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青少年的医疗保健过渡

Health Care Transitions for Adolescents.

作者信息

Meyers Matthew J, Irwin Charles E

机构信息

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.

出版信息

Pediatrics. 2023 Apr 1;151(Suppl 1). doi: 10.1542/peds.2022-057267L.

Abstract

The transition from pediatric to adult models of care poses many challenges to adolescent and young adult (AYA) patients. Several academic societies have established clinical reports to help providers prepare patients for this transition, facilitate the transfer of care between providers, and integrate patients into adult models of care. Furthermore, several novel care delivery models have been developed to expand health care transition (HCT) services. Despite this, a minority of patients receive transition services meeting the goals of these clinical reports and few data exist on their effectiveness. Given this, ongoing research and clinical innovation in the field are imperative. This article aims to summarize the current landscape of HCT for AYAs, outline the contemporary imperative for its integration into preventive health care given the unique challenges of the COVID-19 pandemic, and expand the current literature by providing a summary of novel emerging strategies being used to meet the health care transition (HCT) needs of adolescent and young adult (AYA) patients.

摘要

从儿科护理模式向成人护理模式的转变给青少年和青年(AYA)患者带来了诸多挑战。多个学术团体已发布临床报告,以帮助医疗服务提供者帮助患者为这一转变做好准备,促进不同医疗服务提供者之间的护理交接,并使患者融入成人护理模式。此外,还开发了几种新型护理服务模式,以扩大医疗保健过渡(HCT)服务。尽管如此,仍有少数患者获得了符合这些临床报告目标的过渡服务,而且关于其有效性的数据很少。鉴于此,该领域持续的研究和临床创新势在必行。本文旨在总结AYA人群医疗保健过渡的现状,鉴于新冠疫情带来的独特挑战,概述将其纳入预防性医疗保健的当代必要性,并通过总结用于满足青少年和青年(AYA)患者医疗保健过渡(HCT)需求的新兴策略来扩充现有文献。

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