Abstract
Comprehensive transition planning by pediatric providers is essential for successful transition into adulthood and transfer to adult medical health care settings. Yet, little is known about the level and type of transition planning and preparation provided by pediatric primary care providers. This study examined the range of transition services provided in primary care pediatric centers. Primary care pediatricians across two states in the Midwest were mailed an anonymous survey designed to examine the transition practices of community pediatricians. A response rate of 38.4 % was obtained. Most endorsed transferring patients to adult care at age 18 or older, and using patient chronological age, health status, and patient relationship with pediatric provider as criteria to gauge transfer time. About 60 % of responders provide preparation to patients before transition, usually by providing a list of adult providers or by transferring medical records. Few responders provide additional type of transition or transfer planning. Many primary care pediatricians provide transition planning, yet there is high variability in the degree of transition planning provided and 40 % of pediatricians provide no such support to their patients. Transition planning is also largely limited to providing referrals and transferring medical records. Study findings support the need for outreach efforts so that all youth receive the needed education and resources to successfully transition and transfer to adult health care.
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References
American Academy of Pediatrics, American Academy of Family Physicians, & American College of Physicians-American Society of Internal. (2002). A consensus statement on health care transitions for young adults with special health care needs. Pediatrics, 110(6), 1304–1306.
Blum, R., et al. (1993). Transition from child-centered to adult health-care systems for adolescents with chronic conditions: A position paper of the Society for Adolescent Medicine. Journal of Adolescent Health, 14(7), 570–576.
Pollack, L., & McMannus, M. (2012). Special analysis of the 2009/10 National Survey of Children with Special Health Care Needs. Washington: The National Alliance to Advance Adolescent Medicine.
Pediatrics, A.A.o. (2009). Survey: Transition services lacking for teens with special needs. in AAP News (pp. 12–13), American Academy of Pediatrics.
Burke, R., et al. (2008). Survey of primary care pediatricians on the transition and transfer of adolescents to adult health care. Clinical Pediatrics, 47(4), 347–354.
McLaughlin, S. E., et al. (2008). Improving transition from pediatric to adult cystic fibrosis care: Lessons from a national survey of current practices. Pediatrics, 121(5), e1160–e1166.
American Academy of Pediatrics A.A.o.F.P., & T.C.R.A.G. American College of Physicians. (2011). Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics, 128(1), 182–200.
Reid, G. J., et al. (2004). Prevalence and correlates of successful transfer from pediatric to adult health care among a cohort of young adults with complex congenital heart defects. Pediatrics, 113(3 Pt 1), 197–205.
Van Walleghem, N., MacDonald, C. A., & Dean, H. J. (2008). Evaluation of a systems navigator model for transition from pediatric to adult care for young adults with type 1 diabetes. Diabetes Care, 31(8), 1529–1530.
McDonagh, J. E., Southwood, T. R., & Shaw, K. L. (2007). The impact of a coordinated transitional care programme on adolescents with juvenile idiopathic arthritis. Rheumatology (Oxford), 46(1), 161–168.
Annunziato, R. A., et al. (2007). Adherence and medical outcomes in pediatric liver transplant recipients who transition to adult services. Pediatric Transplantation, 11(6), 608–614.
National Survey of Children with Special Health Care Needs. NS-CSHCN 2009/10. 02/10/2014]; Available from: www.childhealthdata.org.
Wood, D. (2002). The medical home. Pediatrics, 110(1 Pt 1), 184–186.
Cooley, W. C., & Sagerman, P. J. (2011). Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics, 128(1), 182–200.
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Maddux, M.H., Ricks, S. & Bass, J. Preparing Patients for Transfer of Care: Practices of Primary Care Pediatricians. J Community Health 40, 750–755 (2015). https://doi.org/10.1007/s10900-015-9994-3
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DOI: https://doi.org/10.1007/s10900-015-9994-3