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                  <text>February 2022 List</text>
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              <text>&lt;a href="http://doi.org/10.1186/s12913-021-07335-x" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1186/s12913-021-07335-x&lt;/a&gt;</text>
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            <name>Title</name>
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                <text>Discontinuation of follow-up care for young people with complex chronic conditions: conceptual definitions and operational components</text>
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            <name>Publisher</name>
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                <text>BMC Health Services Research</text>
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                <text>2021</text>
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                <text>Adolescent; Aftercare; Chronic Disease; Continuity of patient care: patient transfer; Delivery of health care; Health Personnel; Lost to follow-up; Young adult</text>
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                <text> Skogby S; Bratt EL; Johansson B; Moons P; Goossens E</text>
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                <text>BACKGROUND: A substantial proportion of young people with Complex Chronic Conditions (CCCs) experience some degree of discontinuation of follow-up care, which is an umbrella term to describe a broken chain of follow-up. Discontinuation of follow-up care is not clearly defined, and the great plethora of terms used within this field cannot go unnoticed. Terms such as "lost to follow-up", "lapses in care" and "care gaps", are frequently used in published literature, but differences between terms are unclear. Lack of uniformity greatly affects comparability of study findings. The aims of the present study were to (i) provide a systematic overview of terms and definitions used in literature describing discontinuation of follow-up care in young people with CCC's; (ii) to clarify operational components of discontinuation of follow-up care (iii); to develop conceptual definitions and suggested terms to be used; and (iv) to perform an expert-based evaluation of terms and conceptual definitions. METHODS: A systematic literature search performed in PubMed was used to provide an overview of current terms used in literature. Using a modified summative content analysis, operational components were analysed, and conceptual definitions were developed. These conceptual definitions were assessed by an expert panel using a survey. RESULTS: In total, 47 terms and definitions were retrieved, and a core set of operational components was identified. Three main types of discontinuation of follow-up care emerged from the analysis and expert evaluation, conceptually defined as follows: Lost to follow-up care: "No visit within a defined time period and within a defined context, and the patient is currently no longer engaged in follow-up care"; Gap in follow-up care: "Exceeded time interval between clinic visits within a defined context, and the patient is currently engaged in follow-up care"; and Untraceability: "Failure to make contact due to lack of contact information". CONCLUSION: By creating a common vocabulary for discontinuation of follow-up care, the quality of future studies could improve. The conceptual definitions and operational components provide guidance to both researchers and healthcare professionals focusing on discontinuation of follow-up care for young people with CCCs.</text>
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                <text>&lt;a href="http://doi.org/10.1186/s12913-021-07335-x" target="_blank" rel="noreferrer noopener"&gt;10.1186/s12913-021-07335-x&lt;/a&gt;</text>
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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="134833">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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        <name>Adolescent</name>
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        <name>Aftercare</name>
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        <name>BMC Health Services Research</name>
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        <name>Bratt EL</name>
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        <name>Chronic Disease</name>
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        <name>Continuity of patient care: patient transfer</name>
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        <name>February 2022 List</name>
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        <name>Goossens E</name>
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        <name>Health Personnel</name>
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        <name>Johansson B</name>
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        <name>Lost to follow-up</name>
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        <name>Moons P</name>
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        <name>Skogby S</name>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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          <name>Citation List Month</name>
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              <text>July 2017 List</text>
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                <text>Predictors Of Care Gaps In Adolescents With Complex Chronic Condition Transitioning To Adulthood</text>
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            <name>Publisher</name>
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                <text>American Journal of Obstetrics &amp; Gynecology</text>
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                <text>2016</text>
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          <element elementId="39">
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                <text>Goossens E; Bovijn L; Gewillig M; Budts W; Moons P</text>
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                <text>CONTEXT: Breaks in the delivery of health care (ie, [health]care gaps) occur in a large proportion of young people transitioning to adulthood. Developing interventions that prevent adolescents from dropping out of the medical system, as they leave pediatric care, requires an understanding of determinants of care gaps. OBJECTIVE: To ascertain determinants of care gaps in young people with chronic conditions as they transition to adulthood by performing a systematic literature search. DATA SOURCES: MEDLINE, CINAHL, and Embase were queried for pertinent peer-reviewed publications. STUDY SELECTION: Primary quantitative or mixed methods studies that aimed to identify determinants of care gaps in young people (aged 10–25 years) diagnosed with complex chronic conditions and written in English, French, or Dutch were selected. Ten publications satisfied these criteria. DATA EXTRACTION: For each publication, determinants of care gaps and quantitative results were extracted. Determinants were categorized into 4 groups using thematic analysis. Quantitative results were standardized, and raw data were converted into odds ratios. RESULTS: Overall, 11 risk factors and 9 protective factors for care gaps were identified. All factors were related to patient characteristics. Demographics, disease-related characteristics, health care services use, and patient health behaviors and beliefs were significant determinants of care gaps in adolescents with chronic conditions. LIMITATIONS: Large variability in study methods, statistical techniques, and study populations resulted in inconsistent study findings. CONCLUSIONS: This systematic review identified patient-related determinants of care gaps. Unfortunately, the internal and external validity of the study findings are limited, warranting future prospective, multilevel studies that address remaining knowledge gaps.</text>
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                <text>10.1177/0030222815598455</text>
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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="56904">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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        <name>Goossens E</name>
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