Fox Adam
Institute of Child Health, London, United Kingdom.
Int J Adolesc Med Health. 2002 Jan-Mar;14(1):3-7. doi: 10.1515/ijamh.2002.14.1.3.
There has been a dramatic increase in the number of sufferers of chronic childhood diseases surviving into adulthood. Effective transition of these children from paediatric to adult medical services is a considerable challenge. A lack of integrated planning for this event can present barriers to successful transition. These barriers may be generated by the patient, his family or by political or logistical factors. However, physicians themselves can also become barriers in this process. Paediatricians may resist the transition process as they lack confidence in their adult colleagues. Emotional, academic, financial and cultural issues will also influence both child and adult physician's attitude to the hand-over of care. Increasingly poor understanding of their disease process by Paediatric trained doctors, makes transfer of care essential for adolescents. The move towards a culture of personal responsibility for health care is also crucial for the promotion of the maturing patient's independence. Development of adolescent services and closer links between the services could do much to enhance the transition experience of emerging adults.
患有慢性儿童疾病并存活至成年的患者数量急剧增加。让这些儿童从儿科医疗服务顺利过渡到成人医疗服务是一项巨大的挑战。对此缺乏综合规划会给成功过渡带来障碍。这些障碍可能由患者、其家人造成，也可能是政治或后勤因素导致的。然而，医生自身也可能成为这一过程中的障碍。儿科医生可能会抵制过渡过程，因为他们对成年同事缺乏信心。情感、学业、经济和文化问题也会影响儿童和成年医生对护理交接的态度。接受儿科培训的医生对疾病过程的了解越来越少，这使得对青少年来说护理交接至关重要。向个人对医疗保健负责的文化转变对于促进成年患者的独立性也至关重要。发展青少年服务以及加强这些服务之间的紧密联系，对于改善初入成年者的过渡体验大有帮助。
