Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA.
Children's Hospital of New Orleans, 200 Henry Clay Ave, New Orleans, LA, USA.
Curr Neurol Neurosci Rep. 2018 Mar 10;18(4):14. doi: 10.1007/s11910-018-0822-x.
The goal of the article is to describe a systematic approach through core principles and steps for the transition of the patient with a neurological disorder to the adult model of care, to provide steps and principles to help receiving providers successfully integrate the patient into their practice, and to discuss cultural, systemic, and discipline-based barriers to transition.
The literature has expanded rapidly. The recent publications help define the barriers to the process and are currently exploring the best methods to evaluate readiness, needs, barriers, and develop solutions for best practices. There is a consensus that there is a need for a systematic approach to transition and integration of the patient with a neurological disorder. The transition of the child and youth with special health care needs (CYSHCN) is complex with multiple barriers. An important concept is that these patients, their families, and medical care providers all benefit from a coordinated and collaborative methodology.
综述目的:本文旨在通过核心原则和步骤,描述一种将神经障碍患者过渡到成人护理模式的系统方法,提供帮助接收提供者成功将患者融入其实践的步骤和原则,并讨论过渡的文化、系统和学科障碍。
最新发现:文献迅速增加。最近的出版物有助于定义该过程的障碍,并正在探索评估准备情况、需求、障碍以及制定最佳实践解决方案的最佳方法。人们普遍认为,需要对神经障碍患者的过渡和整合采取系统的方法。有特殊医疗需求的儿童和青少年 (CYSHCN) 的过渡非常复杂,存在多种障碍。一个重要的概念是,这些患者、他们的家庭和医疗保健提供者都受益于协调和协作的方法。