TY - JOUR
T1 - Pediatric-to-adult healthcare transitions
T2 - Current challenges and recommended practices
AU - Hobart, Catherine B.
AU - Phan, Hanna
N1 - Publisher Copyright:
© 2019 American Society of Health-System Pharmacists. All rights reserved.
PY - 2019/9/16
Y1 - 2019/9/16
N2 - Purpose: An overview of the pediatric-to-adult healthcare transition (HCT) process, including stakeholders, challenges, and fundamental components that present opportunities for pharmacists and pharmacy technicians, is provided. Summary: Pediatric-to-adult HCT programs should be longitudinal in nature, be patient focused, and be coproduced by patients, caregivers, and care team members. Educational components of HCT programs should include knowledge and skills in disease state management and self-care; safe and effective use of medications, as well as other treatment modalities; and healthcare system navigation, including insurance issues. Interprofessional involvement in HCT is encouraged; however, roles for each discipline involved are not clearly delineated in current guidelines or literature. Possible influencing elements in achieving successful pediatric-to-adult HCT outcomes include those that are related to patient and/or caregiver factors, clinician awareness, availability of resources, and ability to achieve financial sustainability. Conclusion: The use of structured pediatric-to-adult HCT programs is currently recommended to optimize patient and health-system outcomes. Given the importance of medication-related knowledge and healthcare system navigation skills to successful care transitions, there are opportunities for pharmacists and pharmacy technicians to contribute to HCT programs.
AB - Purpose: An overview of the pediatric-to-adult healthcare transition (HCT) process, including stakeholders, challenges, and fundamental components that present opportunities for pharmacists and pharmacy technicians, is provided. Summary: Pediatric-to-adult HCT programs should be longitudinal in nature, be patient focused, and be coproduced by patients, caregivers, and care team members. Educational components of HCT programs should include knowledge and skills in disease state management and self-care; safe and effective use of medications, as well as other treatment modalities; and healthcare system navigation, including insurance issues. Interprofessional involvement in HCT is encouraged; however, roles for each discipline involved are not clearly delineated in current guidelines or literature. Possible influencing elements in achieving successful pediatric-to-adult HCT outcomes include those that are related to patient and/or caregiver factors, clinician awareness, availability of resources, and ability to achieve financial sustainability. Conclusion: The use of structured pediatric-to-adult HCT programs is currently recommended to optimize patient and health-system outcomes. Given the importance of medication-related knowledge and healthcare system navigation skills to successful care transitions, there are opportunities for pharmacists and pharmacy technicians to contribute to HCT programs.
KW - adolescent
KW - children with special health care needs, CSHCN
KW - healthcare transition
KW - self-management
KW - transition of care
UR - http://www.scopus.com/inward/record.url?scp=85072271022&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072271022&partnerID=8YFLogxK
U2 - 10.1093/ajhp/zxz165
DO - 10.1093/ajhp/zxz165
M3 - Article
C2 - 31532501
AN - SCOPUS:85072271022
SN - 1079-2082
VL - 76
SP - 1544
EP - 1554
JO - American Journal of Health-System Pharmacy
JF - American Journal of Health-System Pharmacy
IS - 19
ER -