J Adolesc Health. 2020 May;66(5):631-634. doi: 10.1016/j.jadohealth.2020.02.006.
In 2003, the Society for Adolescent Medicine issued a position paper joining the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians in endorsing a national consensus statement regarding successful transition to adult care, for all young people, including youth with special health care needs. This consensus statement was followed by a clinical report in 2011, which was updated in 2018. Since the original publication, the development of professional guidelines, several iterations of U.S.-based national survey data, and a growing global evidence base characterizing the consequences of suboptimal transitions have advanced the field of health care transition substantially. Barriers to and facilitators of successful transition have been described along with a number of social-, economic-, and health care systems-level issues that require coordinated professional advocacy. The goal of this revised position paper is to review the interim developments in health care transition for youth with special health care needs and refine Society of Adolescent Health and Medicine's position to align with the most recent evidence and professional consensus, including the incorporation of insights and recommendations from the latest revised clinical report.
2003 年，青少年医学协会发表了一份立场文件，该文件与美国儿科学会、美国家庭医师学会和美国医师学院一起支持一项关于所有年轻人（包括有特殊医疗需求的青年）成功过渡到成人护理的国家共识声明。该共识声明之后于 2011 年发布了一份临床报告，并于 2018 年进行了更新。自最初发表以来，专业指南的制定、几轮基于美国的全国调查数据以及越来越多的全球证据基础，这些都极大地推动了医疗保健过渡领域的发展。描述了成功过渡的障碍和促进因素，以及一些需要协调专业倡导的社会、经济和医疗保健系统层面的问题。这份修订后的立场文件的目的是回顾有特殊医疗需求的青年的医疗保健过渡的最新进展，并调整青少年健康医学协会的立场，使其与最新证据和专业共识保持一致，包括纳入最新修订的临床报告中的见解和建议。
