Transition Modelsprocess And Planning Models of Transition

Models for improving transition care have been described for condition-specific diagnoses (50) within professional disciplines (3,51), for primary care settings (52) and non-disease-specific, non-medical programs (53). Only a few studies have been conducted to examine the effectiveness of various health care transition models on health status and health-related outcomes (54). Recently McDonagh demonstrated improved health-related quality-of-life, disease knowledge, satisfaction, and vocational readiness for adolescents with JIA (55) who participated in a subspecialty evidence-based transition program (51) in the United Kingdom. Wolf Branigin et al. showed increased quality-of-life and improved health and well-being for youth with all types of disabilities who participated in a career-readiness transition program (53). More studies are needed to demonstrate who needs what kind of transition program. Much of what is currently known about transition care is largely based upon descriptive summaries of models (56,57), qualitative studies with young people and families (58), and the expert opinion of health care professionals, such as the study by Rettig et al. for young people with rheumatic disease (59).

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