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[The transition from paediatric to adult care: a new paradigm]
Salvatore De Masi1, Klaus Biermann
1Medico Epidemiologo, Direzione Sanitaria, Azienda Ospedaliero-Universitaria Meyer, Firenze, Italy. s.demasi@meyer.it
Insights
The transition from pediatric to adult healthcare requires patient education and empowerment. Overcoming barriers involves addressing patient reluctance and improving adult care providers
Area of Science:
- Healthcare Systems
- Pediatric Care
- Adult Care
Context:
- The child-adult healthcare transition involves distinct pediatric and adult care systems.
- Each system has unique characteristics and challenges.
- Young adults navigate this intersection, requiring specific support.
Purpose:
- To highlight the importance of patient information, education, and empowerment during the transition.
- To identify key elements of a successful transition process.
- To outline barriers hindering a smooth transition for young adults.
Summary:
- Successful transition hinges on patient-centered care, including preferences and family involvement.
- A multidisciplinary approach is vital for managing the complexities of this shift.
- Key barriers include patient/family reluctance and healthcare provider challenges.
Impact:
- Enhancing young adult preparedness for adult healthcare.
- Improving the effectiveness of the pediatric to adult care transition.
- Addressing systemic and provider-related obstacles in healthcare transitions.
Abstract:
In healthcare, the child-adult transition is the point of intersection between two health care systems organized in a network (pediatric and adult care), each with its own specificities and dysfunctions. Information, education and empowerment of young adults are crucial in preparing them for the transition to adult care while centrality of the patient, patient preferences, sharing with patients and their families, and multi-disciplinary approach, are the key words of the transition process. Barriers to overcome include the reluctance of patients and their families to separate from the pediatric care system, the tendency of pediatric healthcare workers not to favour the emancipation process and the inability of healthcare workers providing adult care to perceive the sense of insecurity and dependence experienced by young adults.
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