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Between two worlds: Bridging the cultures of child health and adult medicine

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    However, one of the challenges for young adults in the transition process are the significant differences between children’s and adult services (Hait et al., 2006) in that children’s services typically provide more family focused care with a high level of parental involvement, while adult services are patient focused and expect the patient to have greater independence (McGill, 2002). This cultural gap (van Staa et al., 2011; Rosen, 1995) between children’s and adult services can complicate the transition process for adolescents (Viner, 1999). There is emerging evidence to suggest organised transition protocols and programmes do have measurable benefits for young adults and their parents/carers such as improved clinic attendance, better disease control, reduced hospital admissions and enhanced quality of life for a range of medical conditions (Van Walleghem et al., 2008; McDonagh et al., 2007; Department of Health, 2006; Holmes-Walker et al., 2006).

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This paper was commissioned for the working conference “Moving On: Transition from Pediatric to Adult Health Care” presented by the Center for Children with Chronic Illness and Disability, National Center for Youth with Disability, and the Keland Endowment Fund of the Johnson Foundation, September 9–11, 1994. The conference was supported, in part, by the National Institute on Disability and Rehabilitation Research Grant #H133B90012 and the Maternal and Child Health Bureau Grant #MCJ275045.

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