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Transition of young people with chronic conditions: a cross-sectional study of patient perceptions before and after transfer from pediatric to adult health care

Rutishauser, Christoph ; Sawyer, Susan ; Ambresin, Anne-Emmanuelle

In: European Journal of Pediatrics, 2014, vol. 173, no. 8, p. 1067-1074

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    Titre
    • Transition of young people with chronic conditions: a cross-sectional study of patient perceptions before and after transfer from pediatric to adult health care
    Auteur
    • Rutishauser, Christoph. Head Adolescent Medicine Unit, University Children's Hospital, Steinwiesstrasse 75, 8032, Zurich, Switzerland
    • Sawyer, Susan. Royal Children's Hospital Centre for Adolescent Health, Melbourne, Australia
    • Ambresin, Anne-Emmanuelle. Multidisciplinary Team of Adolescent Health, Lausanne University Hospital, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • European Journal of Pediatrics, 2014, vol. 173, no. 8, p. 1067-1074. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:326574
    Summary
    The aim of this study was to compare perceived barriers to and the most preferred age for successful transition to adult health care between young people with chronic disorders who had not yet transferred from pediatric to adult health care (pre-transfer) and those who had already transferred (post-transfer). In a cross-sectional study, we compared 283 pre-transfer with 89 post-transfer young people, using a 28-item questionnaire that focused on perceived barriers to transition and beliefs about the most preferred age to transfer. Feeling at ease with the pediatrician was the most important barrier to successful transition in both groups, but was rated significantly higher in the pre-transfer compared to the post-transfer group (OR = 2.03, 95%CI 1.12-3.71). Anxiety and lack of information were the next most important barriers, rated equally highly by the two groups (OR = 0.67, 95%CI 0.35-1.28 and OR = 0.71, 95%CI 0.36-1.38, respectively). More than 80% of the respondents in both groups reported that 16-19years was the most preferred age to transfer; more than half of all the respondents reported 18-19years and older as the most preferred age. Conclusion: Better transition planning through the provision of regular and more detailed information about adult health-care providers and the transition process could reduce anxiety and contribute to a more positive attitude to overcome perceived barriers to transition from young people's perspective. Young people's preferences about transferring to adult health care provide a challenge to those children's hospitalsthat transfer to adult health care at a younger age.