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Development of an inpatient pediatric-to-adult transition consultation

Ruchi Doshi1,2, Jay Kachoria1, Jesse Rhodes1,2

  • 1Department of Medicine, Division of Hospital Medicine, Duke University School of Medicine, Durham, North Carolina, USA.

Journal of Hospital Medicine
|September 25, 2025
PubMed

Insights

Hospitalizations provide crucial chances for healthcare transition planning for young adults with chronic conditions. This study details a standardized inpatient consultation to aid this transition.

Area of Science:

  • Pediatric healthcare
  • Chronic condition management
  • Healthcare transition

Background:

  • Adolescents and young adults with childhood-onset chronic conditions require specialized healthcare transition planning.
  • Hospitalizations present unique opportunities to implement such planning.
  • Current transition planning may lack standardization and comprehensiveness.

Purpose of the Study:

  • To describe the components of a standardized, comprehensive inpatient transition consultation.
  • To review pilot data on the effectiveness of this consultation.
  • To discuss the formal implementation of this consultation in an academic hospital.

Main Methods:

  • Development of a standardized inpatient transition consultation protocol.
  • Review of pilot data from initial consultations.
  • Description of the implementation process in an academic medical center.

Main Results:

  • The standardized consultation includes key components for effective transition planning.
  • Pilot data suggests feasibility and potential benefits of the inpatient approach.
  • Formal implementation in an academic setting is discussed.

Conclusions:

  • A standardized inpatient transition consultation can optimize healthcare transitions for youth with chronic conditions.
  • Hospital-based consultations offer a structured environment for comprehensive transition planning.
  • Further evaluation is warranted to confirm long-term outcomes.

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