Chapter 7

Transition from Pediatric- to Adult-focused Healthcare in Young Adults with Chronic Medical Conditions

First published: 28 March 2014

Summary

During the transfer process to adult medical care, youth with special healthcare needs (YSHCN) move from their pediatric providers to an adult provider. Guidelines for ensuring successful transition and transfer to adult-focused healthcare include (i) assigning specific healthcare professionals the responsibility of ensuring transition and healthcare planning and (ii) teaching clinical providers the necessary skills to provide developmentally appropriate healthcare transition. Several barriers to standardized transition planning and successful transition of care have been identified in this chapter. The consequences of failed transition are non-adherence and loss to follow-up. The chapter outlines several critical factors that must be taken into consideration in order to ensure that the transition needs of young adults with special healthcare needs are met. The transition process for such adults may be complicated by cognitive impairment.

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