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Optimizing the Transition and Transfer of Care in Pediatric Inflammatory Bowel Disease
Laurie N Fishman1, Julia Ding2
1Division of Gastroenterology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Insights
Optimizing health care transition for pediatric patients with inflammatory bowel disease (IBD) requires structured preparation. Key strategies include setting expectations, nurturing self-management skills, and assessing readiness for transfer to adult care.
Area of Science:
- Medicine
- Pediatrics
- Gastroenterology
Background:
- Health care transition from pediatric to adult services is a critical medical priority.
- Patients with chronic conditions, such as inflammatory bowel disease (IBD), require specialized attention during this transition.
- Current models for preparing pediatric patients for transfer to adult care lack universal acceptance.
Purpose of the Study:
- To highlight key concepts for optimizing the transition of care for IBD patients.
- To provide a structured approach for managing the transfer from pediatric to adult healthcare settings.
Main Methods:
- Review and synthesis of existing concepts for health care transition in IBD.
- Emphasis on a structured and consistent approach to care transfer.
- Focus on adolescent development and self-management skill acquisition.
Main Results:
- A structured approach is essential for successful transition.
- Nurturing self-management skills throughout adolescence is crucial.
- Assessing patient readiness and preparing for transfer are vital components.
Conclusions:
- Optimizing the transition of care for IBD patients involves proactive strategies.
- Gradual development of self-management skills and readiness assessment are key.
- A structured, consistent approach ensures a successful transfer to adult care.
Abstract:
Health care transition from pediatric to adult care has been identified as a priority in the field of medicine, especially for those with chronic illnesses such as inflammatory bowel disease (IBD). Although there is no universally accepted model of preparing the pediatric patient for transfer to adult care, transition care is best accomplished in a structured and consistent manner. The authors highlight concepts for optimizing the transition of care for patients with IBD, which include setting expectations throughout adolescence with the gradual nurturing of self-management skills, preparing and assessing of readiness for transfer, and enacting a successful transfer to adult care.
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