Difficulties in Transition of Care from Pediatric to Adult Gynecology Providers: Should We Maintain Care into Adulthood?

J Pediatr Adolesc Gynecol. 2020 Jun;33(3):255-259. doi: 10.1016/j.jpag.2019.11.008. Epub 2019 Nov 22.

Abstract

There is evidence that transfer of care for older adolescent patients to adult care is associated with a deterioration in health, especially in those with chronic conditions. Because several specific conditions in pediatric and adolescent gynecology continue into adulthood, it is important that patients have a seamless healthcare transition. In this commentary, it is argued that instead of arranging transfer, long-term retention of patients by the same physician or physician team may be the more caring, patient-centered approach.

Keywords: Health care transition; Patient retention; Pediatric and adolescent gynecology; Transition of care.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Chronic Disease / therapy
  • Continuity of Patient Care / standards
  • Female
  • Gynecology / organization & administration*
  • Humans
  • Pediatrics / organization & administration
  • Transition to Adult Care / standards*