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Transition care: future directions in education, health policy, and outcomes research.

Publication ,  Journal Article
Sharma, N; O'Hare, K; Antonelli, RC; Sawicki, GS
Published in: Acad Pediatr
2014

All youth must transition from pediatric to adult-centered medical care. This process is especially difficult for youth with special health care needs. Many youth do not receive the age-appropriate medical care they need and are at risk during this vulnerable time. Previous research has identified barriers that may prevent effective transition, and protocols have been developed to improve the process. Health outcomes related to successful transition have yet to be fully defined. Health care transition can also be influenced by education of providers, but there are gaps in medical education at the undergraduate, graduate, and postgraduate levels. Current changes in federal health policy allow improved health care coverage, provide some new financial incentives, and test new structures for transitional care, including the evolution of accountable care organizations (ACO). Future work must test how these systems changes will affect quality of care. Finally, transition protocols exist in various medical subspecialties; however, national survey results show no improvement in transition readiness, and there are no consistent measures of what constitutes transition success. In order to advance the field of transition, research must be done to integrate transition curricula at the undergraduate, graduate, and postgraduate levels; to provide advance financial incentives and pilot the ACO model in centers providing care to youth during transition; to define outcome measures of importance to transition; and to study the effectiveness of current transition tools on improving these outcomes.

Duke Scholars

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2014

Volume

14

Issue

2

Start / End Page

120 / 127

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Transition to Adult Care
  • Pediatrics
  • Pediatrics
  • Patient Protection and Affordable Care Act
  • Outcome Assessment, Health Care
  • Internal Medicine
  • Humans
  • Health Policy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sharma, N., O’Hare, K., Antonelli, R. C., & Sawicki, G. S. (2014). Transition care: future directions in education, health policy, and outcomes research. Acad Pediatr, 14(2), 120–127. https://doi.org/10.1016/j.acap.2013.11.007
Sharma, Niraj, Kitty O’Hare, Richard C. Antonelli, and Gregory S. Sawicki. “Transition care: future directions in education, health policy, and outcomes research.Acad Pediatr 14, no. 2 (2014): 120–27. https://doi.org/10.1016/j.acap.2013.11.007.
Sharma N, O’Hare K, Antonelli RC, Sawicki GS. Transition care: future directions in education, health policy, and outcomes research. Acad Pediatr. 2014;14(2):120–7.
Sharma, Niraj, et al. “Transition care: future directions in education, health policy, and outcomes research.Acad Pediatr, vol. 14, no. 2, 2014, pp. 120–27. Pubmed, doi:10.1016/j.acap.2013.11.007.
Sharma N, O’Hare K, Antonelli RC, Sawicki GS. Transition care: future directions in education, health policy, and outcomes research. Acad Pediatr. 2014;14(2):120–127.
Journal cover image

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2014

Volume

14

Issue

2

Start / End Page

120 / 127

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Transition to Adult Care
  • Pediatrics
  • Pediatrics
  • Patient Protection and Affordable Care Act
  • Outcome Assessment, Health Care
  • Internal Medicine
  • Humans
  • Health Policy