دورية أكاديمية

Pediatric Urology Providers' Perceptions and Attitudes on Transitional Urologic Care in a Single-Payer Health Care System.

التفاصيل البيبلوغرافية
العنوان: Pediatric Urology Providers' Perceptions and Attitudes on Transitional Urologic Care in a Single-Payer Health Care System.
المؤلفون: Chua M; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Surgery, Global Surgery, University of Toronto, Toronto, Ontario, Canada.; Department of Surgery, Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines., Varghese A; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Reyes TD; Department of Urology, British Columbia Children's Hospital, Vancouver, British Columbia, Canada., Romao R; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Tse S; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Tanaka S; Department of Surgery, Pediatric Urology Section, University of Alabama at Birmingham/Children's of Alabama, Birmingham, Alabama., Rickard M; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Santos JD; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Kim JK; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Lorenzo A; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada., Bagli D; Division of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
المصدر: Urology practice [Urol Pract] 2024 Sep; Vol. 11 (5), pp. 807-814. Date of Electronic Publication: 2024 May 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101635343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-0787 (Electronic) Linking ISSN: 23520779 NLM ISO Abbreviation: Urol Pract Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : New York, NY : Wolters Kluwer
Original Publication: [New York, NY] : Elsevier Inc., [2014]-[2018]
مواضيع طبية MeSH: Attitude of Health Personnel* , Transition to Adult Care* , Single-Payer System* , Urology*, Humans ; Canada ; Child ; Adult ; Male ; Pediatrics ; Female ; Surveys and Questionnaires
مستخلص: Introduction: Advances in health care have improved outcomes for pediatric patients with congenital neurourological conditions, highlighting the need for an effective transition from pediatric to adult care. This study investigates Canada's transitional urologic care within its single-payer health care system, focusing on the active members of Pediatric Urologists of Canada and their practices, perceptions, and attitudes toward transitional urologic care.
Methods: A survey was distributed to 35 Pediatric Urologists of Canada members from July 2023 to January 2024, which collected data on transitional care practices and available transitional urology clinics. It also focused on a service overview, covering aspects such as the responder's geographic and institutional affiliations, clinical practice characteristics involving transitional care, perceived challenges, and strategies for care enhancement.
Results: Nationwide engagement emphasized a commitment to improving transitional care, with a significant proportion of respondents (64%) having over 10 years of practice, reflecting substantial experience in addressing transitional care challenges. The survey identified 4 dedicated transitional care clinics, 3 of which are active, pointing to concerted efforts toward specialized service provision. The major challenges identified include the lack of adult transitional care initiatives and governmental support. Recommendations for improvement should focus on standardizing transition protocols and boosting patient education. The survey also underscored the necessity of protocolized care for spina bifida-neurogenic bladder and complex urogenital conditions.
Conclusions: This study highlights the active efforts and existing challenges within Canada's transitional urologic care system, particularly emphasizing operational transitional care clinics as a crucial step forward in catering to transitioning patients' needs.
التعليقات: Comment in: Urol Pract. 2024 Sep;11(5):814. doi: 10.1097/UPJ.0000000000000622. (PMID: 38913567)
Comment in: Urol Pract. 2024 Sep;11(5):813-814. doi: 10.1097/UPJ.0000000000000620. (PMID: 38913568)
فهرسة مساهمة: Keywords: adolescence; health care system; pediatrics; transitional care; urologic care
تواريخ الأحداث: Date Created: 20240517 Date Completed: 20240820 Latest Revision: 20240820
رمز التحديث: 20240820
DOI: 10.1097/UPJ.0000000000000619
PMID: 38758200
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-0787
DOI:10.1097/UPJ.0000000000000619