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Physicians as barriers to successful transitional care.

Adam Fox1

  • 1Institute of Child Health, London, United Kingdom. adam.fox2@virgin.net

International Journal of Adolescent Medicine and Health
|December 7, 2002
PubMed
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The transition of chronically ill children to adult care presents challenges due to planning gaps and physician attitudes. Enhancing adolescent services and inter-service links can improve this critical care handover process.

Area of Science:

  • Pediatric Healthcare
  • Transition Medicine

Background:

  • Rising survival rates of chronic childhood diseases into adulthood necessitate improved care transitions.
  • Effective transfer from pediatric to adult medical services is a significant challenge.

Purpose of the Study:

  • To identify barriers to successful transition from pediatric to adult medical care.
  • To explore factors influencing physician attitudes and patient independence during care transfer.

Main Methods:

  • The study analyzes existing literature and clinical observations regarding the transition process.
  • Identifies barriers stemming from patients, families, logistics, and healthcare providers.

Main Results:

  • Barriers include lack of integrated planning, physician confidence issues, and emotional/financial factors.

Related Experiment Videos

  • Paediatricians may resist transition due to lack of confidence in adult colleagues.
  • Poor disease understanding by pediatric-trained doctors highlights the need for transfer.

    • Conclusions:

    • Developing specialized adolescent services and fostering closer links between pediatric and adult care are crucial.
    • Promoting patient independence through a culture of personal health responsibility is essential.
    • Addressing physician and systemic barriers can enhance the transition experience for emerging adults.