How adult specialists deal with the principles of a successful transition.

TitleHow adult specialists deal with the principles of a successful transition.
Publication TypeJournal Article
Year of Publication2009
AuthorsSurís, J-C, Akré, C, Rutishauser, C
JournalJ Adolesc Health
Date Published2009 Dec
KeywordsAdolescent, Chronic Disease, Continuity of Patient Care, Female, Humans, Logistic Models, Male, Middle Aged, Pediatrics, Physician-Patient Relations, Physicians, Surveys and Questionnaires, Switzerland

OBJECTIVES: To evaluate whether adult specialists comply with the basic principles for a successful transition of adolescents with chronic disorders, and to determine whether the characteristics of the adult specialists have an influence on applying these principles.

METHODS: Out of 299 adult specialists in four French-speaking Swiss cantons, 209 (70%) answered a paper-and-pencil mailed questionnaire between May and July 2007. Only those having received the transfer of at least one adolescent in the previous 2 years (N=102) were included in the analysis. We analyzed four dependent variables: discussing common concerns of adolescent patients, seeing the patient alone, having a transition protocol, and having a previous contact with the pediatric specialist. A logistic regression was performed for each dependent variable controlling for the physicians' characteristics (number of transfers, age, gender, workplace, and perceived experience).

RESULTS: Fifty-four percent of the physicians did not spend time alone with their patients, and sensitive issues such as sexuality or substance use were not widely discussed with their young patients. Most respondents (59%) did not have an established protocol, and 54% did not have any contact with the pediatric specialist. In the multivariate analyses, the adult specialists' characteristics had little impact.

CONCLUSIONS: For many adolescents with chronic disorders the transition from pediatric to adult healthcare seems to be limited to a simple transfer, often lacking adequate communication between physicians. Applying simple but basic principles such as a good coordination between providers would probably improve the quality of healthcare of adolescents with chronic illness.

Alternate URL

Alternate JournalJ Adolesc Health
Citation Key / SERVAL ID2829
PubMed ID19931826


Institute of Social and Preventive Medicine
Route de la Corniche 10, 1010 Lausanne - Switzerland
+41 21 314 72 72 |

Go to top