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Search: id:"swepub:oai:lup.lub.lu.se:e3d9c5a3-58d9-4a41-818f-ea92331924a8" > International and I...

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  • Fair, CynthiaElon University (author)

International and Interdisciplinary Identification of Health Care Transition Outcomes

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • American Medical Association (AMA),2016

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  • LIBRIS-ID:oai:lup.lub.lu.se:e3d9c5a3-58d9-4a41-818f-ea92331924a8
  • https://lup.lub.lu.se/record/e3d9c5a3-58d9-4a41-818f-ea92331924a8URI
  • https://doi.org/10.1001/jamapediatrics.2015.3168DOI

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  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

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  • IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs.OBJECTIVE: To present HCT outcomes identified by a Delphi process with an interdisciplinary group of participants.DESIGN, SETTING, AND PARTICIPANTS: A Delphi method involving 3 stages was deployed to refine a list of HCT outcomes. This 18-month study (from January 5, 2013, of stage 1 to July 3, 2014, of stage 3) included an initial literature search, expert interviews, and then 2 waves of a web-based survey. On this survey, 93 participants from outpatient, community-based, and primary care clinics rated the importance of the top HCT outcomes identified by the Delphi process. Analyses were performed from July 5, 2014, to December 5, 2014.EXPOSURES: Health care transition outcomes of adolescents and young adults with special health care needs.MAIN OUTCOMES AND MEASURES: Importance ratings of identified HCT outcomes rated on a Likert scale from 1 (not important) to 9 (very important).RESULTS: The 2 waves of surveys included 117 and 93 participants as the list of outcomes was refined. Transition outcomes were refined by the 3 waves of the Delphi process, with quality of life being the highest-rated outcome with broad agreement. The 10 final outcomes identified included individual outcomes (quality of life, understanding the characteristics of conditions and complications, knowledge of medication, self-management, adherence to medication, and understanding health insurance), health services outcomes (attending medical appointments, having a medical home, and avoidance of unnecessary hospitalization), and a social outcome (having a social network). Participants indicated that different outcomes were likely needed for individuals with cognitive disabilities.CONCLUSIONS AND RELEVANCE: Quality of life is an important construct relevant to HCT. Future research should identify valid measures associated with each outcome and further explore the role that quality of life plays in the HCT process. Achieving consensus is a critical step toward the development of reliable and objective comparisons of HCT outcomes across clinical conditions and care delivery locations.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Cuttance, JessicaUniversity of North Carolina (author)
  • Sharma, NirajHarvard Medical School (author)
  • Maslow, GaryDuke University (author)
  • Wiener, LoriNational Cancer Institute, Lithuania (author)
  • Betz, CecilyUniversity of Southern California (author)
  • Porter, JerlymSt Jude Children´s Research Hospital, Memphis (author)
  • McLaughlin, SuzanneBrown University (author)
  • Gilleland-Marchak, JordanEmory University (author)
  • Renwick, AmyNemours Alfred I. duPont Hospital for Children (author)
  • Naranjo, Diana (author)
  • Jan, SophiaThe Children's Hospital of Philadelphia (author)
  • Javalkar, KarinaUniversity of North Carolina (author)
  • Ferris, MariaUniversity of North Carolina (author)
  • Alriksson-Schmidt, AnnLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,CPUP - barnortopedisk forskningsgrupp,Forskargrupper vid Lunds universitet,Att leva med funktionsnedsättning: Forskning ur ett folkhälsoperspektiv,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,CPUP - Children's Orthopedics Group,Lund University Research Groups,Living with a Disability: Research from a Public Health Perspective(Swepub:lu)med-aai (creator_code:cre_t)
  • Elon UniversityUniversity of North Carolina (creator_code:org_t)
  • International and Interdisciplinary Health Care Transition Research Consortium

Related titles

  • In:JAMA Pediatrics: American Medical Association (AMA)170:3, s. 11-2052168-62112168-6203

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