Comfort of General Internists and General Pediatricians in Providing Care for Young Adults with Chronic Illnesses of Childhood

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

“…Lack of time, adequate payment, and training have been cited as major barriers to transition. 15 Workforce shortages exist and are anticipated to worsen for physicians and other health professionals providing care for adults of all ages. In the face of an aging population that needs care, these shortages may be an obstacle to the delivery of primary care to more young adults with or without special health care needs.…”

“…The authors of several recent articles have explored the perspective of adult providers participating in the medical transition of young adults with special health care needs. Okumura et al 15 found that, when adult medical care providers were exposed to the process of transitioning young adults in the context of their residency training experiences, they were much more likely to incorporate it into their practices after residency. Anecdotally, however, these residency training experiences are not common, and many practicing physicians have learned "on the job" to manage patients with complex needs.…”

Transición de adolescentes portadores de enfermedades crónicas desde servicios pediátricos a servicios de adultos: Recomendaciones de la Rama de Adolescencia de la Sociedad Chilena de Pediatría

“…Una de las principales barreras a la atención del adolescente en transición a servicios de adultos, que se ha detectado por profesionales de niños y adultos, tanto en estudios internacionales como en el Estudio Transición FONIS PUC, es la escasa capacitación de profesionales de adultos en enfermedades crónicas complejas infantiles (como cardiopatías congénitas), y el poco entrenamiento en el manejo de la adolescencia propiamente tal 27,28,29 . La integración de aspectos relacionados a la adolescencia y su manejo en los programas de formación de profesionales de salud tanto médicos, como enfermeras, profesionales de salud mental, kinesiología, nutrición y otros, en pre y postgrado, aparece como una necesidad curricular.…”

Health Care Transitions for Adolescents and Young Adults With Special Health Care Needs: Where Are We Now?

“…29 Other barriers to providing adult primary care to youth with special needs is lack of training in congenital and childhood illnesses, lack of time and lack of reimbursement for time to coordinate care. 11,13,21,26,30 No doubt, low volumes of transitioning special needs young adults in most medical practices (and each patient's unique set of issues) contribute to providers' perception or actuality of failing to keep current with proper treatment of these individuals.…”