Where Did They Go? Tracking Young Adult Follow-up During the Transition From Pediatric to Adult-Oriented Care.

Journal Article (Journal Article)

Continuity of care during health care transition is critical. We sought to evaluate electronic medical record clinic attendance data to examine this outcome. We identified 1623 patients (ages 18-27 years) with 1 of 6 childhood-onset chronic conditions and tracked clinic utilization from January 2002 to July 2016. Patients were classified as active in pediatric care; lost from pediatric care; successfully transferred; or lost from adult care. Using random effects logistic regression, we compared the number of days between last pediatric and first adult visit to each clinic's self-reported transitional care quality score. In this cohort, >44% remained active in care at the end of the study. Clinics with higher proportions of successfully transferred patients had lower median numbers of days between last pediatric and first adult visit and higher transitional care quality scores. Characterizing utilization patterns with electronic medical record data allows health systems to track transitional care outcomes and target improvement efforts.

Full Text

Duke Authors

Cited Authors

  • Hart, LC; Pollock, M; Brown, A; Shah, N; Chung, RJ; Sloane, R; Maslow, GR

Published Date

  • October 2019

Published In

Volume / Issue

  • 58 / 11-12

Start / End Page

  • 1277 - 1283

PubMed ID

  • 31179741

Electronic International Standard Serial Number (EISSN)

  • 1938-2707

International Standard Serial Number (ISSN)

  • 0009-9228

Digital Object Identifier (DOI)

  • 10.1177/0009922819852980


  • eng