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Pediatric to adult-care transitions in childhood-onset chronic disease: Hospitalist perspectives

Authors

  • Susan Hunt MD,

    Corresponding author
    1. Department of Medicine, Division of General Internal Medicine, University of Washington Medical Center, Seattle, Washington
    2. Division of Hospital Medicine, Seattle Children's Hospital, Seattle, Washington
    • Address for correspondence and reprint requests: Susan Hunt, MD, Department of Medicine, Division of General Medicine, UWMC Department of Medicine Box 356429, Seattle, WA 98195-6429; Telephone: 206–221-7993; Fax: 206–221-8732; E-mail: hunts1@uw.edu

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  • Niraj Sharma MD

    1. Division of General Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts
    2. Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts
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Abstract

OBJECTIVE

Survey of adult-centered hospitalist perspectives on caring for adults with chronic diseases of childhood onset (CDoCO) to investigate comfort level and identify targets of future educational and policy intervention.

METHODS

We developed an on-line survey for adult-centered hospitalists based on a prior outpatient survey and introduced it to the Society of Hospital Medicine membership via e-mail. Consent was implied by completing the survey.

RESULTS

Of all respondents, 60% saw 5 or more adults with CDoCO over a 6-month period. Among internal medicine respondents, 40% did not feel comfortable caring for this population, with lack of familiarity with the literature, lack of training in CDoCO, coordinating with multiple specialists, and lack of training in adolescent development and behavior ranked as the most significant barriers to care.

CONCLUSION

The steadily growing population of adults with CDoCO and their high inpatient utilization have lead to increased care by adult-centered hospitalists, many of whom do not feel comfortable caring for them. Educational initiatives aimed at increasing medical knowledge base for common issues, training in adolescent development, increased care coordination, and access to address psychosocial issues would improve hospitalist comfort and patient care for this vulnerable population. Journal of Hospital Medicine 2013;8:627–630. © 2013 Society of Hospital Medicine

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