Understanding the Role of Health Care Providers During the Transition of Adolescents With Disabilities and Special Health Care Needs

Transition to adult health care for adolescents and young adults with congenital heart disease: Perspectives of the patient, parent and health care provider

“…Referral to adult practitioners must be facilitated (12). Patients and providers need to be aware of the differences between adult and pediatric care (17,18), and institutional support from all members of the pediatric health care team must exist to support all aspects involved in preparation (16,19). Also requiring consideration is preparation for the patient's transition to adult life, addressing sexuality, family planning and employment.…”

“…There is no clear pattern that would suggest that roles are defined for parents, physicians, nurses and allied health professionals. The variation in responses highlights the need for explicit role assignments for each participant (19) to tend to all the preparation needs of transition. Once these roles are filled, expectations of the young adult can be defined and a comprehensive approach can be adopted for transition preparation.…”

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

“…[16][17][18] We hypothesized that factors such as physician experience (e.g., treating specific conditions during residency and practice), physician characteristics (e.g., board certification, years in practice), practice characteristics (e.g., practice type) and available resources (e.g., access to disease center, services such as social work or nutrition, and subspecialists) would be associated with physician treatment comfort. [19][20][21] We also hypothesized that internists with higher treatment comfort would be more willing to accept responsibility for primary care delivery of young adults with childhood onset chronic conditions.…”

A transição de adolescentes com HIV/AIDS para a clínica de adultos: um novo desafio

“…Furthermore, authors also agree that age is not the best predictor of transition readiness. 27 Although all of the articles reviewed stress the importance of transitioning adolescents and young adults with chronic conditions to adult-oriented care, there is little consensus on when and how this transition should take place. 28 In fact, the dearth of studies capable of providing evidence of best practices in transition care is a prominent theme in the literature.…”