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Transition to Adult Care
John Berens1, Cynthia Wozow2, Cynthia Peacock1
1Department of Internal Medicine, Section of Transition Medicine, Baylor College of Medicine, Transition Medicine Clinic, 7200 Cambridge Street, Suite 8A, Houston, TX 77030, USA.
Physical Medicine and Rehabilitation Clinics of North America
|November 26, 2019
Summary
Navigating the shift from pediatric to adult healthcare is challenging for individuals with cerebral palsy. This review outlines key factors and evidence-based strategies to improve health care transition outcomes.
Area of Science:
- Pediatric to adult healthcare transition
- Developmental disabilities
- Cerebral palsy management
Background:
- The transition from pediatric to adult healthcare presents significant challenges, particularly for individuals with chronic conditions like cerebral palsy.
- This process involves complex medical, legal, vocational, and psychosocial considerations.
Purpose of the Study:
- To describe the current landscape of health care transition for individuals with cerebral palsy.
- To identify factors complicating this life stage.
- To present evidence-based strategies for successful transition planning.
Main Methods:
- Literature review and synthesis of current practices and challenges.
- Analysis of key transition domains: insurance, medicolegal issues, supported decision-making, vocations, and psychosocial factors.
- Identification of evidence-based processes and practices.
Main Results:
- Key challenges include changes in health insurance, medicolegal aspects, vocational barriers, and psychosocial issues.
- Supported decision-making models are crucial for navigating adult healthcare.
- Successful transition requires addressing a multifaceted set of needs.
Conclusions:
- Effective health care transition planning for individuals with cerebral palsy requires a comprehensive, evidence-based approach.
- Addressing insurance, legal, vocational, and psychosocial factors is essential for improving patient outcomes.
- Facilitating a smooth transition supports long-term health and well-being.
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