Answers | N (%) | |
---|---|---|
How many patients do you transition per year? | <10 patients | 34 (44.7) |
10–50 patients | 41 (54.0) | |
>50 patients | 1 (1.3) | |
Answers | N (%) | |
What do you consider the ideal age to start the transition process? | <12 years | 1 (1.3) |
12–14 years | 8 (10.5) | |
15–17 years | 46 (60.5) | |
18–20 years | 21 (27.6) | |
Answers | N (%) | |
What do you consider the ideal age to transfer patients? | 14 years | 4 (5.3%) |
15–17 years | 18 (23.7%) | |
18 years | 33 (43.4%) | |
19–20 years | 11 (14.5%) | |
> 21 years | 10 (13.2%) | |
Answers | N (%) | |
Age at which transfer actually happens? | 14 years | 2 (2.7) |
15–17 years | 11 (14.5) | |
18 years | 26 (34.2) | |
19–20 years | 23 (30.2) | |
> 21 years | 14 (18.4) | |
Answers | N (%) | |
Do you have a transition policy? | There is not a formal transition program, but follows an informal protocol to transition patients. | 37 (48.7) |
There is not a transition program, but there is interest in implementing one. | 27 (35.5) | |
There is a formal transition program, well-established and structured. | 10 (13.1) | |
Transition program under development. | 10 (13.1) | |
The transition has not been discussed. | 3 (4.0) | |
There is no need for a transition program at this time. | 1 (1.3) | |
Answers | N (%) | |
How do you prepare your patients for transition? | Patient’s knowledge assessment about their own illness, current and past treatments. | 50 (65.8) |
Prior visit with an adult rheumatology from the center where the patient will be taken. | 48 (63.2) | |
Discussion on education, vocation and finding a job. | 21 (27.6) | |
Patients are assisted by social worker and/or psychologist. | 13 (17.1) | |
Patient’s knowledge assessment about their health insurance. | 11 (14.5) | |
Answers | N (%) | |
How do you facilitate the transition process? | Provide a medical summary of the disease to the patient and/or the center where the patient will be followed. | 66 (86.8) |
Schedule the first visit for the patient in the center of adult rheumatology. | 30 (39.5) | |
Provide copy of the patient’s records. | 20 (26.3) | |
Development of an individual transition plan. | 9 (11.8) | |
Provide a map with instructions of how to get to the center of adults where the patient will be followed. | 8 (10.5) | |
Provide instruction on the health insurance. | 7 (9.2) | |
Flyers/educational materials. | 6 (7.9) | |
We do not provide any material. | 3 (3.9) | |
Other practices. | 8 (10.5) | |
Answers | N (%) | |
Do you use any tools for transition? | No tools. | 63 (82.9) |
Checklist with objectives to be met by the time of transition. | 10 (13.2) | |
Protocols that assess the patient’s readiness for transition. | 7 (9.2) | |
Answers | N (%) | |
What influences the decision to transfer? | Age of the patient. | 73 (96.1) |
Patient request for transition. | 28 (36.8) | |
Transition patients in order to have place for new patients. | 23 (30.3) | |
Patient’s family request for transition. | 22 (28.9) | |
Patient’s disease activity. | 20 (26.3) | |
Patient having children/starting a family. | 15 (19.7) | |
Private health insurance status. | 8 (10.5) | |
Distance between the patient’s residence and its rheumatology center. | 7 (9.2) | |
Patient getting a job. | 5 (6.6) | |
Answers | N (%) | |
Who makes the final decision when to transfer the patient? | The doctor | 62 (81.6) |
The patient | 4 (5.3) | |
The family of the patient | 1 (1.3) | |
Others | 9 (11.8) | |
Answers | N (%) | |
Where do you transfer your patients to? | Adult rheumatology tertiary center linked to the same pediatric rheumatology center. | 57 (75.0) |
Secondary specialized medical center not linked to the original center | 16 (21,0) | |
Private rheumatologist | 15 (19.7) | |
Patient/family find themselves a specialist | 5 (6.6) | |
Other | 12 (15.8) | |
Answers | N (%) | |
How many times do you allow your patients to return to the pediatric rheumatology center after the transition? | One return. | 47 (61.8) |
More than one return. | 9 (11.9) | |
No returns. | 20 (26.3) |