Survey of primary care pediatricians on the transition and transfer of adolescents to adult health care

Survey of primary care pediatricians on the transition and transfer of adolescents to adult health care

Burke R; Spoerri M; Price A; Cardosi AM; Flanagan P

Clinical Pediatrics

2008

Humans; Adult; Questionnaires; Rhode Island; adolescent; Adolescent Transitions; Patient Transfer/statistics & numerical data; Health Services Accessibility/statistics & numerical data; Health Services Needs and Demand/statistics & numerical data; Adolescent Health Services/organization & administration/statistics & numerical data; Health Care Surveys/methods/statistics & numerical data; Pediatrics/organization & administration/statistics & numerical data; Primary Health Care/organization & administration/statistics & numerical data; Transfer Agreement/organization & administration/statistics & numerical data

The transition and transfer from pediatrics to adult health care of youth with and without special health care needs has become a focus of professional organizations, health care insurers, national policy makers, and providers. To understand transition and transfer at a primary care practice level, all primary care pediatricians in Rhode Island were surveyed. Responses were received from 103 of 169 (60.9%) practicing pediatricians. Few responders had practice policies on transfer. Most reported that transition should begin later than recommended. Few practices communicated with adult providers at transfer. Most reported that health insurers were of little help in transfer. Many pediatric practices had young adults after age 22 and many with special needs. Responders reported adolescents left their practices by 1 of 6 methods. The survey indicates the need for further study of transition and transfer and the need for additional training and education if transfers are to be successful.

2008

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