title: [The transition process from paediatric to adult services: A perspective from hospitalised adolescent sufferers of chronic diseases].
abstract: BACKGROUND
  Chronic illnesses during adolescence are a big challenge for the patient, his or her family, and health care providers. The transition from paediatric health services to adult health services involves a programmed and planned transfer process of adolescent sufferers of chronic illnesses, in order to maintain a high quality of life and bio-psycho-social development. There is currently no transition model. The objective of the study is to understand the transition process from the perspective of hospitalised adolescents to collaborate towards the design of a model that meets the needs studied.
  
  
  METHODS
  Semi-structured interviews with 13 adolescent sufferers of chronic illnesses, hospitalised in two healthcare centres in Santiago, Chile, in one analytical-relational study, supported by qualitative methodology.
  
  
  RESULTS
  In the analysis, 5 major themes stand out: experience of living with the illness, the importance of the doctor-patient relationship, the concept of limited autonomy to the pharmacology, the absence of the transition process as such, and the identification of barriers and needs for an adequate transition.
  
  
  CONCLUSIONS
  This study is new in Chile in that it explores the phenomenom of the transition of adolescents with chronic illnesses. It emphasises the need to reinforce the concept of self-care and autonomy from early stages of care, and the importance of early planning of a healthy transition process, in accordance to the detected needs of the adolescents themselves.
authors.affiliation: División de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: cainostr@uc.cl.
authors.forename: Carolina
authors.initials: C
authors.lastname: Inostroza Quezada
authors.affiliation: División de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: María Loreto
authors.initials: ML
authors.lastname: Correa Venegas
authors.affiliation: Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Carolina
authors.initials: C
authors.lastname: Besoain Arrau
authors.affiliation: Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Reinoso Medinelli
authors.affiliation: Unidad de Salud del Adolescente, Hospital Dr. Sótero del Río, Puente Alto, Chile.
authors.forename: Macarena
authors.initials: M
authors.lastname: Velarde Lizama
authors.affiliation: Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Valenzuela Mujica
authors.affiliation: Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Paula
authors.initials: P
authors.lastname: Bedregal García
authors.affiliation: División de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Tamara
authors.initials: T
authors.lastname: Zubarew Gurtchin
mesh_terms: D000293:Adolescent; D000298:Adolescent, Hospitalized; D002677:Chile; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011788:Quality of Life; D012648:Self Care / Q000379:methods; D060305:Transition to Adult Care / Q000458:organization & administration*
keywords: Adolescence; Adolescencia; Calidad de vida; Chronic illnesses; Enfermedades crónicas; Quality of Life; Transición; Transition