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Transition to adult-oriented health care : perspectives of youth and adults with complex physical disabilities

YOUNG NL; BARDEN WS; MILLS WA; BURKE TA; LAW M; BOYDELL K
PHYS OCCUP THER PEDIATR , 2009, vol. 29, n° 4, p. 345-361
Doc n°: 145811
Localisation : Accès réservé

D.O.I. : http://dx.doi.org/DOI:10.3109/01942630903245994
Descripteurs : JA - POLITIQUE DU HANDICAP

The transition to adulthood is extremely difficult for individuals
with disabilities. We sought to explore the specific issue of transition to
adult-oriented health care in a Canadian context. METHODS: We conducted
semi-structured individual interviews with 15 youth and 15 adults with cerebral
palsy, spina bifida, and acquired brain injuries of childhood, and their parents
(n = 30). Respondents discussed their health care services, their experience with
clinical transition, and contributing factors. We analyzed the transcripts using
qualitative methods. RESULTS: All participants identified challenges in
transition, including: lack of access to health care; lack of professionals'
knowledge; lack of information and uncertainty regarding the transition process.
Two solutions were identified: early provision of detailed information and more
extensive support throughout the clinical transition process. DISCUSSION: The
challenges of clinical transition were universal. More extensive information and
support is needed during transition to ensure an efficient move to appropriate
adult-oriented health care.

Langue : ANGLAIS

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