Nephrol Dial Transplant (2000) 15: 1761-1765
© 2000 European Renal Association-European Dialysis and Transplant Association
Child-Adult Interface
The adolescent challenge
Great Ormond Street Hospital, Great Ormond Street, London
Introduction
In today's health-care arena there are increasing demands from an ever-enlarging number of specialities for ever-more resources. One of these specialities is that of adolescent medicine, bridging the gap between the worlds of paediatrics and adult health-care. Unfortunately adolescent medicine in Europe tends to be fragmented and largely unco-ordinated [1,2]. With increasing numbers of adolescents with chronic illnesses surviving into adulthood, one aspect of adolescent medicine—transitional care—is in urgent need of development and research. With the current velocity of medical and surgical advancement, this area is likely to become an even greater challenge to both paediatric and adult specialists in the next few years. In spite of this, a survey of health authorities in the UK by the first (recently appointed) director of adolescent medicine in the UK revealed only 9.8% of health authorities had purchaser specifications on adolescent care facilities [1].
One of
What is transitional care?
Evidence from literature of need and benefit of transitional care
Barriers to successful transition
The adolescent
The parents
The paediatric nephrologist
The adult nephrologist
The delivery system
Areas for potential generic service development
Self-advocacy
Vocational issues
Generic health issues
Role of parents
Summary
Acknowledgments
Notes
References
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