Institute for Public Health Genetics, School of Public Health, University of Washington, Seattle, WA, USA.
J Pediatr Nurs. 2010 Dec;25(6):505-50. doi: 10.1016/j.pedn.2009.07.003. Epub 2009 Aug 22.
This literature review of 46 articles uses the ecological model as a framework for organizing concepts and themes related to health care transition among youth with disabilities or special health care needs (SHCN). Transition involves interactions in immediate and distal environmental systems. Important interactions in immediate environments include those with family members, health care providers, and peers. Activities in distal systems include policies at the governmental and health system levels. The ecological model can help researchers and practitioners to design experimental interventions in multiple settings that ensure smooth transitions and support the well-being of youth with disabilities or SHCN.
这篇综述文章共 46 篇文献，以生态模型为框架，组织了与残疾或有特殊医疗需求的青年（SHCN）的医疗转衔相关的概念和主题。转衔涉及到直接和间接环境系统的相互作用。直接环境中的重要相互作用包括与家庭成员、医疗保健提供者和同龄人之间的相互作用。在远程系统中的活动包括政府和卫生系统层面的政策。生态模型可以帮助研究人员和从业者在多个环境中设计实验性干预措施，以确保顺利转衔并支持残疾或 SHCN 青年的福祉。
