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Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018.

Publication ,  Conference
Johnson, KR; Edens, C; Sadun, RE; Chira, P; Hersh, AO; Goh, YI; Hui-Yuen, J; Singer, NG; Spiegel, LR; Stinson, JN; White, PH; Lawson, E ...
Published in: J Rheumatol
September 2021

OBJECTIVE: Since 2010, the rheumatology community has developed guidelines and tools to improve healthcare transition. In this study, we aimed to compare current transition practices and beliefs among Childhood Arthritis and Rheumatology Research Alliance (CARRA) rheumatology providers with transition practices from a provider survey published in 2010. METHODS: In 2018, CARRA members completed a 25-item online survey about healthcare transition. Got Transition's Current Assessment of Health Care Transition Activities was used to measure clinical transition processes on a scale of 1 (basic) to 4 (comprehensive). Bivariate analyses were used to compare 2010 and 2018 survey findings. RESULTS: Over half of CARRA members completed the survey (202/396), including pediatric rheumatologists, adult- and pediatric-trained rheumatologists, pediatric rheumatology fellows, and advanced practice providers. The most common target age to begin transition planning was 15-17 years (49%). Most providers transferred patients prior to age 21 years (75%). Few providers used the American College of Rheumatology transition tools (31%) or have a dedicated transition clinic (23%). Only 17% had a transition policy in place, and 63% did not consistently address healthcare transition with patients. When compared to the 2010 survey, improvement was noted in 3 of 12 transition barriers: availability of adult primary care providers, availability of adult rheumatologists, and pediatric staff transition knowledge and skills (P < 0.001 for each). Nevertheless, the mean current assessment score was < 2 for each measurement. CONCLUSION: This study demonstrates improvement in certain transition barriers and practices since 2010, although implementation of structured transition processes remains inconsistent.

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Published In

J Rheumatol

DOI

EISSN

1499-2752

Publication Date

September 2021

Volume

48

Issue

9

Start / End Page

1442 / 1449

Location

Canada

Related Subject Headings

  • Young Adult
  • United States
  • Transition to Adult Care
  • Rheumatology
  • Rheumatologists
  • Patient Transfer
  • North America
  • Humans
  • Child
  • Arthritis & Rheumatology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Johnson, K. R., Edens, C., Sadun, R. E., Chira, P., Hersh, A. O., Goh, Y. I., … CARRA Transition Workgroup, . (2021). Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018. In J Rheumatol (Vol. 48, pp. 1442–1449). Canada. https://doi.org/10.3899/jrheum.200196
Johnson, Kiana R., Cuoghi Edens, Rebecca E. Sadun, Peter Chira, Aimee O. Hersh, Y Ingrid Goh, Joyce Hui-Yuen, et al. “Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018.” In J Rheumatol, 48:1442–49, 2021. https://doi.org/10.3899/jrheum.200196.
Johnson KR, Edens C, Sadun RE, Chira P, Hersh AO, Goh YI, et al. Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018. In: J Rheumatol. 2021. p. 1442–9.
Johnson, Kiana R., et al. “Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018.J Rheumatol, vol. 48, no. 9, 2021, pp. 1442–49. Pubmed, doi:10.3899/jrheum.200196.
Johnson KR, Edens C, Sadun RE, Chira P, Hersh AO, Goh YI, Hui-Yuen J, Singer NG, Spiegel LR, Stinson JN, White PH, Lawson E, CARRA Transition Workgroup. Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Clinicians From 2010 to 2018. J Rheumatol. 2021. p. 1442–1449.

Published In

J Rheumatol

DOI

EISSN

1499-2752

Publication Date

September 2021

Volume

48

Issue

9

Start / End Page

1442 / 1449

Location

Canada

Related Subject Headings

  • Young Adult
  • United States
  • Transition to Adult Care
  • Rheumatology
  • Rheumatologists
  • Patient Transfer
  • North America
  • Humans
  • Child
  • Arthritis & Rheumatology