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CLINICAL PRACTICE

Transitional care: time for a rethink?

Transitional care in rheumatology has been debated for over three decades and yet unmet needs of young people are still being reported. Why the slow progress? Perhaps we need to stop talking about transitional care in rheumatology and talk more about developmentally appropriate health care for young people with rheumatic conditions.

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References

  1. Carandang, K. et al. Adolescents’ and young adults’ recommendations for implementing healthcare transition in rheumatology: a mixed methods study. Arthritis Care Res. https://doi.org/10.1002/acr.24977 (2022).

    Article  Google Scholar 

  2. Foster, H. E. et al. EULAR/PReS standards and recommendations for the transitional care of young people with juvenile-onset rheumatic diseases. Ann. Rheum. Dis. 76, 639–646 (2016).

    Article  Google Scholar 

  3. Colver, A. et al. A longitudinal, observational study of the features of transitional healthcare associated with better outcomes for young people with long-term conditions. BMC Med. 16, 111 (2018).

    Article  CAS  Google Scholar 

  4. Rettig, P. & Athreya, B. H. Adolescents with chronic disease; transition to adult health care. Arthritis Care Res. 4, 174–180 (1991).

    Article  CAS  Google Scholar 

  5. Farre, A. et al. Health professionals’ and managers’ definitions of developmentally appropriate healthcare for young people: conceptual dimensions and embedded controversies. Arch. Dis. Child. 101, 628–633 (2016).

    Article  Google Scholar 

  6. Boisen, K. A. et al. Is HEADS in our heads? Health risk behavior is not routinely discussed with young people with chronic conditions. Int. J. Adolesc. Med. Health. 28, 429–435 (2016).

    Article  Google Scholar 

  7. Kim, B. & White, K. How can health professionals enhance interpersonal communication with adolescents and young adults to improve health care outcomes?: systematic literature review. Int. J. Adolesc. Youth 23, 198–218 (2018).

    Article  Google Scholar 

  8. British Society for Rheumatology. Top tips to ensure provision of developmentally appropriate rheumatology care https://rheumatology.org.uk/Portals/0/Documents/Policy/Developmentally-appropriate-care-top-tips.pdf?ver=2022-06-29-134707-550 (2022).

  9. Brady, L-M. (Ed) Embedding Young People’s Participation in Health services. New approaches. 1–266 (Bristol University Press, 2020).

  10. Esen, E. et al. The Your Rheum story: involvement of young people in rheumatology research. BMC Rheumatol. 6, 43 (2022).

    Article  Google Scholar 

Download references

Acknowledgements

J.E.M. is supported by Versus Arthritis Centre for Epidemiology (UK grant No: 21755) and by the National Institutes for Health and Care Research NIHR Manchester Biomedical Research Centre.

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Correspondence to Janet E. McDonagh.

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J.E.M. has received consultancy fees from CSL-Behring. A.F. declares no competing interests

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McDonagh, J.E., Farre, A. Transitional care: time for a rethink?. Nat Rev Rheumatol 18, 615–616 (2022). https://doi.org/10.1038/s41584-022-00836-x

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