Clinics dedicated to transition preparation for adolescents and young adults with chronic conditions: Factors influencing their use

Enora Le Roux; Aurélie Bourmaud; Paul Jacquin; Nizar Mahlaoui; Aurélien Guffroy; Alexandre Belot; Mélanie Romier; Jane Sattoe; AnneLoes Van Staa; Corinne Alberti; Hélène Mellerio; Agnès Dumas

doi:10.1016/j.arcped.2023.08.004

Clinics dedicated to transition preparation for adolescents and young adults with chronic conditions: Factors influencing their use

Arch Pediatr. 2023 Nov;30(8):617-619. doi: 10.1016/j.arcped.2023.08.004. Epub 2023 Sep 12.

Authors

Affiliations

¹ Université de Paris, ECEVE UMR 1123, Inserm, Paris, France; AP-HP. Nord-Université de Paris, Hôpital Universitaire Robert Debré, Unité d'épidémiologie clinique, Inserm, CIC 1426, F-75019 Paris, France; Groupe de Recherche en Médecine et Santé de l'Adolescent, 75014 Paris, France. Electronic address: [email protected].
² Université de Paris, ECEVE UMR 1123, Inserm, Paris, France; AP-HP. Nord-Université de Paris, Hôpital Universitaire Robert Debré, Unité d'épidémiologie clinique, Inserm, CIC 1426, F-75019 Paris, France.
³ Groupe de Recherche en Médecine et Santé de l'Adolescent, 75014 Paris, France; Plateforme de transition « Ad'venir », Unité de médecine d'adolescent, Hôpital Robert Debré, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁴ Centre de Reference Déficits Immunitaires Héréditaires (CEREDIH), Unité d'Immunologie, Hématologie et Rhumatologie pédiatrique; Plateforme de Transition « La Suite », Hôpital universitaire Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
⁵ Espace adolescents jeunes adultes, Service d'immunologie clinique et médecine interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
⁶ Espace « Pass'âge », Hospices Civils de Lyon, Lyon, France.
⁷ Research Centre Innovations in Care, Rotterdam University of Applied Sciences, the Netherlands.
⁸ Université de Paris, ECEVE UMR 1123, Inserm, Paris, France; Groupe de Recherche en Médecine et Santé de l'Adolescent, 75014 Paris, France; Plateforme de transition « Ad'venir », Unité de médecine d'adolescent, Hôpital Robert Debré, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁹ Université de Paris, ECEVE UMR 1123, Inserm, Paris, France.

PMID: 37704524
DOI: 10.1016/j.arcped.2023.08.004

Abstract

To pool resources and reduce inequalities in access to transition preparation for patients, transition clinics were created in France. They are places in hospitals, independent of the usual care departments, offering multiple resources and services for adolescents and their parents. Of the 24 physicians from care departments who were surveyed, half of them do not use transition clinics. The implementation of transition clinics in hospitals did not lead to their adoption by the care departments that needed the most support for transition preparation of their patients. A strategy improving adoption is needed to allow transition clinics to reduce inequalities.

Keywords: Adolescents; Care pathway; Integrated healthcare; Transition to adult care.

MeSH terms

Adolescent
France
Humans
Parents
Surveys and Questionnaires
Transition to Adult Care*
Young Adult