Sirevåg Kjersti, Fløtten Kjersti J Ø, Nakstad Britt, Hvideberg Aud Inger, Odden Jan Petter, Roy Betty Van
Department for Paediatric and Adolescent Medicine, Akershus University Hospital, Lorenskog, Norway.
Norwegian HPH Secretariat, Centre for Health Promotion, Akershus University Hospital, Lorenskog, Norway.
Int J Adolesc Med Health. 2017 Aug 5;31(4):ijamh-2017-0039. doi: 10.1515/ijamh-2017-0039.
Background Akershus University Hospital has since 2012 worked systematically towards improving the process of transfer for adolescents from the Department for Paediatric and Adolescent Medicine (DPAM) to adult services in our hospital. Objective To improve the transfer process of adolescents we aimed at moving from a more administrative focus on transfers to a transition programme. The aim was both short-term and long-term gains, namely quality improvement of the healthcare we are providing and valued health promotion outcomes. Methods A guided transition programme for adolescents was developed, piloted and introduced. It was developed in close collaboration with our youth council. An e-learning programme and a handbook for health care professionals were developed for implementation. Results Data from the pilot testing the transition programme show that the adolescent participants found the information material to be relevant. They reported that it was used actively by the health professionals in their consultations and that they found this to be helpful. It was crucial that the management acknowledged and took responsibility for the programme. We experienced that a shared understanding of the adolescent patient in both sending and receiving departments was crucial. Conclusion Adolescent medicine should include competence and professionalism. Health care personnel must possess knowledge, skills and attitude that enable good, health promoting encounters. Further evaluation of pre- and post-implementation clinical outcomes, of patient empowerment and of satisfaction among employees will need to follow for evaluation of the effectiveness of this transition programme.
背景 自2012年以来，阿克什胡斯大学医院一直在系统地努力改进青少年从儿科和青少年医学部（DPAM）转至本院成人科室的流程。目的 为改善青少年的转诊流程，我们旨在从更侧重于行政性的转诊工作转向实施一个过渡项目。目标是实现短期和长期收益，即提高我们所提供医疗服务的质量以及获得有价值的健康促进成果。方法 制定、试点并推行了一项针对青少年的指导性过渡项目。该项目是与我们的青年委员会密切合作开发的。还开发了一个电子学习项目和一本供医护人员使用的手册以进行实施。结果 对过渡项目进行试点测试的数据表明，参与项目的青少年认为信息材料很实用。他们报告称，医护人员在会诊中积极使用这些材料，他们觉得这很有帮助。管理层认可并对该项目负责至关重要。我们体会到，转诊科室和接收科室对青少年患者形成共同的认识至关重要。结论 青少年医学应具备相应的能力和专业性。医护人员必须具备知识、技能和态度，以便进行良好的、促进健康的医患交流。为评估该过渡项目的有效性，后续还需要对实施前后的临床结果、患者赋权情况以及员工满意度进行进一步评估。
