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从儿科向成人妇科医疗服务提供者过渡的困难:我们是否应将护理持续至成年期?

Difficulties in Transition of Care from Pediatric to Adult Gynecology Providers: Should We Maintain Care into Adulthood?

作者信息

Osborne Christine, Mannerfeldt Jaelene, Brain Philippa, McQuillan Sarah K

机构信息

Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada; Department of Pediatric and Adolescent Gynecology, Alberta Children's Hospital, Calgary, AB, Canada.

Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada; Department of Pediatric and Adolescent Gynecology, Alberta Children's Hospital, Calgary, AB, Canada.

出版信息

J Pediatr Adolesc Gynecol. 2020 Jun;33(3):255-259. doi: 10.1016/j.jpag.2019.11.008. Epub 2019 Nov 22.

Abstract

There is evidence that transfer of care for older adolescent patients to adult care is associated with a deterioration in health, especially in those with chronic conditions. Because several specific conditions in pediatric and adolescent gynecology continue into adulthood, it is important that patients have a seamless healthcare transition. In this commentary, it is argued that instead of arranging transfer, long-term retention of patients by the same physician or physician team may be the more caring, patient-centered approach.

摘要

有证据表明,将大龄青少年患者的护理转交给成人护理与健康状况恶化有关,尤其是那些患有慢性病的患者。由于儿科和青少年妇科的几种特定病症会持续到成年期,因此患者实现无缝的医疗保健过渡非常重要。在这篇评论中,有人认为,与其安排转诊,由同一位医生或医生团队长期留住患者可能是更具关怀性、以患者为中心的方法。

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