Department of Neurology and Pediatrics, Pediatric Comprehensive Epilepsy Program, University of California-Irvine, Children's Hospital of Orange County, Orange, CA..
Semin Pediatr Neurol. 2020 Dec;36:100853. doi: 10.1016/j.spen.2020.100853. Epub 2020 Nov 10.
Without a structure to address healthcare transition, adolescents and young adults with neurological disorders are likely to have disruptions in their care that result in a higher need for emergency care and hospitalization. There are numerous obstacles to implementing the existing transition guidelines: adequate numbers of skilled and willing adult providers, patient and family anxiety about transfer, changes in health insurance, inadequate reimbursement, and inefficient communication systems to pave the path for a smooth transition. The aim of this article is to provide practical information about developing a transition program, as well as a potential clinical model for transitioning care.
如果没有一个专门的医疗过渡结构，患有神经发育障碍的青少年和年轻人的护理服务可能会受到干扰，从而导致他们更需要急诊和住院治疗。实施现有的过渡指南存在诸多障碍：合格且愿意的成年医疗服务提供者数量不足、患者及其家属对转院的担忧、医疗保险的变化、报销不足以及沟通系统效率低下，这些都为顺利过渡制造了障碍。本文旨在提供有关制定过渡计划的实用信息，以及一个潜在的过渡护理临床模型。
