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Transition Interventions and Clinical Strategies

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Transitioning from Pediatric to Adult Care in Endocrinology

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Abstract

In this chapter, four overarching types of healthcare transition models that are utilized regularly for adolescent and young adult transition from child to adult care are highlighted: (1) transition of adolescents and young adults from pediatric care to adult providers within the same health system; (2) transition of adolescents and young adults to an adult-focused approach of care without changing providers or healthcare systems; (3) integration of adolescents and young adults into adult care in a new, adult-based health system with new providers; and (4) joint pediatric-adult care within the same or new health system. Within each of these overarching types of healthcare transition models, we include a review of the more recent structured transition programs that all contribute to the growing clinical implementation literature for a successful healthcare transition from child to adult care for six endocrine populations of patients (i.e., type 1 and type 2 diabetes, Turner syndrome, congenital adrenal hyperplasia, childhood cancer, and transgender care). There is an impressive array of clinical approaches that attempt to address the multiple barriers associated with healthcare transition for adolescent and young adults with endocrine conditions, yet much more work needs to be done empirically to identify the key components of these interventions. This will allow for the development of evidence-based transition interventions that increase positive health outcomes for adolescents and young adults with endocrine conditions.

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Acknowledgments

The authors would like to acknowledge the contribution of Sarah Corathers, MD, and Shivani Agarwal, MD, MPH, for their content contributions in this chapter.

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Authors and Affiliations

  1. Department of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati Medical School, Cincinnati, OH, USA

    Jessica C. Kichler

  2. Center for Healthcare Delivery Science, Nemours Children’s Hospital, Orlando, FL, USA

    Jessica Pierce

Authors
  1. Jessica C. Kichler
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  2. Jessica Pierce
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Correspondence to Jessica C. Kichler .

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Editors and Affiliations

  1. Department of Pediatrics, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    Sarah K. Lyons

  2. Department of Pediatrics, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    Marisa E. Hilliard

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Kichler, J.C., Pierce, J. (2019). Transition Interventions and Clinical Strategies. In: Lyons, S., Hilliard, M. (eds) Transitioning from Pediatric to Adult Care in Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-030-05045-0_3

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  • DOI: https://doi.org/10.1007/978-3-030-05045-0_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05044-3

  • Online ISBN: 978-3-030-05045-0

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