Lessons learned in building a hospital-wide transition program from pediatric to adult-based health care for youth with special health care needs (YSHCN).
Lessons learned in building a hospital-wide transition program from pediatric to adult-based health care for youth with special health care needs (YSHCN).
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DOI：
10.1515/ijamh-2015-0048
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发表时间：
2016-11-01
影响因子：
--
通讯作者：
Bowman, Valerie F
中科院分区：
文献类型：
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作者：
Hergenroeder, Albert C;Wiemann, Constance M;Bowman, Valerie F
医学的进步增加了患有慢性疾病的儿童度过童年的可能性。他们的病情治疗取得了成功，但有效促进他们过渡到成人护理的方法却没有与之相匹配。这份简短的报告描述了在建立全院医疗保健过渡 (HCT) 规划基础设施方面吸取的经验教训，该基础设施可以帮助患者从儿科护理过渡到成人护理，无论疾病/残疾如何。建立基于医院的 HCT 规划计划的坚实基础包括以下内容： 重点关注促进医疗转型所需的结构和流程；对当前过渡政策/实践进行基线评估；了解过渡规划的复杂性和必要性；确定过渡规划的倡导者和愿意接受患有慢性疾病的青少年的成人提供者；建立评估过渡计划建设活动的方法。任何 HCT 计划的实施都取决于创造一种文化，期望成功的 HCT 是成功儿科护理的顶峰。医院支持（资源、人员培训和可容纳该计划的扩展基础设施）对于可持续的 HCT 规划计划是必要的。
Advancements in medicine have increased the likelihood that children with chronic illnesses will survive childhood. The success in treatment for their conditions has not been matched by methods to effectively facilitate their transition to adult care. This short report describes lessons learned in building a hospital-wide health care transition (HCT) planning infrastructure that could help patients transition from pediatric to adult-based care regardless of disease/disability. A solid foundation on which to build a hospital-based HCT planning program includes the following: focusing on structure and processes needed to facilitate medical transition; conducting a baseline assessment of current transition policy/practice; building an understanding of the complexity and necessity of transition planning; identifying advocates for transition planning and adult providers who will accept youth with chronic medical conditions; and establishing methods to evaluate transition program building activities. The implementation of any HCT program will depend on creating a culture that expects successful HCT to be the culmination of successful pediatric care. Hospital support (resources, staff training and an expanded infrastructure into which the program can fit) is necessary for a sustainable HCT planning program.