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Systematic review: Health care transition practice service models
Cecily L Betz1, Lisa S O'Kane2, Wendy M Nehring3
1Department of Pediatrics, University of Southern California, Keck School of Medicine, Los Angeles, CA.
Health care transition (HCT) models for adolescents and emerging adults with special health care needs are emerging but require more rigorous research. Current studies often lack robust designs and detailed intervention descriptions, limiting their effectiveness.
Area of Science:
- Healthcare Management
- Pediatric to Adult Transition
- Special Health Care Needs
Background:
- Annually, nearly 750,000 adolescents and emerging adults with special health care needs (AEA-SHCN) transition to adulthood.
- Effective linkages for seamless care transfer from pediatric to adult services for AEA-SHCN remain underdeveloped.
Purpose of the Study:
- To systematically review the scientific literature on health care transition (HCT) service models.
- Focus on quantitative investigations of HCT models.
Main Methods:
- Systematic review utilizing a four-tier screening approach.
- Included articles published between 2004 and 2013.
- 17 articles were selected for final review.
Main Results:
- Transfer of care was the most frequently described intervention component in HCT models.
- The majority of reviewed studies were rated as 'weak' based on the Effective Public Health Practice Project criteria.
- Common limitations included a lack of control groups, insufficient methodological rigor, and incomplete intervention details.
Conclusions:
- Health care transition (HCT) is an emerging field with models primarily in the exploratory development stage.
- Further research with stronger designs and methodologies is needed to advance HCT service models.
- Addressing identified limitations is crucial for improving the quality and effectiveness of HCT interventions.
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