Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 May 5;6(5):e011871.
doi: 10.1136/bmjopen-2016-011871.

Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review

Jasmin Bhawra  1 , Alene Toulany  2 , Eyal Cohen  3 , Charlotte Moore Hepburn  4 , Astrid Guttmann  5
Affiliations

Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review

Jasmin Bhawra et al. BMJ Open. .

Abstract

Objective: To determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care.

Design: Systematic review. Multiple electronic databases were searched including Ovid MEDLINE, EMBASE and Web of Science (from 1 January 1947 to 5 August 2015). Evidence quality was assessed using a 36-point scoring system for disparate study designs.

Setting: Studies with paediatric-to-adult transition programmes and interventions involving primary care providers or in primary care settings.

Participants: Youth aged 16 years and over.

Outcomes: Relevant outcomes were grouped into 3 main domains based on the Triple Aim Framework: experience of care, population health, cost.

Results: A total of 1888 unique citations were identified, yielding 3 studies for inclusion. Overall, primary care provider roles were not well defined. 2 studies used case managers to facilitate referrals to primary care, and the remaining study was the only 1 situated in a primary care setting. None of the studies examined transition in all 3 Triple Aim Framework domains. The most commonly reported outcomes were in the cost domain.

Conclusions: There is limited empiric evidence to guide primary care interventions to improve transition outcomes for youth with chronic conditions. Future research and policy should focus on developing and evaluating coordinated transition interventions to better integrate primary care for high need populations.

Keywords: PAEDIATRIC-TO-ADULT; PRIMARY CARE; TRANSITION.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Overview of search results.
See this image and copyright information in PMC

References

    1. Pinzon J, Harvey J, Canadian Paediatric Society, Adolescent Health Committee. Care of adolescents with chronic conditions. Pediatr Child Health 2006;11:43–8.
    1. Blum RW. Overview of transition issues for youth with disabilities. Paediatrician 1991;18:101–4. - PubMed
    1. Kaufman M, Pinzon J, Canadian Paediatrics Society, Adolescent Health Committee. Transition to adult care for youth with special health care needs. Pediatr Child Health 2007;12:785–93. - PMC - PubMed
    1. McPheeters M, Davis AM, Taylor JL et al. . Transition care for children with special health needs. Technical Brief No. 15 (Prepared by the Vanderbilt University Evidence-based Practice Center under Contract No. 290-2012-00009- I). AHRQ Publication No.14-EHC027-EF Rockville, MD: Agency for Healthcare Research and Quality, 2014. http://www.effectivehealthcare.ahrq.gov/reports/final.cfm (accessed 24 Feb 2015). - PubMed
    1. Reiss J. Health care transition for emerging adults with chronic health conditions and disabilities. Pediatr Ann 2012;41: 429–35. 10.3928/00904481-20120924-16 - DOI - PubMed

Publication types

LinkOut - more resources