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‘We sometimes hold on to ours’ – professionals’ views on factors that both delay and facilitate transition to adult care

Aldiss, SK, Cass, H, Ellis, J and Gibson, F (2016) ‘We sometimes hold on to ours’ – professionals’ views on factors that both delay and facilitate transition to adult care Frontiers in Pediatrics, 4, 125. pp. 1-12.

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Abstract

Background: The transition from child to adult services is a crucial time in the health of young people who may potentially fall into a poorly managed 'care gap'. Health service provision, which fails to meet the needs of young people and families at this time of significant change, may result in deterioration in health or disengagement with services, which can have negative long-term consequences. Developing transitional care packages has become a focus of activity in the United Kingdom and elsewhere. Indeed policy documents have been trying to guide practice for many years, with some variable success. There is much work still to be done, particularly around how guidance and the sharing of best practice, when combined can result in a change practice. Objective: This study aimed to explore the views of professionals involved in transitional care, the process of transition in their services, the barriers and facilitators to transition. Methods: This was a qualitative study using focus group methodology. Four focus groups were carried out, attended by 36 health professionals across child and adult services. They had expertise in working with young people with various health conditions and disabilities. Transcripts were analysed using qualitative content analysis. Results: Eight key factors that impact on transition emerged from the data. These included factors associated with the patient group (such as age, health condition, having complex needs) as well as factors associated with services (such as the availability of equivalent services within adult care and the links between child and adult team). Conclusion: It is imperative that health professionals consider the population they are working with when planning transitional care and take into account the factors which can lead to delayed transition so that this can be avoided if possible. Numerous examples of initiatives to facilitate more timely transition were shared: these have been reflected in our ‘Benchmarks for Transition from Child to Adult Health Services’. We offer these benchmarks to inform and guide the practice of others, and illustrate their potential for use in the context of the findings shared here.

Item Type: Article
Subjects : Health Sciences
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
AuthorsEmailORCID
Aldiss, SKUNSPECIFIEDUNSPECIFIED
Cass, HUNSPECIFIEDUNSPECIFIED
Ellis, JUNSPECIFIEDUNSPECIFIED
Gibson, FUNSPECIFIEDUNSPECIFIED
Date : 24 November 2016
Identification Number : https://doi.org/10.3389/fped.2016.00125
Copyright Disclaimer : Copyright © 2016 Aldiss, Cass, Ellis and Gibson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms
Uncontrolled Keywords : : Transition to adult care, adolescent, young adult, health professionals, focus groups, long-term conditions.
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 18 Nov 2016 16:11
Last Modified : 25 Nov 2016 09:38
URI: http://epubs.surrey.ac.uk/id/eprint/812906

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