Self-Management of Health Care Among Youth: Implications for Policies on Transitions of Care.
Self-Management of Health Care Among Youth: Implications for Policies on Transitions of Care.
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DOI：
10.1016/j.jadohealth.2020.01.009
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发表时间：
2020-05
期刊：
影响因子：
--
通讯作者：
Chang T
中科院分区：
文献类型：
--
作者：
Schuiteman S;Chua KP;Plegue MA;Ilyas O;Chang T
从儿科医疗保健到成人医疗保健的转变对年轻人来说是重要的里程碑。在调查中，提供者报告说，青年缺乏独立管理其护理的动力或技能，而这是成功过渡的先决条件。为了评估这一信念的有效性，我们对年轻人进行了调查，了解他们当前和期望的护理参与程度。2017-2018年，我们对14-24岁的青少年进行了一次全国性的短信调查。该调查包括三个开放式问题，评估参与者在三项医疗保健任务（安排预约，参加预约，领取处方）上的独立性，以及一个开放式问题，评估他们希望更多，更少或平等地参与他们目前的护理。我们定性分析自由文本的反应，以确定主题。在1,214名合格的参与者中，805人（66.3%）完成了所有四个问题，并被纳入样本。41%的年轻人表示希望更多地参与他们的护理。在18-24岁的年轻人中，22%的人在这三项医疗保健任务上并不完全独立，他们表示希望减少参与或与目前一样参与。许多青年应被视为医疗保健过渡的伙伴，而不是障碍，但有些青年面临过渡失败的高风险。政策制定者和提供者应促进对青年进行例行检查，以了解他们目前参与护理的程度和更多参与的愿望。
Transitions from pediatric to adult health care are important milestones for youth. In surveys, providers report that youth lack the motivation or skills to manage their care independently, a prerequisite for successful transitions. To assess the validity of this belief, we surveyed youth regarding their current and desired level of involvement in their care. In 2017–2018, we conducted a national text-message survey of youth aged 14–24 years. The survey included three open-ended questions assessing participants’ independence on three health care tasks (scheduling appointments, attending appointments, picking up prescriptions) and one open-ended question assessing their desire to be more, less, or equally involved in their care as they are currently. We qualitatively analyzed free-text responses to identify themes. Among 1,214 eligible participants, 805 (66.3%) completed all four questions and were included in the sample. 41% of youth reported wanting to be more involved in their care. Among young adults aged 18–24 years, 22% were not fully independent on the three health care tasks and reported wanting to be less involved or equally as involved as they are currently. Many youth should be viewed as partners in health care transitions instead of as barriers, but some youth are at high risk for failed transitions. Policymakers and providers should promote routine screening of youth for their current levels of engagement in care and desire to be more involved.
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影响因子：
1.7
作者：
DeJonckheere M;Nichols LP;Moniz MH;Sonneville KR;Vydiswaran VGV;Zhao X;Guetterman TC;Chang T
通讯作者：
Chang T
影响因子：
8
作者：
Modi, Avani C.;Pai, Ahna L.;Drotar, Dennis
通讯作者：
Drotar, Dennis
影响因子：
2.6
作者：
Crissman, Halley P.;Czuhajewski, Christina;Chang, Tammy
通讯作者：
Chang, Tammy
影响因子：
5.7
作者：
Okumura, Megumi J.;Heisler, Michele;Kerr, Eve A.
通讯作者：
Kerr, Eve A.
影响因子：
6.6
作者：
Casey, B. J.;Getz, Sarah;Galvan, Adriana
通讯作者：
Galvan, Adriana