Pediatricians Transitioning Practices, Youth With Special Health Care Needs in New York State

Clinical Pediatrics
Lynn F DavidsonAndrew Racine

Abstract

To assess current practices of New York State pediatricians as they transition youth with special health care needs to adult-oriented medical care. A survey of New York State pediatricians included 6 critical steps from 2002 consensus statement, 11 essential steps adapted from recent literature, and questions targeting age of starting transition and availability of transition policy. Of 181 respondents, only 11% have a transition policy. Most assist patients in transition process; identify an adult provider (92%); and create portable medical summary (57%). Only 3% start planning process at recommended age. No respondents are compliant with all 6 critical steps; subspecialists were more likely to report compliance to more than 4 steps. Participating pediatricians are making gains, yet effort is needed, to incorporate the essential steps into practice for transitioning youth with special health care needs. Recognition of barriers, use of electronic tools, and clarifying subspecialist's approach, may improve compliance with transition recommendations.

References

Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Jun 29, 2000·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·A R Watson
Feb 28, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sarah J GeenenWayne Sells
Jan 28, 2009·Pediatrics·Nadja G PeterDonald F Schwarz
Sep 24, 2009·Pediatric Annals·Patience H White, Patti Hackett
Apr 8, 2010·JAMA : the Journal of the American Medical Association·David C BrousseauClaudia A Steiner
Aug 28, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sheila R BloomJames M Perrin
Aug 27, 2013·Evaluation & the Health Professions·Jennifer DykemaJohn Stevenson
Mar 8, 2014·Academic Pediatrics·Niraj SharmaGregory S Sawicki

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Citations

Jun 29, 2015·Journal of Pediatric Nursing·Lynn F DavidsonEllen J Silver
Mar 21, 2017·Child and Adolescent Psychiatric Clinics of North America·Margaret McManus, Patience White
Oct 31, 2018·Paediatrics & Child Health·Navneet Singh, Patrick J McDonald
Dec 2, 2021·Pediatrics in Review·Lynn F Davidson, Maya H Doyle
Oct 24, 2018·Pediatrics·Patience H WhiteUNKNOWN AMERICAN COLLEGE OF PHYSICIANS

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