Transition of young people with respiratory diseases to adult health care.
As many more young people with chronic health conditions survive well into adulthood, transition of affected young people from paediatric to adult health care is increasingly becoming the expected standard of care. Despite this, there is still little objective or long-term evidence to guide the development or deployment of developmentally appropriate transition processes or to define the precise manner in which the transfer of care should take place. Nevertheless, certain principles of transition have now received nearly universal endorsement. In this paper, the rationale for transition is discussed, practical strategies for transition are described, the existing evidence base supporting transition is reviewed and limitations in our knowledge are outlined. Ultimately, a carefully planned transition to adult health care should improve self-reliance, enhance autonomy and independence and support young people in attaining their maximum potential and meaningful adult lives.
Rosen
David S
DS
Department of Pediatrics, University of Michigan Medical School, D3237 MPB Box 0718, 1500 E. Medical Center Dr, Ann Arbor, MI 48109-0718, USA. rosends@umich.edu
D000293:Adolescent; D041923:Adolescent Development; D000328:Adult; D002908:Chronic Disease; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006801:Humans; D010372:Pediatrics; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration; D011787:Quality of Health Care; D012140:Respiratory Tract Diseases / Q000628:therapy*; D012648:Self Care