Callahan S T, Winitzer R F, Keenan P
Division of Adolescent and Young Adult Medicine, Children's Hospital, Boston, Massachusetts 02115, USA.
Curr Opin Pediatr. 2001 Aug;13(4):310-6. doi: 10.1097/00008480-200108000-00004.
Pediatric providers can expect that 1 of every 10 patients they see will have a chronic, activity-limiting health condition. Thanks to earlier diagnosis and improved therapies, most of these children will live well into adulthood. This means that eventually they will require care that focuses on adult health issues. Providers in the United States and around the world are recognizing the need for coordinated processes to transition adolescents and young adults with chronic conditions to adult health care. These models rely on the participation and input of the adolescent, his or her family, and pediatric and adult health professionals. This paper distinguishes medical transition from medical transfer; discusses potential barriers to transition; examines new initiatives to develop and study transition models; and reviews federal legislation influencing health care transitions.
儿科医疗服务提供者可以预期，他们所诊治的每10名患者中就有1人患有慢性的、限制活动的健康状况。由于早期诊断和治疗方法的改进，这些儿童中的大多数将健康地活到成年。这意味着最终他们将需要专注于成人健康问题的护理。美国和世界各地的医疗服务提供者都认识到需要有协调的流程，以便让患有慢性病的青少年和青年顺利过渡到成人医疗保健。这些模式依赖于青少年本人、其家庭以及儿科和成人健康专业人员的参与和投入。本文区分了医疗过渡与医疗转诊；讨论了过渡过程中的潜在障碍；审视了开发和研究过渡模式的新举措；并回顾了影响医疗保健过渡的联邦立法。
