title: Transition to adult services - a positive step.
abstract: Following the success of antiretroviral therapy, an expanding cohort of adolescents with perinatally acquired HIV (PaHIV) is transitioning into adult care. Dedicated multidisciplinary transitional care HIV services have been established in the UK. However, published data on patient satisfaction with such services are sparse. A single centre survey of patient satisfaction was conducted in January 2014, and results compared to a previous similar survey in 2009. Patients were asked to complete a questionnaire regarding views of their care using a 7-point Likert scale. 51/96 attended within the time period and all completed the survey, compared with 21 in 2009. Ninety-two percent were satisfied with the care provided by the clinic, compared to 100% in 2009. The proportion who felt moving to their current service had a positive effect on their health increased from 68% in 2009 to 81% in 2014. Ninety-two percent were satisfied with the overall care provided by the clinic, compared to 100% in 2009. Ninety-four percent agreed that staff knew how to talk and listen to young people, 96% agreed staff were able to explain their treatments and problems clearly in a way that they could understand. Ninety-six percent felt that a clinic specifically for young people was useful. Despite a marked increase in clinic attendees and unchanged levels of service provision, patient satisfaction remained high. Patients strongly value the provision of dedicated services for young people.
authors.affiliation: a Imperial College London , London , UK.
authors.forename: Samuel
authors.initials: S
authors.lastname: Kim
authors.affiliation: a Imperial College London , London , UK.
authors.forename: Sung Hee
authors.initials: SH
authors.lastname: Kim
authors.affiliation: b 900 Clinic, Imperial College Healthcare NHS Trust , London , UK.
authors.forename: Susan
authors.initials: S
authors.lastname: McDonald
authors.affiliation: a Imperial College London , London , UK.|b 900 Clinic, Imperial College Healthcare NHS Trust , London , UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Fidler
authors.affiliation: b 900 Clinic, Imperial College Healthcare NHS Trust , London , UK.
authors.forename: Caroline
authors.initials: C
authors.lastname: Foster
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D015331:Cohort Studies; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011795:Surveys and Questionnaires; D060305:Transition to Adult Care; D006113:United Kingdom
keywords: HIV; Transition; adolescent; patient satisfaction; service evaluation