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Challenges and obstacles in the transition process through the eyes of the gastroenterologist

Mette Hald1, Katrine Carlsen1, Inge Nordgaard-Lassen2

  • 1Departments of Pediatrics.

European Journal of Gastroenterology & Hepatology
|January 29, 2019
PubMed

Insights

Transitioning young patients to adult care requires better coordination. Both pediatric and adult providers must adapt their approaches, and patients and parents need tailored support for a successful transfer process.

Area of Science:

  • Healthcare Management
  • Patient Transition
  • Pediatric to Adult Care

Background:

  • Adult and pediatric care systems differ in patient and parent management, leading to communication gaps during patient transfers.
  • The transfer process involves four key actors: the young patient, parents, pediatric providers, and adult providers, each with distinct roles and needs.

Purpose of the Study:

  • To clarify the challenges and backgrounds of each actor involved in the transition and transfer of young patients from pediatric to adult care.
  • To identify areas for improved coordination and communication between pediatric and adult healthcare settings.

Main Methods:

  • Semistructured interviews were conducted with adult gastroenterologists and nurses.
  • Interview statements were analyzed and interpreted using social scientific principles, including thematic analysis of motives, perspectives, and underlying patterns.
  • Interviews were recorded, transcribed, and verified by participants.

Main Results:

  • Adult and pediatric healthcare providers need to recognize the unique demands of patients aged 15-20 years.
  • Effective transfer is a three-phase process: pediatric transition, coordinated transfer, and post-transfer consolidation.
  • Adolescent patients require education and empowerment during their transition period.

Conclusions:

  • Healthcare providers must adapt their perspectives on adolescent patients (15-20 years) and their specific needs.
  • A structured, three-part transfer process (transition, coordination, consolidation) is recommended.
  • Timely preparation, education, and role adjustment for both adolescent patients and their parents are crucial for successful transfer.
Abstract

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