Osborne Christine, Mannerfeldt Jaelene, Brain Philippa, McQuillan Sarah K
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.
J Pediatr Adolesc Gynecol. 2020 Jun;33(3):255-259. doi: 10.1016/j.jpag.2019.11.008. Epub 2019 Nov 22.
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.
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。
