Betz Cecily L, Ferris Maria E, Woodward Jason F, Okumura Megumi J, Jan Sophia, Wood David L
USC Keck School of Medicine, Los Angeles, CA, USA.
University of North Carolina, Chapel Hill, NC, USA.
J Pediatr Rehabil Med. 2014;7(1):3-15. doi: 10.3233/PRM-140277.
The body of health care transition (HCT) research is in the early stages of development. One of the major limitations of this developing field of research is the lack of theoretically-directed studies. This research limitation has hindered understanding of the variables contributing to successful HCT. The inadequate understanding of HCT is due largely to the absence of an adequate conceptual model that addresses the complexity and the relationships amongst variables that influence HCT outcomes among adolescents and emerging adults with special health care needs (AEA-SHCN). Existing conceptual models do not sufficiently address the significant interrelationships amongst variables to explain, predict and/or control AEA-SHCN's biopsychosocial HCT outcomes. This article provides a description of a health care transition theoretical model developed by the international and interdisciplinary Health Care Transition Research Consortium (HCTRC) that can be applied for testing in research and serve as a framework for clinical practice and policymaking. The HCTRC model is composed of four domains that are considered integral to the HCT phenomenon: Individual, Family/Social Support, Environment, and the Health Care System. The HCTRC model specifies the variables, processes, and potential mediators and moderators that affect the HCT outcomes.
医疗保健过渡（HCT）研究领域尚处于发展初期。这一新兴研究领域的主要局限之一是缺乏理论导向的研究。这一研究局限阻碍了对促成成功医疗保健过渡的变量的理解。对医疗保健过渡理解不足很大程度上是由于缺乏一个适当的概念模型，该模型无法应对影响有特殊医疗保健需求的青少年和新兴成年人（AEA-SHCN）医疗保健过渡结果的变量之间的复杂性及关系。现有的概念模型没有充分处理变量之间的重要相互关系，无法解释、预测和/或控制AEA-SHCN的生物心理社会医疗保健过渡结果。本文介绍了由国际跨学科医疗保健过渡研究联盟（HCTRC）开发的一个医疗保健过渡理论模型，该模型可用于研究测试，并作为临床实践和政策制定的框架。HCTRC模型由四个对医疗保健过渡现象不可或缺的领域组成：个体、家庭/社会支持、环境和医疗保健系统。HCTRC模型明确了影响医疗保健过渡结果的变量、过程以及潜在的中介变量和调节变量。
