Davidson Lynn F, Chhabra Rosy, Cohen Hillel W, Lechuga Claudia, Diaz Patricia, Racine Andrew
Children's Hospital at Montefiore, Bronx, NY, USA Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, USA Montefiore Medical Center, Bronx, NY, USA
Children's Hospital at Montefiore, Bronx, NY, USA Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, USA.
Clin Pediatr (Phila). 2015 Oct;54(11):1051-8. doi: 10.1177/0009922815573940. Epub 2015 Feb 26.
To assess current practices of New York State pediatricians as they transition youth with special health care needs to adult-oriented medical care.
A survey of New York State pediatricians included 6 critical steps from 2002 consensus statement, 11 essential steps adapted from recent literature, and questions targeting age of starting transition and availability of transition policy.
Of 181 respondents, only 11% have a transition policy. Most assist patients in transition process; identify an adult provider (92%); and create portable medical summary (57%). Only 3% start planning process at recommended age. No respondents are compliant with all 6 critical steps; subspecialists were more likely to report compliance to more than 4 steps.
Participating pediatricians are making gains, yet effort is needed, to incorporate the essential steps into practice for transitioning youth with special health care needs. Recognition of barriers, use of electronic tools, and clarifying subspecialist's approach, may improve compliance with transition recommendations.
评估纽约州儿科医生在将有特殊医疗需求的青少年转至成人导向型医疗服务过程中的当前做法。
对纽约州儿科医生的一项调查涵盖了2002年共识声明中的6个关键步骤、从近期文献改编而来的11个基本步骤，以及针对开始过渡的年龄和过渡政策可用性的问题。
在181名受访者中，只有11%拥有过渡政策。大多数人协助患者进行过渡过程；确定成人医疗服务提供者（92%）；并创建可携带的医疗摘要（57%）。只有3%在推荐年龄开始规划过程。没有受访者完全符合所有6个关键步骤；专科医生更有可能报告符合4个以上步骤。
参与调查的儿科医生正在取得进展，但仍需努力将基本步骤纳入为有特殊医疗需求的青少年进行过渡的实践中。认识障碍、使用电子工具以及明确专科医生的方法，可能会提高对过渡建议的遵守程度。
