title: Survey of primary care pediatricians on the transition and transfer of adolescents to adult health care.
abstract: The transition and transfer from pediatrics to adult health care of youth with and without special health care needs has become a focus of professional organizations, health care insurers, national policy makers, and providers. To understand transition and transfer at a primary care practice level, all primary care pediatricians in Rhode Island were surveyed. Responses were received from 103 of 169 (60.9%) practicing pediatricians. Few responders had practice policies on transfer. Most reported that transition should begin later than recommended. Few practices communicated with adult providers at transfer. Most reported that health insurers were of little help in transfer. Many pediatric practices had young adults after age 22 and many with special needs. Responders reported adolescents left their practices by 1 of 6 methods. The survey indicates the need for further study of transition and transfer and the need for additional training and education if transfers are to be successful.
authors.affiliation: Warren Alpert School of Medicine of Brown University, Division of General Academic Pediatrics, Hasbro Children's Hospital, Department of Pediatrics, Providence, RI 02903, USA. robert_burke@brown.edu
authors.forename: Robert
authors.initials: R
authors.lastname: Burke
authors.forename: Michael
authors.initials: M
authors.lastname: Spoerri
authors.forename: Ashley
authors.initials: A
authors.lastname: Price
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Cardosi
authors.forename: Patricia
authors.initials: P
authors.lastname: Flanagan
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D000328:Adult; D019538:Health Care Surveys / Q000379:methods / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D010360:Patient Transfer / Q000706:statistics & numerical data; D010372:Pediatrics / Q000458:organization & administration / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D012237:Rhode Island; D011795:Surveys and Questionnaires; D014164:Transfer Agreement / Q000458:organization & administration / Q000706:statistics & numerical data*