Understanding the Pediatric and Adult Healthcare System: Adapting to Change

  • Megumi J. Okumura
  • Ian S. Harris
  • Mary Ellen Kleinhenz


Differences in pediatric and adult healthcare systems often become apparent during the transition and transfer from pediatric- to adult-based care. Lack of disease-specific resources and lack of expertise in the adult healthcare system, along with the differences in approach to chronic disease management between the two systems, are often cited as barriers to successful transfer. This chapter examines the epidemiology of chronic disease in the transition-aged population and the etiologies of the differences seen between pediatrics and adult healthcare systems. Finally we discuss ways to mitigate percieved differences between the health systems to assist pediatric and adult health providers make the transfer process successful.


Pediatric and adult healthcare systems Chronic illness Transition Adolescents and young adults with special healthcare needs Adult providers Pediatric providers 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Megumi J. Okumura
    • 1
  • Ian S. Harris
    • 2
  • Mary Ellen Kleinhenz
    • 3
  1. 1.Departments of Pediatrics and Medicine, Divisions of General Pediatrics and General Internal MedicineUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Department of Medicine, Division of Cardiology, Adult Congenital Heart ProgramUniversity of California—San FranciscoSan FranciscoUSA
  3. 3.Department of Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep, Adult Cystic Fibrosis ProgramUniversity of California—San FranciscoSan FranciscoUSA

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