Department of Neurology, Division of Pediatric Neurology, Loyola University Chicago, Stritch School of Medicine, Maguire Building Suite 2700, 2160 South First Avenue, Maywood, IL 60153, USA; Department of Pediatrics, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, USA.
Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, USA; Department of Neurosurgery, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, USA.
Neurol Clin. 2021 Feb;39(1):243-256. doi: 10.1016/j.ncl.2020.09.015. Epub 2020 Nov 7.
Transitions of care from the pediatric to adult setting are fraught with difficulty. For patients whose neurologic problems began in childhood, there is often a lack of organized multidisciplinary care with the desired neurologic expertise in the adult setting. This monograph highlights those difficulties, reviewing disease-specific instances of the problems with transition from pediatric to adult neurologic care. The use of an arbitrary chronologic age cutoff for transition from pediatric to adult expertise in specific disease state may be a disservice in provision of care, and the disease-specific expertise of providers may outweigh the benefit of an age-related provider focus.
儿科到成人医疗环境的过渡充满了困难。对于那些在儿童时期就开始出现神经问题的患者，成人医疗环境中往往缺乏具有所需神经专业知识的有组织的多学科护理。本专论重点介绍了这些困难，回顾了从儿科到成人神经护理过渡中与特定疾病相关的具体问题。在特定疾病状态下，从儿科到成人专业知识的过渡使用任意的年龄截止点可能不利于提供护理，并且提供者的特定疾病专业知识可能超过与年龄相关的提供者重点的好处。
