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Published on: January 12, 2024
Insights
Pediatric care extends through young adulthood, focusing on physical and mental health needs. Decisions about transitioning from pediatric to adult care should be individualized, patient-centered, and physician-guided.
Area of Science:
- Pediatrics
- Adolescent Medicine
- Developmental Pediatrics
Background:
- Pediatric care encompasses a child's comprehensive health, including physical, psychosocial, and developmental aspects.
- Care can begin before conception and extends through infancy, childhood, adolescence, and into young adulthood.
Purpose of the Study:
- To define the scope of pediatric care and its appropriate duration.
- To advocate for individualized care transitions beyond arbitrary age limits.
Main Methods:
- Review of pediatric care continuum.
- Analysis of factors influencing transition from pediatric to adult healthcare.
Main Results:
- Pediatric care's upper age limit is not fixed and varies by individual.
- Arbitrary age cutoffs for pediatric services are discouraged.
Conclusions:
- Transition decisions should be collaborative, involving the patient, family, and physician.
- Care continuation depends on patient needs and provider capabilities, not age alone.
Abstract:
Pediatrics is a multifaceted specialty that encompasses children's physical, psychosocial, developmental, and mental health. Pediatric care may begin periconceptionally and continues through gestation, infancy, childhood, adolescence, and young adulthood. Although adolescence and young adulthood are recognizable phases of life, an upper age limit is not easily demarcated and varies depending on the individual patient. The establishment of arbitrary age limits on pediatric care by health care providers should be discouraged. The decision to continue care with a pediatrician or pediatric medical or surgical subspecialist should be made solely by the patient (and family, when appropriate) and the physician and must take into account the physical and psychosocial needs of the patient and the abilities of the pediatric provider to meet these needs.
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