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Evaluating outpatient transition clinics: a mixed-methods study protocol.

Jane N T Sattoe¹, Mariëlle A C Peeters², Sander R Hilberink³

¹Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.

|August 28, 2016

Summary

This summary is machine-generated.

This study evaluates transition clinics (TCs) for young people with chronic conditions. TCs improve patient satisfaction and reduce missed appointments during the transfer to adult care.

Keywords:

Self-management Successful transfer

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Area of Science:

Pediatric Healthcare
Transition Medicine
Chronic Condition Management

Background:

Young people with chronic conditions require specialized support during their transition to adulthood and adult healthcare.
Transition clinics (TCs) facilitate collaboration between pediatric and adult care providers.
The effectiveness and models of TCs are not well understood.

Purpose of the Study:

To determine the added value of transition clinics (TCs) compared to usual care.
To investigate the structures, routines, barriers, and facilitators within TCs.
To assess clinical outcomes, healthcare utilization, and patient-reported outcomes.

Main Methods:

Mixed-methods study with a retrospective controlled design.
Involved semistructured interviews with healthcare professionals, observations, chart reviews, and questionnaires for young people.
Qualitative data analyzed thematically; quantitative data analyzed for within-group and between-group differences.

Main Results:

Transition clinics (TCs) were found to improve patient satisfaction with the transfer process.
TCs demonstrated a positive impact on reducing 'no-show' rates after transfer.
Further analysis is ongoing to compare clinical outcomes and healthcare usage between TC and usual care groups.

Conclusions:

Transition clinics (TCs) represent a valuable intervention for supporting young people with chronic conditions.
TCs enhance patient experience and adherence during the critical transfer to adult care.
Future research will build upon these findings in a larger national study.