Lege Artis Medicinae

[The modern approach of child-adult transition in chronic diseases]

MAJOR János, ÁDÁM Szilvia

JANUARY 20, 2018

Lege Artis Medicinae - 2018;28(01-02)

[Adolescence is the age of great biological, psychological, social changes and time of coming-of-age, however it is also associated with significant vulnerability. 15-20% percent of teenagers have special health needs and are transfered later to adult care, but the vulnerability of adolescents is more pronounced. The handover of adolescents with chronic medical condition to adult care can be achieved through a simple transfer of care or transition, which is a purposeful, planned movement of adolescents and young adults with chronic medical conditions from child-centred to adult-oriented health-care system. The transition of care requires a holistic approach and covers medical, psychosocial and educational aspects. In the transition the patient, the family, the paediatrician, and the adult specialist are also involved together with the multidisciplinary team including a psychologist as well. The transition according to the international literature improves adherence to care, self-management, knowledge of the di-sease and the adjustment to adult health services. In this review article, the author summarizes the latest knowledge of transition of care from different subspecialties expecting better joint work between the different medical specialties.]

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