Healthcare Transition from the Adult Provider’s Perspective
From the adult provider perspective, there are barriers to maintaining high-quality care during the transition of adolescents and young adults with special health-care needs (AYASHCN) from the pediatric provider to the adult provider. There is an insufficient quantity of adult providers prepared to care for this population, and the psychosocial needs of AYASHCN require a special subset of skills from the adult provider. There are unique expectations for the specifics of care from the patient and the family based on years within the pediatric environment. There are health-care structural and insurance issues that may complicate the transition process. Fortunately there are models that the adult provider can use to facilitate successful transition which emphasize coordinated, multidisciplinary, and patient-centered care with understanding of the unique needs of this patient population.
KeywordsTransition Barriers Internist Young adults Care coordination Patient-centered
- 2.American College Health Association National College Health Assessment Reference Group Data Assessment Fall. 2009. www.acha-ncha.org/docs/ACHA-NCHA_Reference_Group_Report_Fall2009.pdf. Accessed 27 Oct 2017.
- 3.American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians-American Society of Internal Medicine. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics. 2002;110(6 Pt 2):1304–6.Google Scholar
- 4.U.S. Census Bureau, Current population survey, 2013.Google Scholar
- 5.Blum RW. Overview of transition issues for youth with disabilities. Paediatrician. 1991;18:101–4.Google Scholar
- 6.National Survey of Children’s Health. Child and adolescent health measurement initiative. http://childhealthdata.org/learn/NSCH. Accessed 27 Oct 2017.
- 8.Youth with Special Health Care Needs Receive the Services Necessary to Make Transitions to Adult Health Care. NS-CSHCN CHARTBOOK 2009-2010. Illustrated Findings from the National Survey of Children with Special Health Care Needs. mchb.hrsa.gov/cshcn0910/core/pages/co6/co6tahc.html. Accessed 27 Oct 2017.
- 16.United States Census Bureau. Age and sex composition: 2010. 2010 census briefs. www.census.gov/prod/cen2010/briefs/c2010br-03.pdf. Accessed 27 Oct 2017.
- 17.The Complexities of Physician Supply and Demand: Projections from 2014 to 2025. Association of American Medical Colleges. www.aamc.org/download/458082/data/2016_complexities_of_supply_and_demand_projections.pdf. Accessed 27 Oct 2017.
- 20.U.S. Census Bureau. Current population survey. 1999. www.census.gov/prod/2001pubs/p23-205.pdf. Accessed 27 Oct 2017.
- 22.Institute of Medicine and National Research Council. Investing in the health and well-being of young adults. Washington, DC: The National Academies Press; 2015.Google Scholar
- 23.Center for Disease Control. Health, United States, 2015, with special feature on racial and ethnic health disparities. www.cdc.gov/nchs/data/hus/hus15.pdf. Accessed 27 Oct 2017.
- 24.Halfon N, et al. The handbook of life course health development science. New York, NY: Springer International Publishing; 2017.Google Scholar
- 30.Defining the Patient Centered Medical Home, U.S. Department of Health & Human Services. pcmh.ahrq.gov/page/defining-pcmh. Accessed 27 Oct 2017.
- 32.World Health Organization. Innovative care for chronic conditions, building blocks for action. http://www.who.int/chp/knowledge/publications/icccglobalreport.pdf. Accessed 27 Oct 2017.
- 33.Goldenring JM, Rosen DS. Getting into adolescent heads: an essential update. Contemp Pediatr. 2004;21(1):64–90.Google Scholar
- 34.U.S. Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings. www.samhsa.gov/data/sites/default/files/NSDUHNationalFindingsResults2010-web/2k10ResultsRev/NSDUHresultsRev2010.pdf. Accessed 27 Oct 2017.
- 36.Postolowski C, et al. Helping students understand health care reform and enroll in health insurance. 2013. www.clasp.org/resources-and-publications/files/ACA-Toolkit_Helping-Students-Understand-Health-Care-Reform-and-Enroll-in-Health-Insurance.pdf. Accessed 27 Oct 2017.
- 37.Dauner KN, Thompson J. Young adult’s perspectives on being uninsured and implications for health reform. Qual Rep. 2014;19(4):1.Google Scholar