Adult Provider Perspectives on Transition and Transfer to Adult Care: A Multi-Specialty, Multi-Institutional Exploration.
J Pediatr Nurs
; 59: 173-180, 2021.
Article
en En
| MEDLINE
| ID: mdl-33932647
ABSTRACT
PURPOSE:
To identify barriers that transcend multiple adult care specialties and identify potential solutions. DESIGN ANDMETHODS:
Twenty-one adult care providers practicing in the specialty areas of internal medicine, family medicine, gastroenterology, endocrinology, and neurology participated in one of six semi-structured focus group interviews. Data were coded and analyzed according to the Socio-ecological Model of Adolescent/Young Adult Readiness for Transition (SMART).RESULTS:
Three themes and one subtheme emerged from the data. These fell within the beliefs/expectations, knowledge, access/insurance, and relationships (subtheme) domains of the SMART model. Family beliefs/expectations regarding the provider role, difficulty accessing reliable information, and limited access to mental health and behavioral providers reportedly affect providers' ability to provide optimal health care.CONCLUSIONS:
Adult providers identified several barriers affecting their ability to care for newly transferred patients. Increased education of families and improved methods of communication between providers were recommended. Barriers related to access and insurance are common and require larger systems-level collaborations between health care systems and payor sources. PRACTICAL IMPLICATIONS Some recommendations (e.g., educating families on the distinct roles of the PCP vs. specialist, highlighting new treatment opportunities in adult care, conveying trust and endorsing the new provider), represent concrete steps pediatric providers can immediately take to improve transfer. Other steps will require forging bridges across the pediatric and adult care world to expand patient access to medical, mental health, and behavioral services.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Transición a la Atención de Adultos
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Adolescent
/
Adult
/
Child
/
Humans
Idioma:
En
Revista:
J Pediatr Nurs
Asunto de la revista:
ENFERMAGEM
/
PEDIATRIA
Año:
2021
Tipo del documento:
Article