کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
514911 866903 2016 12 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Better health, less spending: Redesigning the transition from pediatric to adult healthcare for youth with chronic illness
ترجمه فارسی عنوان
سلامت بهتر، هزینه کمتر: طراحی مجدد انتقال از مراقبت های بهداشتی اطفال به مراقبت های بهداشتی بزرگسالان برای جوانان با بیماری های مزمن
کلمات کلیدی
مراقبت از انتقال؛ ارائه خدمات بهداشتی؛ بیماری مزمن؛ پزشکی نوجوان؛ توان مالی
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
چکیده انگلیسی

Adolescents and young adults (AYA) with serious chronic illnesses face costly and dangerous gaps in care as they transition from pediatric to adult health systems. New, financially sustainable approaches to transition are needed to close these gaps.We designed a new transition model for adolescents and young adults with a variety of serious chronic conditions. Our explicit goal was to build a model that would improve the value of care for youth 15–25 years of age undergoing this transition. The design process incorporated a review, analysis, and synthesis of relevant clinical and health services research; stakeholder interviews; and observations of high-performing healthcare systems. We identified three major categories of solutions for a safer and lower cost transition to adult care: (1) building and supporting self-management during the critical transition; (2) engaging receiving care; and (3) providing checklist-driven guide services during the transition. We propose that implementation of a program with these interventions would have a positive impact on all three domains of the triple aim – improving health, improving the experience of care, and reducing per capita healthcare cost. The transition model provides a general framework as well as suggestions for specific interventions. Pilot tests to assess the model's ease of implementation, clinical effects, and financial impact are currently underway.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Healthcare - Volume 4, Issue 1, March 2016, Pages 57–68
نویسندگان
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