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- Title
トランジションにおける現状と課題 -総論として-.
- Authors
田中 恭子
- Abstract
Health care transition refers to the medical treatment and support during the process of switching from pediatric care to the adult care model. The goal of transition for young adults with special health care needs is to maximize their self-management skills, enabling individuals to seek out and utilize appropriate medical care by themselves. To this end, pediatric patients need support in acquiring appropriate understanding of their medical condition, health management skills, and readiness adjusting to adult care models to ensure a smooth and uninterrupted transition of medical care to new physicians and other providers of care. There are two major issues in health care transition support: patient autonomy and a functional medical framework. Promoting appropriate health care transition will be possible only when these two aspects become adequately operational. Autonomy (independence) support for pediatric patients refers to support in acquiring developmentally-appropriate health literacy to become an autonomous patient capable of decision-making regarding their own medical care, requiring support in accordance with the maturity of each patient. In addition, it is hoped support for autonomy (independence) in the health care setting will become available in coordination with other community initiatives for autonomy support. This article discusses health care transition from the viewpoint of pursuing the patients' best interests, describing the knowledge and attitudes necessary for providing the best medical care to patients regardless of the type of disorder involved.
- Publication
Japanese Journal of Child & Adolescent Psychiatry, 2018, Vol 59, Issue 5, p551
- ISSN
0289-0968
- Publication type
Article