Pediatric and adult neurologist perspectives on the challenges of sustaining a transfer clinic
| Autor: | Barbara A. Dworetzky, Tracey A. Milligan, Claire S. Jacobs, Claudio M. de Gusmao, Ann M. Bergin, Tadeu A. Fantaneanu, Phillip L. Pearl |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Care environments Staffing MEDLINE Patient care Telephone survey 03 medical and health sciences 0302 clinical medicine Family medicine Commentary medicine 030212 general & internal medicine Neurology (clinical) Psychology 030217 neurology & neurosurgery Adult health Transfer of care |
| Zdroj: | Neurol Clin Pract |
| ISSN: | 2163-0933 2163-0402 |
| DOI: | 10.1212/cpj.0000000000000727 |
| Popis: | We present a novel epilepsy fellow–driven transfer clinic model and discuss the challenges experienced in finding sustainability; this is timely as many pioneering transition clinics are dissolving across North America. The goal of this clinic was to improve patient care and satisfaction, as measured by a post-visit telephone survey. Unfortunately, our transfer clinic model proved unsustainable due to several factors, broadly categorized as (1) cultural-societal differences between the pediatric and adult health care environments, (2) staffing issues, (3) lack of an established standardized process for transfer of care, and (4) financial and administrative barriers. We suggest potential solutions to these challenges, but the fate of transition and transfer of care clinics may ultimately depend on implementation of practice, policy, and/or financial guidelines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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