Transition from paediatric to adult care: What about the healthy ones?

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State: Public
Version: Final published version
License: CC BY-NC-SA 4.0
Serval ID
serval:BIB_49DC20473E6E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Transition from paediatric to adult care: What about the healthy ones?
Journal
Swiss medical weekly
Author(s)
Mora-Monteros M., Barrense-Dias Y., Auderset D., Stadelmann S., Senn N., Suris J.C.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
01/09/2021
Peer-reviewed
Oui
Volume
151
Number
35-36
Pages
w30019
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
To compare the characteristics of and use of the healthcare system by healthy youths depending on whether they had discussed transition to adult health care with their paediatrician or not.
Data were drawn from the fourth wave of the GenerationFRee study (2018-2019) conducted in the 11 post-mandatory schools of the canton of Fribourg, Switzerland. The sample included 931 young people (mean age 19.4 years). Participants were categorised into three groups: those who had discussed transition with their p ediatrician (n = 176; 19%), those who had not (n = 286; 31%) and those who did not know (n = 469; 50%). Analyses were stratified by gender through bivariate analysis and post-hoc tests with a Bonferroni-type adjustment.
The majority of participants did not know whether or not they had discussed transition. Across all groups, it was found that youths met their primary care physician at a higher rate through family. Meeting with the primary care physician through the paediatrician occurred at a higher rate when youths had discussed transition. Girls with a below average socioeconomic status and boys with advanced puberty onset were more likely to have discussed transition.
Our results show that youths are not well informed about the transition process. However, youths who have discussed transition appear to be more involved with the healthcare system as they are more likely to have a primary care provider. In order to avoid discontinuity of care, professionals should approach transition to adult care systematically with all their patients.
Pubmed
Open Access
Yes
Create date
04/10/2021 12:15
Last modification date
26/10/2021 6:09
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