Primary care during the transition to adult care for adolescents involved with pediatric specialty services: a scoping review protocol

Systematic Reviews

Kerry McBrien¹  Susan Samuel²  Ashley Felske²  Kyleigh Schraeder²  Gina Dimitropoulos³  Brooke Allemang³  Cathie Scott⁴ 

[1] Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada;PolicyWise for Children & Families, Calgary, Alberta, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;

关键词: Transition to Adult care;    Adolescent;    Young adult;    Adolescent health;    Adolescent health services;    Pediatrics;    Primary care physicians;    Primary health care;   

DOI  :  10.1186/s13643-021-01593-w

来源: Springer

【 摘 要 】

BackgroundOf the 15–20% of youth in North America affected by a chronic health condition (e.g., type 1 diabetes, cystic fibrosis) and/or mental health or neurodevelopmental disorder (e.g., depression, eating disorder, Attention Deficit-Hyperactivity Disorder), many often require lifelong specialist healthcare services. Ongoing primary care during childhood and into young adulthood is recommended by best practice guidelines. To date, it is largely unknown if, how, and when primary care physicians (PCPs; such as family physicians) collaborate with specialists as AYAs leave pediatric-oriented services. The proposed scoping review will synthesize the available literature on the roles of PCPs for AYAs with chronic conditions leaving pediatric specialty care and identify potential benefits and challenges of maintaining PCP involvement during transition.MethodsArksey and O’Malley’s original scoping review framework will be utilized with guidance from Levac and colleagues and the Joanna Briggs Institute. A search of databases including MEDLINE (OVID), EMBASE, PsycINFO, and CINAHL will be conducted following the development of a strategic search strategy. Eligible studies will (i) be published in English from January 2004 onwards, (ii) focus on AYAs (ages 12–25) with a chronic condition(s) who have received specialist services during childhood, and (iii) include relevant findings about the roles of PCPs during transition to adult services. A data extraction tool will be developed and piloted on a subset of studies. Both quantitative and qualitative data will be synthesized.DiscussionKey themes about the roles of PCPs for AYAs involved with specialist services will be identified through this review. Findings will inform the development and evaluation of a primary-care based intervention to improve transition care for AYAs with chronic conditions.

【 授权许可】

CC BY