![]() ![]() ![]() In the current systematic review, we directly address the described evidence gaps related to TCIs for adolescents and young adults with childhood-onset neurologic disabilities (eg, acquired brain injury, cerebral palsy, spina bifida), including neurodevelopmental disorders (eg, attention-deficit/hyperactivity disorder, autism spectrum disorder, communication disorders, intellectual disabilities, motor disorders, specific learning disorders). 31– 36 Although chronic health conditions can be physically disabling, transition preparation for youth with disabilities may have different requirements altogether. 30 Other research has described the difficulty in drawing conclusions on TCIs due to variability in clinical diagnoses. 30 However, it also was not focused on adolescents and young adults with childhood-onset disabilities (ie, key words only included “chronic health conditions” and “chronic illness”) and the authors used a limited range of research designs and publication years. 29 Moreover, a guideline for transition from pediatric to adult health care for youth with special health care needs was developed in 2016. In a systematic review published by The Cochrane Collaboration in 2016, researchers examined transition interventions for adolescents with a wide range of chronic health conditions but did not focus on disabilities, and the review was limited to randomized controlled trials (RCTs), which contrasts with the current review. ![]() 16ĭespite the importance of ensuring the continuity of pediatric and adult care and the significant detrimental health outcomes related to poor transition, there is limited evidence on the most effective transitional care interventions (TCIs) for adolescents and young adults with childhood-onset disabilities. 15 Thus, a growing need to implement fiscally sustainable approaches to transition has recently been identified in the literature, with cost-effective transition expected to have a positive and far-reaching impact on the health care system. 15 These results suggest that adolescents and young adults with complex disabling conditions from childhood have ongoing health issues that require frequent service their hospital admission rate is 9 times that of the general population and few have a primary care physician. 12– 14 Population data have indicated that young adults between the ages of 19.0 and 26.9 with acquired brain injuries, cerebral palsy, and spina bifida visited physicians 11.5 times per year and were admitted to the hospital once every 6.8 years. 11 This phenomenon can lead to increased use of health care services and an inappropriate dependence on emergency health services. 6, 9, 10 Without continuous and appropriate services, health concerns may remain undetected, putting transition-aged youth at further risk of developing preventable secondary physical and mental health complications and comorbidities. 7, 8 Poor continuity of care can lead to poor health outcomes and decreased opportunities to participate in the community. Transition from the pediatric to adult health care system is a multifaceted process. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |