Finding MyVOICE: A Mixed-Methods Examination of Health Outcomes of Young Adults with Chronic Illness Transitioning from Pediatric to Adult Health Care

التفاصيل البيبلوغرافية
العنوان: Finding MyVOICE: A Mixed-Methods Examination of Health Outcomes of Young Adults with Chronic Illness Transitioning from Pediatric to Adult Health Care
المؤلفون: Stephanie Wright, Maral Shahinian, Diana Tanaka, Ellen Iverson, Cynthia Keyllian, Bridgid M. Conn
المصدر: Journal of Pediatric Health Care. 35:610-620
بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Adult, Transition to Adult Care, medicine.medical_specialty, business.industry, Medical record, Specialty, Context (language use), Disease, Subspecialty, Logistic regression, Ambulatory Care Facilities, Young Adult, Family medicine, Chronic Disease, Outcome Assessment, Health Care, Pediatrics, Perinatology and Child Health, Humans, Medicine, Medical diagnosis, Young adult, Child, business, Delivery of Health Care
الوصف: Introduction This study examines health use outcomes of young adults with chronic illness following participation in a transition program and identifies variables that impact outcomes. Method A sample of 119 ethnically diverse, low-income young adults (mean age = 21.8 years) was interviewed 6 months post-transition. Chi-square tests and logistic regression analyses examined the relationship between variables and outcomes. Responses to open-ended questions provided context to findings. Results Primary care and insurance linkage were significantly higher for patients enrolled in a fully-formed clinic than patients enrolled early in the clinic's development. Patients with multiple diagnoses reported significantly more hospitalizations and specialty care engagement. Hospitalizations and possession of medical records differed significantly by subspecialty. Visit number predicted hospitalizations after accounting for subspecialty, but not after accounting for the number of conditions. Discussion This study highlights the impact of disease type and severity on post-transition outcomes following participation in a transition program serving socially and medically complex patients.
تدمد: 0891-5245
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::49ba043e90d6ed1071edb912b3b20ce1Test
https://doi.org/10.1016/j.pedhc.2021.06.002Test
حقوق: CLOSED
رقم الانضمام: edsair.doi.dedup.....49ba043e90d6ed1071edb912b3b20ce1
قاعدة البيانات: OpenAIRE