Virginia Commonwealth University, Richmond, VA, USA,
Matern Child Health J. 2013 Dec;17(10):1744-52. doi: 10.1007/s10995-012-1192-7.
Transition to adult services for children and youth with special health care needs (CYSHCN) has emerged as an important event in the life course of individuals with disabilities. Issues that interfere with efficient transition to adult health care include the perspectives of stakeholders, age limits on pediatric service, complexity of health conditions, a lack of experienced healthcare professionals in the adult arena, and health care financing for chronic and complex conditions. The purposes of this study were to develop a definition of successful transition and to identify determinants that were associated with a successful transition. The 2007 Survey of Adult Transition and Health dataset was used to select variables to be considered for defining success and for identifying predictors of success. The results showed that a small percentage of young adults who participated in the 2007 survey had experienced a successful transition from their pediatric care.
为有特殊医疗需求的儿童和青少年(CYSHCN)向成人服务的过渡已经成为残疾人士生命历程中的一个重要事件。影响向成人保健有效过渡的因素包括利益相关者的观点、儿科服务的年龄限制、健康状况的复杂性、成人领域缺乏经验丰富的医疗保健专业人员以及慢性和复杂疾病的医疗保健融资。本研究的目的是制定成功过渡的定义,并确定与成功过渡相关的决定因素。2007 年成人过渡和健康调查数据集被用于选择要考虑的变量,以定义成功并确定成功的预测因素。结果表明,在参加 2007 年调查的年轻成年人中,只有一小部分人经历了从儿科护理到成人保健的成功过渡。