Transferring Young People With Profound Intellectual and Multiple Disabilities From Pediatric to Adult Medical Care: Parents' Experiences and Recommendations

被引:53
作者
Bindels-de Heus, Karen G. C. B. [1 ]
van Staa, AnneLoes [2 ]
van Vliet, Ingeborg [3 ]
Ewals, Frans V. P. M. [4 ]
Hilberink, Sander R. [3 ]
机构
[1] Erasmus MC Univ Med Ctr, Sophia Childrens Hosp, Dept Pediat, NL-3015 GJ Rotterdam, Netherlands
[2] Erasmus Univ, Rotterdam, Netherlands
[3] Rotterdam Univ, Rotterdam, Netherlands
[4] Erasmus MC Univ Med Ctr Rotterdam, Rotterdam, Netherlands
关键词
medical care; transition; adolescent; parents; severe generalized cerebral palsy; intellectual disability; unmet needs; GROSS MOTOR FUNCTION; HEALTH-CARE; CEREBRAL-PALSY; TRANSITION; CHILDREN; PREVALENCE; YOUTH; MODEL;
D O I
10.1352/1934-9556-51.3.176
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
Many children with profound intellectual and multiple disabilities (PIMD) now reach adulthood. The aim of this study was to elicit parents' experiences with the transfer from pediatric to adult medical care. A convenience sample of 131 Dutch parents of young people with PIMD (1626 years) completed a web-based questionnaire. Twenty-two percent of the young persons were still in pediatric care; 22% of the others had no care coordinator, although their health needs were the same. Parents valued the care provided by the pediatrician, and wished to see it continued. They were critical about how they had been prepared for transfer to adult care. Parents provided suggestions to improve transitional care, such as early start, information provision, and a joint consultation between pediatric and adult care.
引用
收藏
页码:176 / 189
页数:14
相关论文
共 33 条
[1]  
[Anonymous], INT CLASS FUNCT DIS
[2]   Transition for Teenagers With Intellectual Disability: Carers' Perspectives [J].
Bhaumik, Sabyasachi ;
Watson, Joanna ;
Barrett, Mary ;
Raju, Bala ;
Burton, Tracey ;
Forte, Jane .
JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, 2011, 8 (01) :53-61
[3]   What do we really know about the transition to adult-centered health care? A focus on cerebral palsy and spina bifida [J].
Binks, Jessie A. ;
Barden, Wendy S. ;
Burke, Tficia A. ;
Young, Nancy L. .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2007, 88 (08) :1064-1073
[4]  
Bruin G., 2008, THESIS ROTTERDAM U R
[5]   Transition to Adult Care for Children with Chronic Neurological Disorders [J].
Camfield, Peter ;
Camfield, Carol .
ANNALS OF NEUROLOGY, 2011, 69 (03) :437-444
[6]   Strategies for transitioning to adult care for youth with Lennox-Gastaut syndrome and related disorders [J].
Camfield, Peter R. ;
Gibson, Patricia A. ;
Douglass, Laurie M. .
EPILEPSIA, 2011, 52 :21-27
[7]   Eight Years of Specialist Training of Dutch Intellectual Disability Physicians: Results of Scientific Research Education [J].
Evenhuis, Heleen M. ;
Penning, Corine .
JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, 2009, 6 (04) :276-281
[8]   Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness [J].
Graneheim, UH ;
Lundman, B .
NURSE EDUCATION TODAY, 2004, 24 (02) :105-112
[9]   "You Have to Sit and Explain it All, and Explain Yourself." Mothers' Experiences of Support Services for Their Offspring with a Rare Genetic Intellectual Disability Syndrome [J].
Griffith, Gemma Maria ;
Hastings, Richard P. ;
Nash, Susie ;
Petalas, Michael ;
Oliver, Chris ;
Howlin, Patricia ;
Moss, Joanna ;
Petty, Jane ;
Tunnicliffe, Penelope .
JOURNAL OF GENETIC COUNSELING, 2011, 20 (02) :165-177
[10]  
Inspectie voor de Volksgezondheid (IGZ), 2000, ERNST MEERV GEH OND