当前位置： SCI文献检索 > BMJ Supportive & Palliative Care期刊下所有文献 > Transition to adult services for children and young people with palliative care needs: a systematic review.

Transition to adult services for children and young people with palliative care needs: a systematic review.

Abstract：

OBJECTIVE:To evaluate the evidence on the transition process from child to adult services for young people with palliative care needs. DESIGN:Systematic review. SETTING:Child and adult services and interface between healthcare providers. PATIENTS:Young people aged 13-24 years with palliative care conditions in the process of transition. MAIN OUTCOME MEASURES:Young people and their families' experiences of transition, the process of transition between services and its impact on continuity of care and models of good practice. RESULTS:92 studies included. Papers on transition services were of variable quality when applied to palliative care contexts. Most focussed on common life-threatening and life-limiting conditions. No standardised transition program identified and most guidelines used to develop transition services were not evidence-based. Most studies on transition programs were predominantly condition-specific (eg, cystic fibrosis (CF), cancer) services. CF services offered high-quality transition with the most robust empirical evaluation. There were differing condition-dependent viewpoints on when transition should occur but agreement on major principles guiding transition planning and probable barriers. There was evidence of poor continuity between child and adult providers with most originating from within child settings. CONCLUSIONS:Palliative care was not, in itself, a useful concept for locating transition-related evidence. It is not possible to evaluate the merits of the various transition models for palliative care contexts, or their effects on continuity of care, as there are no long-term outcome data to measure their effectiveness. Use of validated outcome measures would facilitate research and service development.

journal_name

BMJ Support Palliat Care

journal_title

BMJ supportive & palliative care

authors

Doug M,Adi Y,Williams J,Paul M,Kelly D,Petchey R,Carter YH

doi

10.1136/bmjspcare.2009.163931rep

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

167-73

issue

eissn

2045-435X

issn

2045-4368

pii

bmjspcare.2009.163931rep

journal_volume

pub_type

杂志文章

在线工具

Transition to adult services for children and young people with palliative care needs: a systematic review.