Defining Successful Transition: Adult Provider Perspective

Chapter

Abstract

A successful transition for an adolescent or young adult with special health-care needs (AYASHCN) is not achieved just because that young adult has established with an adult primary care team. Many times transition fails either at the time of the initial appointment with an adult health-care team or shortly thereafter. In trying to define a successful transition from the perspective of adult providers receiving an AYASHCN, one needs only to look at the factors that adult providers value in all of their patient-physician relationships. To an adult provider, transition is successful when the AYASHCN has integrated into the adult practice, has come to trust the adult health-care team, and ideally has become an active partner in managing their health care. Additionally, because AYASHCN do have complex care needs, transition can be considered successful only when the relationships and interactions between the adult primary care medical home and the various subspecialists involved in the patient’s care function collaboratively, with good communication and with respect for the role of the primary care medical home as the coordinator and manager for the patient’s care as a whole.

Keywords

Successful transition Adult provider perspective Patient-physician relationship Primary care/subspecialty care interface Chronic illness Adolescents and young adults 

References

  1. 1.
    American Academy of Pediatrics, et al. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics. 2002;110:1304–6.Google Scholar
  2. 2.
    AAP, AAFP, ACP Transition Clinical Report Authoring Group. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128:182.CrossRefGoogle Scholar
  3. 3.
    Dang BN, Westbrook RA, Mjue SM, Giordano TP. Building patient trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Med Educ. 2017;17:32.CrossRefGoogle Scholar
  4. 4.
    Dean M, Street RL. A 3-stage model of patient-centered communication for addressing cancer patients’ emotional distress. Patient Educ Couns. 2014;94(2):143–8.CrossRefGoogle Scholar
  5. 5.
    Thorne SE, Kuo M, Armstrong E, McPherson G, Harris SR, Hislop TG. ‘Being known’: patients’ perspectives of the dynamics of human connection in cancer care. Psychooncology. 2005;14(10):887–98.CrossRefGoogle Scholar
  6. 6.
    Shepherd HL, Tattersall MHN, Butow PN. Physician-identified factors affecting patient participation in reaching treatment decisions. J Clin Oncol. 2008;26(10):1724–31.CrossRefGoogle Scholar
  7. 7.
    DeVoe J, Fryer GE, Straub A, McCann J, Fairbrother G. Congruent satisfaction: is there geographic correlation between patient and physician satisfaction? Med Care. 2007;45(1):88–94.CrossRefGoogle Scholar
  8. 8.
    Linn LS, Brook RH, Clark VA, Ross Davies A, Fink A, Kosecoff J. Physician and patient satisfaction as factors related to the organization of internal medicine group practices. Med Care. 1985;23(10):1171–8.CrossRefGoogle Scholar
  9. 9.
    Lictenstein R. Measuring the job satisfaction of physicians in organized settings. Med Care. 1984;22(1):56–68.CrossRefGoogle Scholar
  10. 10.
    Lipsitt DR. The challenge of the “difficult patient” (deja vu all over again--only more so). Gen Hosp Psychiatry. 1997;19:313–4.CrossRefGoogle Scholar
  11. 11.
    Barsky AJ, Borus JF. Somatization and medicalization in the era of managed care. JAMA. 1995;274:1931–4.CrossRefGoogle Scholar
  12. 12.
    Freidson E. Prepaid group practice and the new “demanding patient”. Milbank Mem Fund Q Health Soc. 1973;51:473–88.CrossRefGoogle Scholar
  13. 13.
    Landon BE, Reschovsky J, Blumenthal D. Changes in career satisfaction among primary care and specialist physicians, 1997–2001. JAMA. 2003;289:442–9.CrossRefGoogle Scholar
  14. 14.
    Stoddard JJ, Hargraves JL, Reed M, et al. Managed care, professional autonomy, and income – effects on physician career satisfaction. J Gen Intern Med. 2001;16:675–84.CrossRefGoogle Scholar
  15. 15.
    Devoe J, Fryer GE, Hargraves JL, et al. Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care? J Fam Pract. 2002;51:223–8.PubMedGoogle Scholar
  16. 16.
    Haas JS. Physician discontent—a barometer of change and need for intervention. J Gen Intern Med. 2001;16:496–7.CrossRefGoogle Scholar
  17. 17.
    Krebs EE, Garrett JM, Konrad TR. The difficult doctor? Characteristics of physicians who report frustration with patients: an analysis of survey data. BMC Health Serv Res. 2006;6:128.CrossRefGoogle Scholar
  18. 18.
    Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic. Arch Intern Med. 1999;159:1069–75.CrossRefGoogle Scholar
  19. 19.
    Scal P. Transition for youth with chronic conditions: primary care physicians’ approaches. Pediatrics. 2002;110:1315–21.PubMedPubMedCentralGoogle Scholar
  20. 20.
    Peter NG, Forke CM, Ginsburg KR, Schwarz DF. Transition from pediatric to adult care: internists perspectives. Pediatrics. 2009;123:417–23.CrossRefGoogle Scholar
  21. 21.
    Greer RC, Ameling JM, Cavenaugh KL, et al. Specialist and primary care physicians’ views on barriers to adequate preparation of patients for renal replacement therapy: a qualitative study. BMC Nephrol. 2015;16:37.CrossRefGoogle Scholar
  22. 22.
    The patient centered medical home neighbor, the interface of the patient centered medical home with specialty/subspecialty practices. American College of Physicians Position Paper. 2010. http://www.acponline.org/advocacy/where_we_stand/policy/pcmh_neighbors.pdf.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Medicine and PediatricsUniversity of South Carolina School of MedicineColumbiaUSA

Personalised recommendations