Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review - 24/08/17
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Abstract |
Objective |
To identify statistically significant positive outcomes in pediatric-to-adult transition studies using the triple aim framework of population health, consumer experience, and utilization and costs of care.
Study design |
Studies published between January 1995 and April 2016 were identified using the CINAHL, Ovid MEDLINE, PubMed, Scopus, and Web of Science databases. Included studies evaluated pre-evaluation and postevaluation data, intervention and comparison groups, and randomized clinic trials. The methodological strength of each study was assessed using the Effective Public Health Practice Project Quality Assessment Tool.
Results |
Out of a total of 3844 articles, 43 met our inclusion criteria. Statistically significant positive outcomes were found in 28 studies, most often related to population health (20 studies), followed by consumer experience (8 studies), and service utilization (9 studies). Among studies with moderate to strong quality assessment ratings, the most common positive outcomes were adherence to care and utilization of ambulatory care in adult settings.
Conclusions |
Structured transition interventions often resulted in positive outcomes. Future evaluations should consider aligning with professional transition guidance; incorporating detailed intervention descriptions about transition planning, transfer, and integration into adult care; and measuring the triple aims of population health, experience, and costs of care.
Le texte complet de cet article est disponible en PDF.Keywords : transition to adult care, adolescent, young adult, quality of health care, patient satisfaction, patient adherence, self-care, utilization
Abbreviations : AAFP, AAP, ACP, AHRQ, EPHPP, HbA1c
Plan
Supported by the Maternal and Child Health Bureau (U39MC25729 HRSA/MCHB) to The National Alliance to Advance Adolescent Health. M.M. and P.W. led the development of the Six Core Elements of Health Care Transition (2.0) in 2014. The other authors declare no conflicts of interest. |
Vol 188
P. 263 - septembre 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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