Journal article
Strategies to improve outcomes of youth experiencing healthcare transition from pediatric to adult HIV care in a large US city
Archives of public health = Archives belges de santé publique, v 81(1), pp 49-49
31 Mar 2023
PMID: 37004125
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundThe healthcare transition (HCT) from pediatric to adult HIV care can be disruptive to HIV care engagement and viral suppression for youth living with HIV (YLH).MethodsWe performed qualitative interviews with 20 YLH who experienced HCT and with 20 multidisciplinary pediatric and adult HIV clinicians to assess and rank barriers and facilitators to HCT and obtain their perspectives on strategies to improve the HCT process. We used the Exploration Preparation Implementation Sustainment Framework to guide this qualitative inquiry.ResultsThe most impactful barriers identified by YLH and clinicians focused on issues affecting the patient-clinician relationship, including building trust, and accessibility of clinicians. Both groups reported that having to leave the pediatric team was a significant barrier (ranked #1 for clinicians and #2 for YLH). The most impactful facilitator included having a social worker or case manager to navigate the HCT (listed #1 by clinicians and #2 by YLH); case managers were also identified as the individual most suited to support HCT. While YLH reported difficulty building trust with their new clinician as their #1 barrier, they also ranked the trust they ultimately built with a new clinician as their #1 facilitator. Factors reported to bridge pediatric and adult care included providing a warm handoff, medical record transfer, developing relationships between pediatric clinics and a network of youth-friendly adult clinics, and having the pediatric case manager attend the first adult appointment. Longer new patient visits, increased health communication between YLH and clinicians and sharing vetted clinician profiles with YLH were identified as innovative strategies.ConclusionIn this multi-disciplinary contextual inquiry, we have identified several determinants that may be targeted to improve HCT for YLH.
Metrics
Details
- Title
- Strategies to improve outcomes of youth experiencing healthcare transition from pediatric to adult HIV care in a large US city
- Creators
- Florence Momplaisir - University of PennsylvaniaKassandra McGlonn - Florida Agricultural and Mechanical UniversityMegan Grabill - University of PennsylvaniaKaelo Moahi - University of PennsylvaniaHervette Nkwihoreze - University of PennsylvaniaKayla Knowles - University of PennsylvaniaRoberta Laguerre - St. Christopher's Hospital for ChildrenNadia Dowshen - University of PennsylvaniaSophia A. Hussen - Emory UniversityAmanda E. Tanner - University of North Carolina at GreensboroElizabeth D. Lowenthal - University of Pennsylvania
- Publication Details
- Archives of public health = Archives belges de santé publique, v 81(1), pp 49-49
- Publisher
- Springer Nature
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000960795300001
- Scopus ID
- 2-s2.0-85152583459
- Other Identifier
- 991021838696904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health