Pediatrics Department, University of South Florida, Tampa, FL, USA.
Department of Public Health Education, University of North Carolina Greensboro, Greensboro, NC, USA.
Lancet Child Adolesc Health. 2018 Mar;2(3):214-222. doi: 10.1016/S2352-4642(18)30005-1. Epub 2018 Jan 6.
HIV-related care and treatment engagement are crucial steps to improve individual and population-level health; yet, many young people (18-25 years old) with HIV are not maintained in, or disengage from, care. Health-care transition and the transfer to adult care are particularly vulnerable points in the care and treatment of young people with HIV. In this Review, we explore barriers and facilitators to health-care transition, evaluate existing health-care transition programmes, and identify best practices for the improvement of health-care transition outcomes and health. Although we examine health-care transition across a range of geographical regions, most examples are from the settings in which the most research has been done-the USA and western Europe.
艾滋病毒相关的护理和治疗参与是改善个人和人群健康的关键步骤;然而,许多感染艾滋病毒的年轻人(18-25 岁)未能维持或脱离护理。医疗保健过渡和向成人护理的转移是艾滋病毒感染者护理和治疗中特别脆弱的环节。在这篇综述中,我们探讨了医疗保健过渡的障碍和促进因素,评估了现有的医疗保健过渡方案,并确定了改善医疗保健过渡结果和健康的最佳实践。虽然我们研究了跨越一系列地理区域的医疗保健过渡,但大多数例子都来自于研究最多的地区——美国和西欧。