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Outpatient-based transition services for youth.

J M Court1

  • 1Department of Adolescent Medicine, University of Melbourne, Royal Children's Hospital, Parkville, Victoria, Australia.

Pediatrician
|January 1, 1991
PubMed
Summary

Transitioning young adults with chronic conditions, like diabetes, requires tailored care. The ideal transfer age from pediatric to adult services is 17-20, with physicians being key support figures.

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Area of Science:

  • Pediatric to adult healthcare transition
  • Chronic disease management in adolescents and young adults
  • Diabetes care transition

Background:

  • Limited information exists on transitioning young people with chronic diseases/disabilities from pediatric to adult healthcare services.
  • Adolescents and young adults have unique developmental and psychosocial needs distinct from children and older adults.
  • Effective transition services must address these specific needs for successful long-term health outcomes.

Purpose of the Study:

  • To examine the process of transitioning young people with chronic conditions from pediatric to adult healthcare services.
  • To explore the perspectives of young adults with diabetes regarding their transition experiences.
  • To identify optimal timing and professional support during healthcare transitions.

Main Methods:

  • A study involving 70 young adults with diabetes was conducted.
  • Data collection focused on their experiences and views regarding the transition from pediatric to adult care.
  • Analysis considered developmental needs and professional relationships during transition.

Main Results:

  • The ideal age range for transfer from pediatric to adult services is suggested to be between 17 and 20 years, though individual variation exists based on developmental readiness.
  • Young adults with diabetes identified specialist physicians as the most crucial professionals, valuing the relationship and continuity of care.
  • The study highlights the importance of considering individual developmental needs in transition planning.

Conclusions:

  • Transition timing from pediatric to adult care for young people with chronic conditions should be individualized, ideally between 17-20 years.
  • Strong, trusting relationships with specialist physicians are paramount for young adults during this transition.
  • Further research is needed to clarify the roles of educational programs and psychosocial support during transition, given conflicting literature.

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