Transition to adult care

The growing number of older adults with chronic diseases challenges already strained healthcare systems. Fragmented systems make transitions between healthcare settings demanding, posing risks during transitions from in-patient care to home. Despite efforts to make healthcare person-centered during care transitions, previous research indicates that these ambitions are not yet achieved.

10p vishanshan 27-06-2024 1 1   Download

While the electronic health record (EHR) has become a standard of care, pediatric patients pose a unique set of risks in adult-oriented systems. We describe medication safety and implementation challenges and solutions in the pediatric population of a large academic center transitioning its EHR to Epic.

7p visteverogers 24-06-2023 5 2   Download

This article reports a systematic review of studies containing development and validation of models predicting postacute care destination after adult inpatient hospitalization, summarizes clinical populations and variables, evaluates model performance, assesses risk of bias and applicability, and makes recommendations to reduce bias in future models.

11p vighostrider 25-05-2023 4 3   Download

To assess the impact of virtual capacity assessments on access to medical care, community supports, and transitions to higher levels of care. Study Setting: Virtual capacity evaluations of homebound suspected elder abuse/ neglect/financial exploitation victims identified via exclusion criteria and initiated by Cuyahoga County adult protective services (APS) and conducted with Cleveland Clinic Geriatric Medicine.

6p vigamora 25-05-2023 6 2   Download

Many hospitalized older adults cannot be discharged because they lack the health and social support to meet their post-acute care needs. Transitional care programs (TCPs) are designed to provide short-term and lowintensity restorative care to these older adults experiencing or at risk for delayed discharge.

18p viisaacnewton 25-04-2022 17 4   Download

Older adults, especially those with physical and social complexities are at risk of hospital-associated deconditioning. Hospital-associated deconditioning is linked to increased length of stay in hospital, stress, and readmission rates.

9p viisaacnewton 25-04-2022 9 4   Download

Adult children are often key carers of frail older parents providing care for a long period of time in different care contexts. However, research concerning adult children’s caregiving experiences, from providing homebased care to facing the death of a parent in a nursing home is sparse.

12p vinobelprisen 26-03-2022 16 4   Download

The successful transition of childhood cancer survivors (CCSs) from pediatric to adult long-term follow-up care is a critical phase, and determining the right time point can be challenging. We assessed the feasibility of the use of existing transition readiness tools in the context of the Swiss health care system, assessed partly transition readiness in Swiss CCSs, and compared our findings with Canadian CCSs for which these tools were originally developed.

7p vianrose2711 27-04-2021 10 1   Download

Adolescent and young adult (AYA) childhood cancer survivors (CCS) should be empowered to continue their survivor-focused care as they transition into adult medicine. However, the majority of AYA-aged survivors become lost to follow up around the age of typical transition to adulthood

12p virose2711 25-09-2020 13 1   Download

Mental health disorders in the child and adolescent population are a pressing public health concern. Despite the high prevalence of psychopathology in this vulnerable population, the transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) has many obstacles such as deficiencies in planning, organisational readiness and policy gaps.

9p viorochimaru2711 29-05-2020 23 0   Download

Young people with neurological impairments such as epilepsy are known to receive less adequate services compared to young people with other long-term conditions. The time (age 13-19 years) around transition to adult services is particularly important in facilitating young people’s self-care and ongoing management.

17p virubber2711 21-03-2020 13 2   Download

Transition from pediatric to adult diabetes care is a high risk period during which there is an increased rate of disengagement from care. Suboptimal transition has been associated with higher risks for acute and chronic diabetes-related complications.

8p vinatri2711 29-02-2020 16 0   Download

Health care transition of adolescents with chronic conditions may be unsuccessful when patients have not acquired the necessary skills and developmental milestones. It is therefore critical for health care providers to assess the readiness for transition of their adolescent patients.

10p vinatri2711 29-02-2020 18 1   Download

To investigate the progress of transition from paediatric to adult health care for patients with cancer in Taiwan’s medical system.

8p videshiki2711 21-02-2020 10 0   Download

Little is known on outcomes after transition to adult care among adolescents with perinatal HIV infection. Though there is data from other chronic pediatric diseases suggesting increased morbidity and mortality following transfer to adult care, this has not well been studied among the first wave of survivors of perinatal HIV infection.

7p videshiki2711 21-02-2020 12 0   Download

Professional support in pediatric and rehabilitation care environments has been recommended as a means to build youth competence in life skills during their transition to adulthood. Life skills are the essential psychosocial competencies and interpersonal skills needed to manage one’s life.

12p virome2711 13-01-2020 15 2   Download

The transitioning of young patients from child and adolescent to adult mental health services when indicated often results in the interruption or termination of service. The personal views of young service users on current clinical practice are a valuable contribution that can help to identify service gaps.

10p vigustavia2711 19-12-2019 3 0   Download

Adolescence is a time of rapid physiological and psychological change of intensive readjustment to the family, school, work and social life and of preparation for adult roles. The term “adolescence” literally means “to emerge”, “to mature” or “achieve identity”. It is a significant phase of transition from childhood to adulthood, which is marked by physical changes accompanied by psychological changes. This is the time to make adolescents aware of and informed about various facets of life in order to promote a healthy way of living.

9p kethamoi2 14-12-2019 15 0   Download