Transition to adult health care for adolescents with chronic conditions: practices of a tertiary care hospital in Brazil
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Abstract
Introduction: due to advances in medical care, 90% of children with chronic diseases are currently surviving into adulthood. For this reason, a process of transition, involving a multidisciplinary team, from pediatric/hebiatric care to adult medicine is necessary. This process shouldbe planned, individualized, gradual and based on the teenager's skills, especially on his/her own care and on the knowledge of his/her disease. Objective: to evaluate the transition conditions implemented in some pediatric specialities units from a public tertiary child hospital in Rio de Janeiro. Methods: qualitative descriptive study consisting
on the application of a specific questionnaire to evaluate the organization of pediatric specialities services regarding the transition from pediatric medicine to adult care. Results: only three of five evaluated units have a professional or a team of health professionals dedicated to the transition process, but not exclusively. None of the five units evaluated have a joint consultation with the pediatrician and the adult physician prior to the transition, although there are external references for three of them. No service utilizes validated tools to assess adolescent skills throughout the process or implements educational programs for the transition. Conclusions: there is not an established transition program of care to adult medicine for patients with chronic diseases in our hospital.
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