Related Experiment Video
Updated: May 3, 2026
08:13
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
6.4K
Reducing bottlenecks: professionals' and adolescents' experiences with transitional care delivery
Anna P Nieboer1, Jane M Cramm, Henk M Sonneveld
1Institute of Health Policy & Management (iBMG), Erasmus University, Rotterdam, The Netherlands. nieboer@bmg.eur.nl.
BMC Health Services Research
|February 4, 2014
Summary
Quality improvement programs enhanced transitional care for chronically ill adolescents. Interventions reduced care bottlenecks and improved patient experiences within one year, aiding the move to adult healthcare.
Area of Science:
- Adolescent health
- Healthcare quality improvement
- Transitional care
Background:
- Chronically ill adolescents face challenges during the transition to adult care.
- Existing transitional care models often have bottlenecks impacting care delivery.
- Quality improvement programs aim to optimize this transition period.
Purpose of the Study:
- To describe interventions in a quality improvement program for transitional care.
- To evaluate the program's effectiveness in reducing perceived bottlenecks.
- To assess improvements in adolescents' care delivery experiences.
Main Methods:
- Longitudinal study of the Dutch 'On Your Own Feet Ahead!' program.
- Utilized questionnaires for professionals and adolescents at baseline and 1-year follow-up.
- Employed descriptive statistics and paired t-tests for data analysis.
Main Results:
- Professionals reported significant improvements in all care bottlenecks, particularly in organization and resource availability.
- Adolescents experienced enhanced care delivery, including increased autonomy in clinic visits and consultation attendees.
- Improvements were observed across multiple domains of transitional care within one year.
Conclusions:
- Transitional care interventions can effectively improve the organization and coordination of care for adolescents.
- The 'Breakthrough Series' approach, focused on bottleneck experiences, successfully enhanced transitional care delivery.
- The program better prepared adolescents with chronic conditions for their transition to adult healthcare.
Related Concept Videos
01:30Specialized Care Centers and Settings-II
1.1K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.1K
01:18Interdisciplinary Care: The Health Care Team-II
2.2K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.2K
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:28Current Trends in Nursing I
2.4K
Current trends in nursing include:
2.4K
01:29Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K
01:28Acute Coronary Syndrome IV: Interprofessional Care
522
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
522