Transition Readiness in Adolescents and Emerging Adults with Diabetes: The Role of Patient-Provider Communication

Transition from pediatric to adult care represents a high risk period for adolescents and emerging adults with diabetes. Fundamental differences between pediatric and adult care delivery models may contribute to increased risk for poor health outcomes. This review provides a brief overview of models...

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Bibliographic Details
Published in:Current diabetes reports 2013-12, Vol.13 (6), p.900-908
Main Authors: Monaghan, Maureen, Hilliard, Marisa, Sweenie, Rachel, Riekert, Kristin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Delivery of Health Care
Diabetes
Diabetes Mellitus
Humans
Medicine
Medicine & Public Health
Psychosocial Aspects (KK Hood
Section Editor
Transition to Adult Care
Young Adult
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Summary:Transition from pediatric to adult care represents a high risk period for adolescents and emerging adults with diabetes. Fundamental differences between pediatric and adult care delivery models may contribute to increased risk for poor health outcomes. This review provides a brief overview of models of care in pediatric and adult settings and focuses on patient-provider communication content and quality as potential points of intervention to improve transition-related outcomes. This review also highlights disparities in transition and communication for adolescents and emerging adults from racial/ethnic minority groups and discusses recent changes in health care legislation that have significant implications for the transition process. Intervention opportunities include programs to enhance developmentally-appropriate patient-provider interactions and increased attention to promoting transition readiness skills. Improving patient-provider communication may hasten the development of vital self-advocacy skills needed in adult health care systems and, thus, help establish a lasting pattern of positive diabetes self-care.
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-013-0420-x