Abstract
Background: Transition of care from pediatric to adult services is a complex process. Factors influencing the success of health care transition of adolescents with chronic neurological disorders are poorly understood. Methods: Young adults with chronic neurological disorders who had been cared for in an Interdisciplinary Pediatric Center participated in this study. Using the Patient Satisfaction Questionnaire Short-form (PSQ-18) we investigated whether satisfaction of these patients with their medical care in adult services was depending on the severity and complexity of their condition. They were assigned to a group of severely disabled patients (group 1;intellectual disability or learning disability plus motor handicap or degree of disability80, n=11) or a group 2 of patients with milder impairment (N=39). We used descriptive and t-statistics to compare both groups. Results: Patients of group 1 reported slightly lower satisfaction with their present medical care in adult services (M=3.25;95%-KI=[2.96-3.55]) compared to patients of group 2 (M=3.59;95%.KI=[3.37-3.81];p=0.084). Satisfaction with transition was significantly lower in group 1 (M=2.65;95% KI=[2.29-3.01]) than in group 2 (M=3.11;95% KI=[2.89-3.33], p=0.045). The difference of mean values of 0.46 reflects a moderate effect size (Hedges g=0.68). Conclusion: Health care transition of adolescent patients with chronic neurological disorders is significantly more successful in patients with minor impairment compared to patients with severe complex neurological conditions.
| Dokumententyp: | Zeitschriftenartikel |
|---|---|
| Fakultät: | Medizin |
| Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
| ISSN: | 0300-8630 |
| Sprache: | Deutsch |
| Dokumenten ID: | 44533 |
| Datum der Veröffentlichung auf Open Access LMU: | 27. Apr. 2018, 08:06 |
| Letzte Änderungen: | 04. Nov. 2020, 13:20 |
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