Healthcare Transition for Patients with Differences of Sexual Development and Complex Urogenital Conditions

Topic overview

Publication date: Available online 13 September 2019

Source: Seminars in Pediatric Surgery

Author(s): Veenod L. Chulani, Veronica Gomez-Lobo, Stephanie J. Kielb, Gwen M. Grimsby

Abstract

Children with major congenital anomalies are able to obtain a high level of care in pediatric care settings. In contrast, adult care models emphasize patient responsibility in ensuring their health care needs are met. As patients make this transition, they may fall through the medical “safety net” and struggle to find quality care because of their lack of preparation. Transitional care, including tailored and purposeful medical and social support services, can serve as a bridge across systems and facilitate the safe and effective transfer of young adults with special health care needs from pediatric to adult care. Transitional care prepares youth to manage their own care, effectively use health services, and navigate the shift from distinctly different pediatric to adult models of health care. For unique patient populations such as those with disorders of sexual development and congenital genitourinary conditions, this preparation is vitally important to maximize lifelong functioning and well-being.

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