How adult specialists deal with the principles of a successful transition


How adult specialists deal with the principles of a successful transition


Suris JC; Akre C; Rutishauser C


The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine




Female; Humans; Male; Physician-Patient Relations; Pediatrics; Logistic Models; Questionnaires; Middle Aged; Continuity of Patient Care; adolescent; Adolescent Transitions; Chronic Disease/therapy; Physicians/psychology; Switzerland


OBJECTIVES: To evaluate whether adult specialists comply with the basic principles for a successful transition of adolescents with chronic disorders, and to determine whether the characteristics of the adult specialists have an influence on applying these principles. METHODS: Out of 299 adult specialists in four French-speaking Swiss cantons, 209 (70%) answered a paper-and-pencil mailed questionnaire between May and July 2007. Only those having received the transfer of at least one adolescent in the previous 2 years (N=102) were included in the analysis. We analyzed four dependent variables: discussing common concerns of adolescent patients, seeing the patient alone, having a transition protocol, and having a previous contact with the pediatric specialist. A logistic regression was performed for each dependent variable controlling for the physicians' characteristics (number of transfers, age, gender, workplace, and perceived experience). RESULTS: Fifty-four percent of the physicians did not spend time alone with their patients, and sensitive issues such as sexuality or substance use were not widely discussed with their young patients. Most respondents (59%) did not have an established protocol, and 54% did not have any contact with the pediatric specialist. In the multivariate analyses, the adult specialists' characteristics had little impact. CONCLUSIONS: For many adolescents with chronic disorders the transition from pediatric to adult healthcare seems to be limited to a simple transfer, often lacking adequate communication between physicians. Applying simple but basic principles such as a good coordination between providers would probably improve the quality of healthcare of adolescents with chronic illness.


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).


Journal Article

Citation List Month









Suris JC; Akre C; Rutishauser C, “How adult specialists deal with the principles of a successful transition,” Pediatric Palliative Care Library, accessed May 17, 2022,

Social Bookmarking