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["Carry-over"--from the standpoint of adult neurology]

Masatoyo Nishizawa1, Ryoko Koike

  • 1Department of Neurology, Brain Research Institute, Niigata University.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|January 19, 2010
PubMed

Insights

Pediatric neurologists in Japan manage patients with intractable neurological diseases beyond age twenty. The current social security system hinders a smooth transition to adult care, necessitating system improvements.

Area of Science:

  • Neurology
  • Healthcare Systems
  • Pediatric Medicine

Context:

  • Intractable pediatric neurological diseases in Japan often require lifelong care.
  • Patients aged 20+ with these conditions face challenges transitioning from pediatric to adult healthcare.
  • The Japanese social security system presents barriers to seamless care transitions.

Purpose:

  • To review the challenges in transitioning pediatric patients with intractable neurological diseases to adult care in Japan.
  • To discuss potential systemic solutions for the "carry-over" phenomenon in neurological patient care.
  • To propose improvements in social security and healthcare systems for disabled individuals.

Summary:

  • Japanese pediatric neurologists often continue care for patients with intractable neurological diseases into adulthood, a practice termed "carry-over".
  • Existing social security frameworks impede the smooth transfer of care from pediatric to adult medical and nursing services.
  • This review explores optimal system designs to address these "carry-over" challenges.

Impact:

  • Highlights critical gaps in healthcare transition for young adults with chronic neurological conditions.
  • Informs policy discussions on improving social security and healthcare accessibility for disabled individuals.
  • Aims to facilitate better long-term management and quality of life for patients with intractable neurological diseases.

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