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[Supporting the health care transition through multidisciplinary collaboration: professional initiatives]
Yoko Mochizuki1,2, Katsuhisa Ogata3, Satoko Kumada4
1Department of Neurology, Tokyo Metropolitan Kita Medical and Rehabilitation Center for the Disabled.
Abstract:
The Japanese Society of Neurology's Committee on Measures for Transition from Pediatric to Adult Health Care held a workshop to discuss the activities of the transitional care initiatives undertaken by various healthcare professionals. The following points were addressed: (1) The Osaka Transitional Care Support Center reported on assistance for patients and families through consultations and pre-transition conferences; (2) The Shikoku Medical Center for Children and Adults introduced a collaborative approach in which transitional support is developed together with children and their families; (3) A staff member with dual qualifications as a certified genetic counselor and a certified intractable disease nurse described transitional care practices at Kanazawa University Hospital; and (4) The Tokyo Metropolitan Transitional Care Support Center presented several programs promoting transitional care, including a "Support Program for Guardians of Patients with Decision-making Difficulties" and a "Chronic Disease Transition App." Collectively, these presentations highlighted the importance of advancing transitional care through effective multidisciplinary collaboration.
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