Behind the Scenes: A Pilot Study on the Evaluation of Healthcare Professionals' Approaches to Transitional Care in Adolescents With Chronic Gastrointestinal Disorders.

Autor:	Poamaneagra SC; Pediatrics, George Emil Palade University of Medicine, Pharmacy, Science, and Technology, Targu Mures, ROU., Tataranu E; Pediatrics, Faculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, Suceava, ROU., Stefanescu G; Gastroenterology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Andronic CM; Gastroenterology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Balan GG; Gastroenterology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Gilca-Blanariu GE; Gastroenterology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Ioniuc I; Pediatrics, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Mihai C; Gastroenterology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, ROU., Anchidin-Norocel L; Nutrition, Faculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, Suceava, ROU., Diaconescu S; Pediatrics, Faculty of Medicine, Titu Maiorescu University of Medicine, Bucharest, ROU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 29; Vol. 16 (8), pp. e68092. Date of Electronic Publication: 2024 Aug 29 (Print Publication: 2024).
DOI:	10.7759/cureus.68092
Abstrakt:	Background: Due to recent advances in healthcare, more and more teenagers with chronic diseases emerge into adulthood, posing challenges for both pediatric and adult healthcare systems. The transition from pediatric to adult healthcare settings presents a complex and pivotal phase for adolescents managing chronic conditions. This process necessitates collaboration among adolescents, parents, pediatric specialists, and adult healthcare providers. Aims: This study aims to assess the current practices of doctors caring for teenagers with chronic digestive diseases and to identify the needs and barriers experienced by professionals during the transition of their patients. Methods: In order to achieve the aims of this study, we employed a cross-sectional survey study. Pediatric gastroenterologists (PG), general pediatricians (GP), adult gastroenterologists (AG), and primary care physicians (PCP) applied a 20-closed multiple-choice questionnaire. Results: There were 70 responders; 90% did not follow a transition program. The ideal age for beginning the transition was considered 16-17 (51.4%), and the transfer was recommended at 19-20 years of age by 42.9% and at 18 by 45.7%. Regarding the resources, 78.55% required an online platform, 58.55% solicited transition readiness assessments, 51.41% identified online forms distributed through social media, 48.55% selected brochures for patients and families, and a guideline for medical practitioners. Both GPs and PGs (0.836, p<0.05) requested higher numbers of resources. Identified barriers were the absence of a transition expert (65.7%), lack of time for individualized transition programs (61.41%), patients' psycho-emotional attachment to the pediatric team (52.84%), and adolescents' lack of disease knowledge (57.13%). Conclusions: Investigating the roles and challenges faced by healthcare professionals during the transitional period is crucial for optimizing continuity of care, enhancing patient outcomes, and addressing systemic gaps in healthcare delivery. We identified valuable tools that could be used in transition programs applicable to all institutions caring for adolescents with chronic diseases. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Research and Ethics Committee of St. Mary Hospital issued approval (38761/09.11.2020). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Poamaneagra et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu