title: Pediatric chronic kidney disease and the process of health care transition.
abstract: Health care transition is a process that involves purposeful, planned efforts to prepare the pediatric patient to move from caregiver-directed care to disease self-management. Acquisition of sufficient disease self-management skills for a complex regimen requires cognitive ability consideration for each patient. Transition programs that involve patients, families, pediatric and adult health care providers, and interdisciplinary collaboration are key to ensuring a successful transfer to adult-focused health services. Tools to measure and diagnose the process of transition and acquisition of disease self-management skills are introduced. An evidence-based transition process requires planning and education, in addition to effective coordination.
authors.affiliation: Division of Nephrology and Hypertension, UNC Kidney Center at the University of North Carolina, 7021 Burnett Womack, Chapel Hill, NC 27599-7155, USA. maria_ferris@med.unc.edu
authors.forename: Maria E
authors.initials: ME
authors.lastname: Ferris
authors.forename: John D
authors.initials: JD
authors.lastname: Mahan
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D002648:Child; D002675:Child, Preschool; D003266:Continuity of Patient Care; D003695:Delivery of Health Care; D019033:Delivery of Health Care, Integrated; D006296:Health Services; D019456:Health Transition; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D010360:Patient Transfer; D010372:Pediatrics; D015995:Prevalence; D012648:Self Care; D014481:United States / Q000453:epidemiology; D055815:Young Adult