[The pediatric-to-adult transit clinic as a quality-securing measure in endocrinological diseases].
The establishment of structured transit clinics for pediatric patients with endocrinological diseases entering adulthood is a prerequisite for ensuring the quality of care for patients with chronic endocrine diseases. Since such patients have been receiving constant special pediatric care on a large scale only during the last 20 years, and only now is an improvement in life expectancy and quality of life becoming evident for the individual diseases, a comprehensive store of experience, or even of evaluated data, is lacking. In order to preserve the quality achieved in pediatric care, transitional structures must initially utilize the experience and results achieved in the pediatric setting, and adapt them to the requirements of adult patients. This is an ongoing process, and additional resources are required for the transition, e.g. for joint medical counseling and care, as also for the continuing utilization of non-medical pediatric services. The basis for the implementation of such models is, in principle, provided by the Gesundheitsmodernisierungsgesetz, GMG (health care modernization act), and, for reasons of quality control, the necessary structures should be put in place as quickly as possible.
Grüters
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Zentrum für Kinderheilkunde und Jugendmedizin Charité Berlin. annette.grueters@charite.de
D000293:Adolescent; D000328:Adult; D002648:Child; D002908:Chronic Disease; D003376:Counseling; D004700:Endocrine System Diseases / Q000628:therapy*; D004704:Endocrinology; D005260:Female; D005858:Germany; D006801:Humans; D007223:Infant; D007400:Interprofessional Relations; D008017:Life Expectancy; D008297:Male; D010372:Pediatrics; D011786:Quality Control; D011787:Quality of Health Care; D011788:Quality of Life; D013997:Time Factors