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Federal policy supporting improvements in transitioning from pediatric to adult surgery services

Kelly Kelleher1, Katherine J Deans2, Deena J Chisolm1

  • 1Nationwide Children׳s Hospital, Columbus, OH; The Ohio State University, Columbus, OH; Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, OH.

Seminars in Pediatric Surgery
|March 16, 2015
PubMed

Insights

Planning surgical care transitions for children with complex conditions is vital. The Patient Protection and Affordable Care Act (PPACA) offers provisions to improve access and quality for adolescents moving to adult surgical services.

Area of Science:

  • Healthcare policy
  • Pediatric surgery
  • Adolescent health

Background:

  • Children with complex conditions need ongoing surgical care.
  • Transitioning from pediatric to adult surgical care presents challenges.
  • Existing transition services are often inadequate.

Purpose of the Study:

  • To examine the rationale for improving surgical transition plans.
  • To discuss challenges in implementing these plans.
  • To analyze the relevance of the Patient Protection and Affordable Care Act (PPACA) in shaping health policy for adult surgical care transition.

Main Methods:

  • Review of healthcare policy landscape.
  • Analysis of existing transition care models.
  • Examination of PPACA provisions impacting adolescent surgical care.

Main Results:

  • Healthcare transition services for pediatric surgical patients are insufficient.
  • Policy reform has been slow to address transition needs.
  • PPACA includes provisions that can enhance access and quality of care for transitioning adolescents.

Conclusions:

  • Improved surgical transition planning is crucial for pediatric patients with complex conditions.
  • The PPACA has the potential to significantly influence health policy and improve care for adolescents entering adult surgical services.
  • Addressing policy and service gaps is essential for successful healthcare transitions.

Keywords:
Care transitionMedical homePPACASurgery policyThe Patient Protection and Affordable Care Act of 2010

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