Health Care Transition: The Struggle to Define Itself

Health Care Transition: The Struggle to Define Itself
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DOI:
10.1080/24694193.2021.1933264
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发表时间:
2023-07-03
影响因子:
2.1
通讯作者:
Hudson, Sharon M.
Hudson, Sharon M.
中科院分区:
其他
文献类型:
--
作者:
Betz, Cecily L.;Coyne, Imelda;Hudson, Sharon M.

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医疗保健转型是一个不断扩大的医疗保健实践和研究领域,重点是促进患有长期疾病的青少年和新兴成年人不间断地从儿科医疗保健服务转移到成人医疗保健服务,并成功过渡到成年期及以后。随着大约一百万患有长期疾病的青少年和新兴成年人将他们的护理转移到成人系统并进入成年期,广泛需要开发和实施服务模式。本文的目的是探讨与医疗保健转型实践、研究以及最终政策制定和系统变革的现状相关的主要问题。本文讨论的突出问题包括以下内容。明确定义医疗保健转型实践模型的构成,与医疗保健转型不可或缺的概念所使用的术语存在模糊性。常用的医疗保健过渡术语(例如过渡、转移、准备和准备)的模糊含义需要具体化才能广泛应用。此外,关于这一实践和科学领域预计会产生哪些目标导向的结果,仍然存在疑问。
Health care transition is an expanding field of health care practice and research focused on facilitating adolescents and emerging adults with long-term conditions to transfer uninterruptedly from pediatric to adult health care services and to transition successfully into adulthood and beyond. There is a widespread need to develop and implement service models as approximately one million adolescents and emerging adults with long-term conditions transfer their care into the adult system and enter adulthood. The purpose of this article is to explore major issues associated with the current state of health care transition practice, research and ultimately policymaking and systems change. The prominent issues addressed in this article include the following. Defining clearly what constitutes models of health care transition practice as ambiguity exists with terminology used with concepts integral to health care transition. The indistinct meanings of health care transition terminology commonly used, such as transition, transfer, readiness, and preparation, need to be operationalized for widespread application. Furthermore, questions remain as to what goal-directed outcomes are expected within this field of practice and science.