Abstract:
:The first generation of young people with perinatally acquired HIV is moving into adulthood, precipitating a transition from pediatric to adult care. As the first research appraisal of Australian clinician perspectives on this process, this article makes a unique contribution by examining the particular challenges associated with transitioning this population into adult care in regions of low HIV prevalence among young people. Qualitative interviews were conducted with twelve pediatric and adult care clinicians and analyzed for dominant and diverging themes. Clinicians anticipated significant client vulnerabilities during transition and worked beyond the boundaries of their roles and service parameters to keep clients engaged as they moved between pediatric and adult care. Strategies to strengthen the transition process focused on communication and teamwork, informed by and responsive to the needs of individual young people and their families. Clinicians working in settings with very small numbers of young people with HIV must advocate for a hidden minority with little potential for gaining large scale recognition or system changes. New conversations are needed to design a stronger and more sustainable transition process for both young people living with HIV, and their clinicians who care for them, in low prevalence settings.
journal_name
AIDS Patient Care STDSjournal_title
AIDS patient care and STDsauthors
Newman C,Persson A,Miller A,Cama Edoi
10.1089/apc.2013.0346subject
Has Abstractpub_date
2014-07-01 00:00:00pages
381-93issue
7eissn
1087-2914issn
1557-7449journal_volume
28pub_type
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journal_title:AIDS patient care and STDs
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