Survey of primary care pediatricians on the transition and transfer of adolescents to adult health care

The transition and transfer from pediatrics to adult health care Of Youth with and without special health care needs has become a focus of professional organizations, health care insurers, national policy makers, and providers. To understand transition and transfer at a primary care practice level, all primary care pediatricians in Rhode Island were surveyed. Responses were received from 103 of 169 (60.9%) practicing pediatricians. Few responders had practice policies on transfer. Most reported that transition should begin later than recommended. Few practices communicated with adult providers at transfer. Most reported that health insurers were of little help in transfer. Many pediatric practices had Young adults after age 22 and many with special needs. Responders reported adolescents left their practices by I of 6 methods. The survey indicates the need for further study of transition and transfer and the need for additional training and education if transfers are to be successful.

有和没有特殊医疗需求的青少年从儿科到成人医疗保健的过渡和转移已成为专业组织、医疗保险公司、国家政策制定者和医疗服务提供者关注的焦点。为了了解基层医疗实践层面的过渡和转移情况，对罗德岛的所有基层儿科医生进行了调查。169名执业儿科医生中有103名（60.9%）做出了回应。很少有回应者有关于转移的执业政策。大多数人报告说过渡应该比建议的时间更晚开始。很少有医疗机构在转移时与成人医疗服务提供者进行沟通。大多数人报告说医疗保险公司在转移方面帮助不大。许多儿科医疗机构有22岁以上的年轻人，其中许多有特殊需求。回应者报告说青少年通过六种方法中的一种离开他们的医疗机构。该调查表明，如果要使转移成功，需要进一步研究过渡和转移，并需要额外的培训和教育。