The Art of Clinical Negotiation

IF 6.6 1区医学 Q1 ALLERGY Journal of Allergy and Clinical Immunology-In Practice Pub Date : 2025-04-01 Epub Date: 2025-01-04 DOI:10.1016/j.jaip.2024.12.040

Alexandra Conway BA , Navya Kartha DO , Aikaterini Anagnostou MD, PhD , Elissa M. Abrams MD, MPH , John Oppenheimer MD , David M. Lang MD , Karen S. Hsu Blatman MD, MBA , Priya Bansal MD , Weily Soong MD , Thomas Sternberg MD , Marcus Shaker MD, MS

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Abstract

The art of clinical negotiation is an important, yet underappreciated aspect of medicine. Key components of negotiation include the need to consider principles over personalities; to explore all options before deciding on the best course; to realize that, if consensus cannot be achieved, then compromise may still be possible; to work from evidence to incorporate contextual factors; and to stay evidence based. These principles can be helpful in many settings, including contract negotiation, drug pricing, and research. Negotiating the balance between patient safety and efficient research methodology is central to discussions with institutional review boards and public and private researchers. When guidelines are developed using the Grading of Recommendations Assessment, Development and Evaluation approach, shared decision making and negotiation of treatment plans can be seamlessly incorporated into patient conversations for conditional recommendations, and negotiation skills may facilitate clinical adoption of strong recommendation as well.

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临床谈判的艺术。

临床谈判的艺术是医学的一个重要方面，但不被重视。谈判的关键要素包括需要考虑原则而不是个性；在决定最佳路线之前，探索所有选项；要认识到，如果不能达成协商一致意见，那么妥协仍然是可能的；归纳：从证据中归纳上下文因素；并以证据为基础。这些原则在很多情况下都很有用，包括合同谈判、药品定价和研究。就患者安全和有效研究方法之间的平衡进行谈判是与机构审查委员会以及公共和私人研究人员讨论的核心。当使用建议分级评估、制定和评估方法制定指南时，治疗计划的共同决策和谈判可以无缝地纳入有条件建议的患者对话中，谈判技巧也可以促进临床采用强有力的建议。

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来源期刊

Journal of Allergy and Clinical Immunology-In Practice ALLERGYIMMUNOLOGY-IMMUNOLOGY

CiteScore

11.10

自引率

9.60%

发文量

683

审稿时长

50 days

期刊介绍： JACI: In Practice is an official publication of the American Academy of Allergy, Asthma & Immunology (AAAAI). It is a companion title to The Journal of Allergy and Clinical Immunology, and it aims to provide timely clinical papers, case reports, and management recommendations to clinical allergists and other physicians dealing with allergic and immunologic diseases in their practice. The mission of JACI: In Practice is to offer valid and impactful information that supports evidence-based clinical decisions in the diagnosis and management of asthma, allergies, immunologic conditions, and related diseases. This journal publishes articles on various conditions treated by allergist-immunologists, including food allergy, respiratory disorders (such as asthma, rhinitis, nasal polyps, sinusitis, cough, ABPA, and hypersensitivity pneumonitis), drug allergy, insect sting allergy, anaphylaxis, dermatologic disorders (such as atopic dermatitis, contact dermatitis, urticaria, angioedema, and HAE), immunodeficiency, autoinflammatory syndromes, eosinophilic disorders, and mast cell disorders. The focus of the journal is on providing cutting-edge clinical information that practitioners can use in their everyday practice or to acquire new knowledge and skills for the benefit of their patients. However, mechanistic or translational studies without immediate or near future clinical relevance, as well as animal studies, are not within the scope of the journal.