Transition care: future directions in education, health policy, and outcomes research.
Transition care: future directions in education, health policy, and outcomes research.
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过渡护理：教育，卫生政策和成果研究的未来方向。
DOI：
10.1016/j.acap.2013.11.007
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发表时间：
2014-03
影响因子：
3.1
通讯作者：
Sawicki, Gregory S.
中科院分区：
文献类型：
--
作者：
Sharma, Niraj;O'Hare, Kitty;Antonelli, Richard A.;Sawicki, Gregory S.
关键词：
所有青少年都必须从以儿科为中心的医疗保健过渡到以成人为中心的医疗保健。这一过程对有特殊保健需要的青年尤其困难。许多青年得不到他们所需要的适龄医疗护理，在这一脆弱时期处于危险之中。先前的研究已经确定了可能阻碍有效过渡的障碍，并制定了改进这一过程的协议。与成功过渡有关的健康结果尚未得到充分界定。医疗保健转型也可能受到提供者教育的影响，但在本科、研究生和研究生水平的医学教育方面存在差距。联邦卫生政策目前的变化允许改善卫生保健覆盖面，提供一些新的财政激励措施，并测试过渡性保健的新结构，包括发展负责任的保健组织（ACO）。未来的工作必须测试这些系统的变化将如何影响护理质量。最后，各种医学专科都存在过渡协议；然而，全国调查结果显示，在过渡准备方面没有任何改善，也没有一致的衡量过渡成功的标准。为了推进过渡领域，必须进行研究以整合本科、研究生和研究生层次的过渡课程；提供预先的财政奖励，并在为过渡时期青少年提供护理的中心试点ACO模式；确定对转型具有重要意义的结果衡量标准；并研究当前过渡工具在改善这些结果方面的有效性。
All youth must transition from pediatric to adult-centered medical care. This process is especially difficult for youth with special health care needs. Many youth do not receive the age-appropriate medical care they need and are at risk during this vulnerable time. Previous research has identified barriers that may prevent effective transition, and protocols have been developed to improve the process. Health outcomes related to successful transition have yet to be fully defined. Health care transition can also be influenced by education of providers, but there are gaps in medical education at the undergraduate, graduate, and postgraduate levels. Current changes in federal health policy allow improved health care coverage, provide some new financial incentives, and test new structures for transitional care, including the evolution of accountable care organizations (ACO). Future work must test how these systems changes will affect quality of care. Finally, transition protocols exist in various medical subspecialties; however, national survey results show no improvement in transition readiness, and there are no consistent measures of what constitutes transition success. In order to advance the field of transition, research must be done to integrate transition curricula at the undergraduate, graduate, and postgraduate levels; to provide advance financial incentives and pilot the ACO model in centers providing care to youth during transition; to define outcome measures of importance to transition; and to study the effectiveness of current transition tools on improving these outcomes.
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影响因子：
8
作者：
Goodman, Denise M.;Hall, Matthew;Slonim, Anthony D.
通讯作者：
Slonim, Anthony D.
影响因子：
3.1
作者：
Park, M. Jane;Adams, Sally H.;Irwin, Charles E., Jr.
通讯作者：
Irwin, Charles E., Jr.
影响因子：
5.7
作者：
Okumura, Megumi J.;Heisler, Michele;Kerr, Eve A.
通讯作者：
Kerr, Eve A.
DOI：
10.1016/j.pedn.2006.07.006
发表时间：
2007-04-01
期刊：
Journal of pediatric nursing
影响因子：
--
作者：
Betz, Cecily L
通讯作者：
Betz, Cecily L
影响因子：
1.9
作者：
Fletcher-Johnston, M.;Marshall, S. K.;Straatman, L.
通讯作者：
Straatman, L.