Details

Autor(en) / Beteiligte

• García-Rodríguez, Fernando
• Arana-Guajardo, Ana C.
• Villarreal-Treviño, Ana V.
• Negrete-López, Roberto
• López-Rangel, José A.
• Fortuna-Reyna, Brenda J.
• Corral-Trujillo, María E.
• Jiménez-Hernández, Sol
• Áncer-Rodríguez, Patricia R.
• Herrera-López, Mayra G.
• Salas-Fraire, Óscar
• Salas-Longoria, Karina
• de la O-Cavazos, Manuel E.
• Galarza-Delgado, Dionicio Á.
• Rubio-Pérez, Nadina

Titel

Design of a Rheumatology Transition Clinic for a Resource-Constrained Setting

Ist Teil von

• Indian journal of pediatrics, 2023, Vol.90 (1), p.29-37

Ort / Verlag

New Delhi: Springer India

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Objectives To describe the design process of a medical care program for adolescents with pediatric onset rheumatic diseases (PRD) during the transition from pediatric to adult care in a resource-constrained hospital. Methods The model of attention was developed in three steps: 1) the selection of a multidisciplinary team, 2) the evaluation of the state of readiness of patients and caregivers for the transition, and 3) the design of a strategy of attention according to local needs. The results of the first two steps were used in order to develop the strategy of attention. Results The transition process was structured in three stages: pretransition (at pediatric rheumatology clinic), Transition Clinic for Adolescents with Rheumatic Diseases (TCARD, the main intervention), and post-transition (at adult rheumatology clinic). Each stage was divided, in turn, into a variable number of phases (8 in total), which included activities and goals that patients and caregivers were to accomplish during the process. A multidisciplinary approach was planned by pediatric and adult rheumatologists, nutritionists, physiatrists, psychiatrist, psychologist, nurse, and social worker. During TCARD, counseling, education, nutritional, physical, and mental health interventions were considered. Conclusions The proposed transition model for patients with rheumatic diseases can be a useful tool in developing countries.