University of Miami Miller School of Medicine, Department of Pediatrics, Division of Adolescent Medicine, Miami, FL33101, USA.
J Pediatr Health Care. 2011 Jan-Feb;25(1):16-23. doi: 10.1016/j.pedhc.2009.12.005. Epub 2010 Feb 8.
As HIV infection in childhood and adolescence has evolved from a terminal to a chronic illness, new challenges are posed for both medical and psychosocial teams serving these clients. Although specialized programs for transition to adult care have been reported for persons with cystic fibrosis, diabetes mellitus, sickle cell disease, and other chronic illnesses, there are few published reports of integral programs designed to transition adolescents who were infected with HIV during the adolescent period to adult HIV services. This article describes a model of transition from a University-based, federally funded adolescent HIV program to adult HIV services, addresses barriers to transition, and provides strategies and recommendations for improving adherence to the transition process.
随着儿童和青少年中的 HIV 感染从绝症转变为慢性病，为服务这些患者的医疗和心理社会团队带来了新的挑战。虽然已经有报道称针对囊性纤维化、糖尿病、镰状细胞病和其他慢性病患者的成人护理过渡的专门方案，但很少有关于旨在将在青少年时期感染 HIV 的青少年过渡到成人 HIV 服务的综合方案的出版报告。本文描述了一个从基于大学的联邦青少年 HIV 项目过渡到成人 HIV 服务的模式，探讨了过渡的障碍，并提供了改善对过渡过程的坚持的策略和建议。
