A Clinician's Guide To Effectively Transitioning and Transferring Care For Pediatric Patients With Inflammatory Bowel Diseases From The Pediatric To Adult Gastroenterologist.

Q1 Medicine Current Gastroenterology Reports Pub Date : 2024-10-01 Epub Date: 2024-07-16 DOI:10.1007/s11894-024-00936-6
Jessica N Barry, Jonathan D Moses, Sandra C Kim
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Abstract

Purpose of review: Transition of care for pediatric patients with inflammatory bowel diseases (IBD) is a continuous, dynamic process that takes place over several years with a coordinated approach executed by a multidisciplinary team. We review the concepts, tools, and research in effective transitioning and transfer of care for adolescent/young adult patients with IBD.

Recent findings: Given the constraints within the healthcare system, effective transitioning can be challenging to implement in everyday clinical practice. Different barriers include resources and expertise in effective transitioning by pediatric and adult gastroenterology healthcare providers and the impact of non-gastrointestinal issues facing young adult patients who are learning to manage and coordinate all aspects of their medical care and health maintenance. Factors that facilitate successful care transitioning and transfer include structured transitioning programs, utilization of validated transition checklists, and IBD medical summaries. Proactive transitioning by pediatric gastroenterologists in partnership with their emerging young adult patients with IBD leads to better clinical and psychosocial outcomes and ultimately, effective transfer of care to adult gastroenterology. By utilizing utilize comprehensive transition assessment tools and medical summaries in partnership with their patients, pediatric and adult gastroenterology teams can better prepare patients as they transfer to independent care and health maintenance.

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儿科胃肠病医生向成人胃肠病医生有效过渡和移交儿科炎症性肠病患者护理的临床医生指南》。
审查目的:儿科炎症性肠病(IBD)患者的护理转归是一个持续、动态的过程,需要多学科团队协调合作,历时数年。我们回顾了青少年/年轻成人 IBD 患者护理有效过渡和转移的概念、工具和研究:鉴于医疗保健系统内部的限制,在日常临床实践中实施有效的转归可能具有挑战性。不同的障碍包括:儿科和成人消化科医疗服务提供者在有效过渡方面的资源和专业知识,以及正在学习管理和协调医疗保健和健康维护各个方面的年轻成人患者所面临的非胃肠道问题的影响。促进医疗过渡和转院成功的因素包括结构化的过渡计划、使用有效的过渡清单和 IBD 医疗摘要。儿科胃肠病医生与新出现的年轻成年 IBD 患者合作,积极主动地进行过渡,可获得更好的临床和社会心理疗效,并最终有效地将医疗服务转至成人胃肠病科。通过与患者合作利用综合过渡评估工具和医疗总结,儿科和成人肠胃病团队可以为患者转入独立护理和健康维护做好更好的准备。
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来源期刊
Current Gastroenterology Reports
Current Gastroenterology Reports Medicine-Gastroenterology
CiteScore
7.80
自引率
0.00%
发文量
19
期刊介绍: As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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