Transition from child-centered to adult health-care systems for adolescents with chronic conditions

Moving On: Transition of Teens With Type 1 Diabetes to Adult Care

“…The transition to adult medical care has long been defined by the Society of Adolescent Medicine as "the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from childcentered to adult-centered health care systems." 1 The ultimate goal of such a transition is seamless, comprehensive, and developmentally appropriate health care throughout. Yet all too often, the partnership between those saying goodbye to emerging adults and those welcoming them is tenuous at best.…”

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

“…6,7 To effectively meet the needs of the growing adult population with chronic conditions of childhood origin, several professional societies have advocated formal "transitioning," defined by Blum as "the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care systems." 8 In 2002, the American Academy of Pediatrics, the American College of Physicians-American Society of Internal Medicine, and the American Academy of Family Physicians released a consensus statement stating that "All adults with special health care needs deserve an adult focused primary care physician." 9 This recommendation specifies that the transitioning process should start by age 14.…”

The management of childhood liver diseases in adulthood

“…Transfer only refers to the change in location where care will be delivered, change in health care provider or both [4,5]. Therefore, transfer, is but a component of transition.…”

“…Therefore, transfer, is but a component of transition. Transition, on the other hand is not a single event but a purposeful, planned process of moving adolescents and young adults with chronic medical and physical conditions from a child centre to an adult-orientated health care system [5,6]. It is an important milestone for patients, families, carers, and paediatric and adult services as well as potentially representing a period of vulnerability for the individual patient.…”