Transition from paediatric to adult care: what makes it easier for parents?

CHRONIC diseases in adolescence; CONFIDENCE intervals; CONTINUUM of care; HOSPITAL admission & discharge; MULTIVARIATE analysis; STATISTICS; LOGISTIC regression analysis; SOCIOECONOMIC factors; ODDS ratio

Objective To assess differences between parents of adolescents with chronic illness (CI) going through a self-reported easy or difficult transfer. Methods Seventy-two parents of CI youths who had already transferred to adult care were divided according to whether they considered that the transfer had been easy ( n = 45) or difficult ( n = 27). We performed a bivariate analysis comparing both groups and variables with a significance level < .1 were included in a logistic regression. Results are presented as adjusted odds ratio (aOR). Results Over one third of parents (27/72) reported a difficult transfer. At the multivariate level, higher socioeconomic status (aOR: 7.74), parents feeling ready for transfer (aOR: 6.54) and a good coordination between teams (aOR: 7.66) were associated with an easy transfer. Conclusions An easy transfer for parents is associated with feeling ready and considering that the coordination between teams is good. Health providers should consider these requisites for a successful transfer. [ABSTRACT FROM AUTHOR]

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