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Growing up and moving on: transition from pediatric to adult care
1Institute of Child Health, Birmingham Children's Hospital, Birmingham, UK. j.e.mcdonagh@bham.ac.uk
Insights
Improving transitional care for pediatric transplant recipients is crucial. This paper outlines a philosophy and evidence-based approach for effective transitional care programs, addressing key clinical aspects and potential barriers.
Area of Science:
- Pediatric Healthcare
- Transplant Medicine
- Patient Transition Management
Background:
- Improving survival rates and medical outcomes for pediatric transplant recipients presents significant challenges.
- Transitional care requires collaboration between pediatric and adult healthcare providers, necessitating cross-disciplinary training.
- The transition process is multifaceted, extending beyond the single event of transfer to adult care.
Purpose of the Study:
- To present the philosophy underpinning transitional care.
- To outline an evidence-based approach to transitional care, detailing its necessity, proposed models, and program benefits.
- To explore key clinical aspects of transitional care, including communication, parenting, self-advocacy, and vocational support.
Main Methods:
- Literature review and synthesis of existing evidence on transitional care models.
- Analysis of key clinical components essential for successful patient transition.
- Exploration of potential barriers hindering effective transitional care implementation.
Main Results:
- Transitional care is a complex, multidimensional process requiring structured programs.
- Evidence supports the benefits of dedicated transitional care programs in improving patient outcomes.
- Key clinical skills and support systems are vital for navigating the transition from pediatric to adult healthcare.
Conclusions:
- Effective transitional care is essential for optimizing long-term outcomes in pediatric transplant survivors.
- Developing comprehensive transitional care strategies requires a philosophy that embraces the entire process, not just the transfer event.
- Addressing barriers and implementing evidence-based models will enhance the success of patient transitions in specialized care.
Abstract:
The development of transitional care is one of the major challenges for the twenty-first century as the survival rates and medical outcomes for child and adolescent recipients of transplants continue to improve. Such developments must include both paediatric and adult providers and is likely to require training of professionals in both arenas. Transition is a multidimensional process with transfer to adult care, only one event within that process. The aim of this paper is to present the philosophy of transition and an evidence-based approach to transitional care in terms of the need for it, proposed models of care and the evidence of the benefits of transitional care programmes. Examples of some key clinical aspects of transitional care including communication skills, parenting, self advocacy, vocation will be presented. Adherence issues will be presented in accompanying papers in this journal. Finally, potential barriers to successful transition will be explored.
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