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Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review

OBJECTIVE: To determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care. DESIGN: Systematic review. Multiple electronic databases were searched including Ovid MEDLINE, EMBASE and Web of Science (from 1...

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Autores principales: Bhawra, Jasmin, Toulany, Alene, Cohen, Eyal, Moore Hepburn, Charlotte, Guttmann, Astrid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861092/
https://www.ncbi.nlm.nih.gov/pubmed/27150188
http://dx.doi.org/10.1136/bmjopen-2016-011871
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author Bhawra, Jasmin
Toulany, Alene
Cohen, Eyal
Moore Hepburn, Charlotte
Guttmann, Astrid
author_facet Bhawra, Jasmin
Toulany, Alene
Cohen, Eyal
Moore Hepburn, Charlotte
Guttmann, Astrid
author_sort Bhawra, Jasmin
collection PubMed
description OBJECTIVE: To determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care. DESIGN: Systematic review. Multiple electronic databases were searched including Ovid MEDLINE, EMBASE and Web of Science (from 1 January 1947 to 5 August 2015). Evidence quality was assessed using a 36-point scoring system for disparate study designs. SETTING: Studies with paediatric-to-adult transition programmes and interventions involving primary care providers or in primary care settings. PARTICIPANTS: Youth aged 16 years and over. OUTCOMES: Relevant outcomes were grouped into 3 main domains based on the Triple Aim Framework: experience of care, population health, cost. RESULTS: A total of 1888 unique citations were identified, yielding 3 studies for inclusion. Overall, primary care provider roles were not well defined. 2 studies used case managers to facilitate referrals to primary care, and the remaining study was the only 1 situated in a primary care setting. None of the studies examined transition in all 3 Triple Aim Framework domains. The most commonly reported outcomes were in the cost domain. CONCLUSIONS: There is limited empiric evidence to guide primary care interventions to improve transition outcomes for youth with chronic conditions. Future research and policy should focus on developing and evaluating coordinated transition interventions to better integrate primary care for high need populations.
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spelling pubmed-48610922016-05-27 Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review Bhawra, Jasmin Toulany, Alene Cohen, Eyal Moore Hepburn, Charlotte Guttmann, Astrid BMJ Open Health Services Research OBJECTIVE: To determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care. DESIGN: Systematic review. Multiple electronic databases were searched including Ovid MEDLINE, EMBASE and Web of Science (from 1 January 1947 to 5 August 2015). Evidence quality was assessed using a 36-point scoring system for disparate study designs. SETTING: Studies with paediatric-to-adult transition programmes and interventions involving primary care providers or in primary care settings. PARTICIPANTS: Youth aged 16 years and over. OUTCOMES: Relevant outcomes were grouped into 3 main domains based on the Triple Aim Framework: experience of care, population health, cost. RESULTS: A total of 1888 unique citations were identified, yielding 3 studies for inclusion. Overall, primary care provider roles were not well defined. 2 studies used case managers to facilitate referrals to primary care, and the remaining study was the only 1 situated in a primary care setting. None of the studies examined transition in all 3 Triple Aim Framework domains. The most commonly reported outcomes were in the cost domain. CONCLUSIONS: There is limited empiric evidence to guide primary care interventions to improve transition outcomes for youth with chronic conditions. Future research and policy should focus on developing and evaluating coordinated transition interventions to better integrate primary care for high need populations. BMJ Publishing Group 2016-05-05 /pmc/articles/PMC4861092/ /pubmed/27150188 http://dx.doi.org/10.1136/bmjopen-2016-011871 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Health Services Research
Bhawra, Jasmin
Toulany, Alene
Cohen, Eyal
Moore Hepburn, Charlotte
Guttmann, Astrid
Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title_full Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title_fullStr Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title_full_unstemmed Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title_short Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
title_sort primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861092/
https://www.ncbi.nlm.nih.gov/pubmed/27150188
http://dx.doi.org/10.1136/bmjopen-2016-011871
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