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Difficulties in Transition of Care from Pediatric to Adult Gynecology Providers: Should We Maintain Care into
Christine Osborne1, Jaelene Mannerfeldt1, Philippa Brain1
1Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada; Department of Pediatric and Adolescent Gynecology, Alberta Children's Hospital, Calgary, AB, Canada.
Abstract:
There is evidence that transfer of care for older adolescent patients to adult care is associated with a deterioration in health, especially in those with chronic conditions. Because several specific conditions in pediatric and adolescent gynecology continue into adulthood, it is important that patients have a seamless healthcare transition. In this commentary, it is argued that instead of arranging transfer, long-term retention of patients by the same physician or physician team may be the more caring, patient-centered approach.
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