Health-care Transition: A Vital Part of Care, Growth, and Change for Pediatric Patients

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Preparing all youth for the transition to adult-oriented care, adulthood itself, and a greater responsibility for their own health and health-care is an essential part of pediatric care. This process, typically described as health-care transition, can occur throughout ongoing pediatric health-care to prepare patients for transfer to an adult clinician and integration into adult care. Gaps remain in practice and in outcomes research regarding health-care transition. This review discusses recent literature, details best practices, and recommends guidance and tools to assist pediatric clinicians in providing a smooth transition process and a successful transfer to adult care for youth with and without special health-care needs.

Related collections

Most cited references 66

Record: found
Abstract: found
Article: not found

Acute care utilization and rehospitalizations for sickle cell disease.

M L Mosso, Julie A Panepinto, David C Brousseau … (2010)

Published rates of health care utilization and rehospitalization by people with sickle cell disease have had limited generalizability and are not population based. To provide benchmark data for rates of acute care utilization and rehospitalizations for patients with sickle cell disease. Retrospective cohort of sickle cell disease-related emergency department (ED) visits and hospitalizations from select states in the 2005 and 2006 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and State Emergency Department Databases. Eight geographically dispersed states (Arizona, California, Florida, Massachusetts, Missouri, New York, South Carolina, and Tennessee) that provide encrypted identifiers and have sufficient numbers of patients with sickle cell disease; together these states have 33% of the US population with sickle cell disease. A total of 21,112 patients with sickle cell-related treat-and-release ED visits or inpatient hospitalizations. Rates of acute care utilization and rehospitalizations. Population-based utilization rates were also calculated. The 21,112 people with sickle cell disease had 109,344 encounters, a mean of 2.59 (95% confidence interval [CI], 2.53-2.65) encounters per patient per year, 1.52 (95% CI, 1.48-1.55) encounters for hospitalizations and 1.08 (95% CI, 1.04-1.11) for treat-and-release ED visits. Utilization was highest for 18- to 30-year-olds, 3.61 (95% CI, 3.47-3.75) encounters per patient per year, and those with public insurance, 3.22 (95% CI, 3.13-3.31) encounters per patient per year. Publicly insured 18- to 30-year-olds had 4.80 (95% CI, 4.58-5.02) encounters per patient per year. Approximately 29% of the population had no encounters while 16.9% had 3 or more encounters per year. The 30-day and 14-day rehospitalization rates were 33.4% (95% CI, 33.0%-33.8%) and 22.1% (95% CI, 21.8%-22.4%), respectively. The rehospitalization rate was highest for 18- to 30-year-olds, with 41.1% (95% CI, 40.5%-41.7%) rehospitalized within 30 days and 28.4% (95% CI, 27.8%-29.0%) within 14 days. Rehospitalizations were also highest for publicly insured patients. Among patients with sickle cell disease, acute care encounters and rehospitalizations were frequent, particularly for 18- to 30-year-olds.

0 comments Cited 152 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Transition of care for adolescents from paediatric services to adult health services.

Fiona Campbell, Katie Biggs, Susie K Aldiss … (2016)

There is evidence that the process of transition from paediatric (child) to adult health services is often associated with deterioration in the health of adolescents with chronic conditions.Transitional care is the term used to describe services that seek to bridge this care gap. It has been defined as 'the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centred to adult-oriented health care systems'. In order to develop appropriate services for adolescents, evidence of what works and what factors act as barriers and facilitators of effective interventions is needed.

0 comments Cited 137 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

Patience White, W Carl Cooley (2018)

Risk and vulnerability encompass many dimensions of the transition from adolescence to adulthood. Transition from pediatric, parent-supervised health care to more independent, patient-centered adult health care is no exception. The tenets and algorithm of the original 2011 clinical report, "Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home," are unchanged. This updated clinical report provides more practice-based quality improvement guidance on key elements of transition planning, transfer, and integration into adult care for all youth and young adults. It also includes new and updated sections on definition and guiding principles, the status of health care transition preparation among youth, barriers, outcome evidence, recommended health care transition processes and implementation strategies using quality improvement methods, special populations, education and training in pediatric onset conditions, and payment options. The clinical report also includes new recommendations pertaining to infrastructure, education and training, payment, and research.

0 comments Cited 122 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Title: Pediatrics In Review

Publisher: American Academy of Pediatrics (AAP)

ISSN (Print): 0191-9601

ISSN (Electronic): 1526-3347

Publication date Created: December 01 2021

Publication date (Print): December 01 2021

Publication date (Electronic): December 01 2021

Volume: 42

Issue: 12

Pages: 684-693

Affiliations

[1 ]Division of Academic General Pediatrics, Children’s Hospital at Montefiore, Pediatric Hospital of Albert Einstein College of Medicine, Bronx, NY

[2 ]Department of Social Work, School of Health Sciences, Quinnipiac University, Hamden, CT

Article

DOI: 10.1542/pir.2020-000422

PubMed ID: 34850176

SO-VID: 05ef0d7d-1235-4b7e-92c2-209c2b03f03a

History

Data availability:

Comments

Comment on this article

scite_

Cited by 2

See all cited by

Health-care Transition: A Vital Part of Care, Growth, and Change for Pediatric Patients

Read this article at

Abstract

Related collections

Pediatric Pulse: Advancing Neonatal and Child Health

Most cited references 66

Acute care utilization and rehospitalizations for sickle cell disease.

Transition of care for adolescents from paediatric services to adult health services.

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

Author and article information

Journal

Affiliations

Article

History

Comments

Comment on this article

Similar content 236

Cited by 2