common practice in many areas.
Levy ML. Failing to Clarify Treatment Action Plans With Mom in Pediatric Atopic DermatitisComment on “Maternal Adherence Factors in the Treatment of Pediatric Atopic Dermatitis”. JAMA Dermatol. 2013;149(2):231. doi:10.1001/jamadermatol.2013.2411