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Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
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Health Care Transitions for Adolescents.

Matthew J Meyers1, Charles E Irwin1

  • 1Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.

Pediatrics
|April 3, 2023
PubMed
Summary

Adolescent and young adult (AYA) patients face challenges transitioning to adult care. This review summarizes current health care transition (HCT) strategies and highlights emerging approaches for AYA patients.

Area of Science:

  • Medical transition of care
  • Adolescent and young adult (AYA) health
  • Preventive health strategies

Background:

  • Transitioning from pediatric to adult healthcare presents significant challenges for adolescent and young adult (AYA) patients.
  • Established clinical reports guide providers in preparing patients for transfer and integration into adult care models.
  • Novel care delivery models have been developed to enhance health care transition (HCT) services.

Purpose of the Study:

  • To summarize the current landscape of health care transition (HCT) for AYAs.
  • To outline the imperative for integrating HCT into preventive care, especially considering the COVID-19 pandemic.
  • To present novel and emerging strategies for meeting AYA HCT needs.

Main Methods:

  • Literature review of existing clinical reports and care delivery models for HCT.

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  • Analysis of the contemporary need for HCT within preventive healthcare frameworks.
  • Synthesis of emerging strategies for AYA HCT.

    • Main Results:

    • A minority of AYAs receive transition services aligned with established guidelines.
    • Limited data exist on the effectiveness of current HCT services.
    • There is a critical need for ongoing research and clinical innovation in HCT.

    Conclusions:

    • Effective health care transition (HCT) remains a challenge for many adolescent and young adult (AYA) patients.
    • Emerging strategies are crucial for improving HCT services and ensuring continuity of care.
    • Integrating HCT into preventive care is vital, particularly in light of recent public health challenges like the COVID-19 pandemic.