PDF(Pubmed)
Abstract：
Health care transition (HCT) is the process of changing from a pediatric to an adult model of care. Young adult pediatric recipients of liver transplant transferring from pediatric to adult health care services are highly vulnerable and subject to poor long-term outcomes. Barriers to successful transition are multifaceted. A comprehensive HCT program should be initiated early in pediatrics and continued throughout young adulthood, even after transfer of care has been completed. It is critical that pediatric and adult liver transplant providers establish a partnership to optimize care for these patients. Adult providers must recognize the importance of HCT and the need to continue the transition process following transfer. While this continued focus on HCT is essential, current literature has primarily offered guidance for pediatric providers. This position paper outlines a framework with a sample set of tools for the implementation of a standardized, multidisciplinary approach to HCT for adult transplant providers utilizing \"The Six Core Elements of HCT.\" To implement more effective strategies and work to improve long-term outcomes for young adult patients undergoing liver transplant, HCT must be mandated as a routine part of posttransplant care. Increased advocacy efforts with the additional backing and support of governing organizations are required to help facilitate these practices.
摘要：
医疗保健过渡（HCT）是从儿科向成人护理模式转变的过程。从儿科到成人医疗保健服务的年轻成人儿科肝移植受者非常脆弱，并且长期预后不佳。成功过渡的障碍是多方面的。应在儿科早期启动全面的HCT计划，并在整个成年时期继续进行。即使在转移护理已经完成之后。儿科和成人肝移植提供者建立合作伙伴关系以优化对这些患者的护理至关重要。成人提供者必须认识到HCT的重要性以及转移后继续过渡过程的必要性。虽然继续关注HCT至关重要，目前的文献主要为儿科提供者提供指导.这篇立场文件概述了一个框架，其中包含一组示例工具，用于实现标准化、利用“HCT的六个核心要素”，为成人移植提供者提供HCT的多学科方法。“为了实施更有效的策略，并努力改善接受肝移植的年轻成年患者的长期结果，必须将HCT作为移植后护理的常规部分。需要在理事组织的额外支持和支持下加强宣传工作，以帮助促进这些做法。
