title: Straddling the pathway from paediatrician to mainstream health care: transition issues experienced in disability care.
abstract: OBJECTIVE
  To identify the strengths and limitations of health care and related services provided to young adults with a disability during the period of transition from the care of a paediatrician to the mainstream health system.
  
  
  METHODS
  A descriptive design was used to address the study objectives.
  
  
  METHODS
  Barwon and south-western region of Victoria.
  
  
  METHODS
  Twelve focus group discussions, with young adults with a disability, carers of young adults with a disability and health care service providers. Each focus group involved eight to 10 participants.
  
  
  RESULTS
  The findings revealed a number of problems with the transition period. All participants acknowledged the supportive, coordinating role of the paediatrician. In the absence of this type of role, carers felt they lacked the knowledge and support to manage the adolescent with a disability. Communication problems between all service providers were identified as being problematical. The general lack of continuity of care between providers made it difficult for individuals to negotiate the transition period and increased the burden of care on carers.
  
  
  CONCLUSIONS
  There is a need for policy makers to address these transition problems and develop appropriate services that improve the situation for young adults with a disability and their carers.
authors.affiliation: School of Nursing, Deakin University. bevoconn@deakin.edu.au
authors.forename: Bev
authors.initials: B
authors.lastname: O'Connell
authors.forename: Susan
authors.initials: S
authors.lastname: Bailey
authors.forename: Julian
authors.initials: J
authors.lastname: Pearce
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000458:organization & administration; D019090:Case Management / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration*; D019091:Critical Pathways / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006233:Persons with Disabilities; D017144:Focus Groups; D006801:Humans; D007400:Interprofessional Relations; D017060:Patient Satisfaction; D010372:Pediatrics / Q000458:organization & administration*; D010821:Physicians, Family; D019035:Rural Health Services / Q000458:organization & administration*; D014739:Victoria