Abstract:
OBJECTIVE:To assess the need and feasibility of a Transition Clinic in the care of adolescents with chronic illness. METHODS:A qualitative study, piloted by a questionnaire-based survey, followed by Focus Group Discussions was conducted in the Department of Pediatrics in a government teaching hospital in Kerala. The participants were adolescents with chronic disease, viz., renal disease, diabetes, HIV/AIDS, cancer survivors with Hepatitis B, parents of renal patients, pediatricians and adult specialists. Twenty patients were administered a structured, rated, 18-item questionnaire regarding their attitude and preparedness for transfer to adult departments. The need and feasibility of a Transition Clinic was discussed by 7 focus groups viz., pediatricians, adult physicians, 4 patient groups and 1 parent group. Thematic analysis of data was done. RESULTS:Except among pediatricians, awareness of the concept of Transition Clinic was low. All participants agreed that abrupt transfer of care hinders treatment and that there is a definite need for a Transition Clinic. Pediatricians discussed the complex needs of adolescents and limitations of their care. Adult specialist physicians described their inadequacy to handle adolescent problems and difficulties posed by large volumes of patients. The adolescents and young adults with chronic illness discussed their reluctance to shift to the adult departments. Parents voiced their concerns about the future of their children. All groups gave constructive suggestions for conduct of the clinic and smooth transition. CONCLUSIONS:There is a definite need for a Transition Clinic in the management of adolescents with chronic illness to ensure smooth transfer of care. Introducing such clinics in the existing health framework is feasible using a multidisciplinary approach.
journal_name
Indian J Pediatrjournal_title
Indian journal of pediatricsauthors
Menon J,Peter AM,Nayar L,Kannankulangara Adoi
10.1007/s12098-020-03189-zsubject
Has Abstractpub_date
2020-06-01 00:00:00pages
421-426issue
6eissn
0019-5456issn
0973-7693pii
10.1007/s12098-020-03189-zjournal_volume
87pub_type
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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journal_title:Indian journal of pediatrics
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journal_title:Indian journal of pediatrics
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journal_title:Indian journal of pediatrics
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abstract:: ...
journal_title:Indian journal of pediatrics
pub_type: 信件
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-008-0213-4
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/BF02750935
更新日期:1991-07-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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更新日期:2014-05-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-010-0009-1
更新日期:2010-01-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-012-0852-3
更新日期:2013-07-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-017-2422-1
更新日期:2017-12-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-015-1710-x
更新日期:2015-09-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type:
doi:10.1007/s12098-008-0025-6
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:The present study aimed at assessing the population prevalence of goiter and iodine deficiency in school children of 6-12 yr living in urban slums of Bhubaneswer, the capital city of Orissa. METHODS:A cross-sectional study was performed using the 30-cluster sampling methodology and surveillance methods for i...
journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-007-0169-9
更新日期:2007-10-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/BF02825126
更新日期:1995-11-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-009-0204-0
更新日期:2009-10-01 00:00:00
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journal_title:Indian journal of pediatrics
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pub_type: 杂志文章,评审
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更新日期:2014-01-01 00:00:00
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更新日期:2021-01-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/BF02722029
更新日期:2001-02-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,meta分析
doi:10.1007/s12098-019-03098-w
更新日期:2020-01-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/s12098-015-1999-5
更新日期:2016-11-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s12098-009-0246-3
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To investigate the changes in lymphocyte subsets that are caused by infection with different pathogens in children with hand, foot, and mouth disease. METHODS:T lymphocyte subsets were measured in the patients' peripheral blood, and serum, throat swab, and fecal samples were tested for enterovirus. RESULTS:...
journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-016-2198-8
更新日期:2017-02-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/BF02759920
更新日期:2006-07-01 00:00:00
abstract::We present a 10-year-old girl who presented to our emergency services with difficulty in breathing of 2-days duration and progressive weakness of a month's duration. In a previous admission elsewhere, she had not been detected to have hyperthyroidism or electrolyte abnormalities. On admission, the child was in hyperca...
journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-007-0194-8
更新日期:2007-11-01 00:00:00