Health Care Transitions Among Youth With Disabilities or Special Health Care Needs: An Ecological Approach

This literature review of 46 articles uses the ecological model as a framework for organizing concepts and themes related to health care transition among youth with disabilities or special health care needs (SHCN). Transition involves interactions in immediate and distal environmental systems. Impor...

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Bibliographic Details
Published in:Journal of pediatric nursing 2010-12, Vol.25 (6), p.505-550
Main Authors: Wang, Grace, McGrath, Barbara Burns, Watts, Carolyn
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health Services - organization & administration
Age Factors
Children with disabilities
Delivery of Health Care - trends
Disability Evaluation
Disabled Persons - rehabilitation
Disabled Persons - statistics & numerical data
Ecological model
Ecological models
Ecology
Female
Health care
Health care policy
Health Care Reform
Health Policy - trends
Humans
Intervention
Interventions
Male
Needs Assessment
Policy Making
Relatives
Risk Assessment
Social interaction
Special health care needs
Transition
Transitions
United States
Wellbeing
Young Adult
Young people
Youth with disabilities
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Summary:This literature review of 46 articles uses the ecological model as a framework for organizing concepts and themes related to health care transition among youth with disabilities or special health care needs (SHCN). Transition involves interactions in immediate and distal environmental systems. Important interactions in immediate environments include those with family members, health care providers, and peers. Activities in distal systems include policies at the governmental and health system levels. The ecological model can help researchers and practitioners to design experimental interventions in multiple settings that ensure smooth transitions and support the well-being of youth with disabilities or SHCN.
ISSN:0882-5963
1532-8449
DOI:10.1016/j.pedn.2009.07.003