Volertas Sofija D, Rossi-Foulkes Rita
Pediatr Ann. 2017 May 1;46(5):e203-e206. doi: 10.3928/19382359-20170426-01.
The importance of a specific transition process is recognized by many health organizations. Got Transition, a cooperative endeavor aimed at improving the transition from pediatric to adult health care, developed Six Core Elements defining the basic components of health care transition support. In this article, we review the Six Core Elements by presenting a model that combines resident quality improvement and transition care training. In this Internal Medicine-Pediatrics residency program, ambulatory training for residents takes place in a combined adult and pediatric clinic. Aligned with the Six Core Elements, the program has crafted and disseminated a transition policy for the practice, designed a portable health summary template for the electronic medical record (EMR), created EMR tools for assessing transition readiness and setting transition goals, formed a registry of patients, and audited charts. [Pediatr Ann. 2017;46(5):e203-e206.].
许多卫生组织都认识到特定过渡过程的重要性。“顺利过渡”是一项旨在改善从儿科到成人医疗保健过渡的合作项目，它制定了六项核心要素，界定了医疗保健过渡支持的基本组成部分。在本文中，我们通过展示一个将住院医师质量改进和过渡护理培训相结合的模型来回顾这六项核心要素。在这个内科 - 儿科住院医师培训项目中，住院医师的门诊培训在成人和儿科联合诊所进行。该项目与六项核心要素保持一致，制定并传播了一项针对该医疗机构的过渡政策，为电子病历（EMR）设计了一个便携式健康摘要模板，创建了用于评估过渡准备情况和设定过渡目标的电子病历工具，建立了患者登记册，并对病历进行了审核。[《儿科年鉴》。2017 年；46(5):e203 - e206。]
