Healthcare Transition and the Medical Home

  • Jennifer Lail


The purpose of this chapter is that the reader will understand the role of the pediatric medical home in the context of healthcare transition. The medical home is a model of care that provides a reliable and familiar entry into a comprehensive care system and fosters communication and collaboration between and among patients, families, clinicians, support staff, and the larger community. The medical home model is endorsed by pediatricians, internists, family medicine physicians, osteopathic providers, and emergency physicians. When established as a reliable touchpoint for preventive, acute, and chronic care, this model represents system-level support for transition and transfer to both an adult model and adult site of care. While adherence to condition-specific medical and lifestyle regimens is a critical piece of care for adolescents and young adults with special healthcare needs (AYASHCN), the medical home model offers enhanced opportunities to provide a holistic approach to AYASHCN.


Transition to adult care Adolescent Young adult Primary care Chronic illness 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Chronic CareJames M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Complex Care CenterDivision of General PediatricsCincinnatiUSA

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