Phan-Hug F, Hauschild M, Dwyer A, Pitteloud N
Division d'endocrinologie pédiatrique, Département de pédiatrie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2012 Nov 14;8(362):2170-2, 2174.
The success of therapies for a number of pediatric disorders has posed new challenges for the long-term follow-up of adolescents with chronic endocrinopathies. Unfortunately, too many patients are lost during the transfer from pediatric to adult clinics. The transition process should be well-organized and include the young person and family. Recognizing the special needs of these adolescents is an important step in developing patient-centered approaches to care that enable patients to develop autonomy and self care skills. Key elements in this process include structured policies and guidelines, communication and close collaboration between pediatric and adult clinics, and integrating nurse clinicians in the transition process to help close the gaps in care.
多种儿科疾病治疗方法的成功，给患有慢性内分泌疾病的青少年的长期随访带来了新的挑战。不幸的是，在从儿科诊所向成人诊所转诊的过程中，太多患者流失了。转诊过程应组织有序，且应包括青少年及其家庭。认识到这些青少年的特殊需求，是制定以患者为中心的护理方法的重要一步，这种护理方法能使患者培养自主性和自我护理技能。这一过程中的关键要素包括结构化的政策和指南、儿科诊所与成人诊所之间的沟通与密切协作，以及在转诊过程中纳入护士临床医生以帮助弥合护理差距。
