Rea Kelly E, Armah Annabelle E, Eaton Cyd K, Suveg Cynthia, Davis Molly
University of Georgia.
Johns Hopkins School of Medicine.
Clin Pract Pediatr Psychol. 2023 Jun;11(2):217-227. doi: 10.1037/cpp0000464. Epub 2022 Nov 10.
Most of the transition literature examines adolescents and young adults with special healthcare needs, though many youth will eventually transition to adult healthcare providers, regardless of medical complexity. This study addresses this gap by examining transition needs and experiences specifically within a college student sample of emerging adults without complex medical needs.
108 college students (age=20.93 years, =1.14) completed interviews and questionnaires regarding transition. The most difficult and easiest aspects of healthcare self-management were thematically coded. Differences in questionnaires were assessed across sources of transition education.
52% of college students reported receiving education about managing healthcare from medical providers versus 95% from caregivers. Notably, 57% desired more support. Those receiving medical provider education reported higher responsibility. Students reported most difficulty managing health insurance. Results were similar across racial and ethnic groups and genders.
Gaps in transition preparation include low rates of medical provider education and support regarding health insurance. College students receiving education from medical providers reported greater healthcare responsibility. Provider-led transition education is needed for college students without complex medical needs.
This study suggests that college students without complex medical conditions experience gaps in transition preparation. Although half reported talking to their medical provider about transition to adult care, many desired more support, with the greatest difficulty reported in learning to manage health insurance.
大多数关于过渡的文献研究的是有特殊医疗需求的青少年和青年，然而许多年轻人最终都会过渡到成人医疗服务提供者那里，无论其医疗复杂性如何。本研究通过专门在没有复杂医疗需求的新兴成年大学生样本中考察过渡需求和经历来填补这一空白。
108名大学生（年龄=20.93岁，标准差=1.14）完成了关于过渡的访谈和问卷调查。对医疗自我管理中最困难和最容易的方面进行了主题编码。评估了不同过渡教育来源在问卷方面的差异。
52%的大学生报告从医疗服务提供者那里接受过医疗管理教育，而从照顾者那里接受过此类教育的比例为95%。值得注意的是，57%的人希望得到更多支持。接受医疗服务提供者教育的人报告称责任更大。学生们表示在管理医疗保险方面最困难。不同种族和族裔群体以及不同性别的结果相似。
过渡准备方面的差距包括医疗服务提供者在医疗保险教育和支持方面的比例较低。从医疗服务提供者那里接受教育的大学生报告称承担了更大的医疗责任。对于没有复杂医疗需求的大学生，需要由提供者主导进行过渡教育。
本研究表明，没有复杂医疗状况的大学生在过渡准备方面存在差距。虽然一半的人报告与他们的医疗服务提供者谈论过向成人护理的过渡，但许多人希望得到更多支持，其中在学习管理医疗保险方面报告的困难最大。
