Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity.

IF 2.9 3区 医学 Q2 PSYCHIATRY
Anita Morandi, Giuseppina Rosaria Umano, Andrea Vania, Valeria Gugliemi, Giovanna Muscogiuri, Claudio Maffeis, Luca Busetto, Silvio Buscemi, Valentino Cherubini, Rocco Barazzoni, Melania Manco
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Abstract

The transition to adult health care (HCT, Health Care Transition), is the purposeful, planned movement of patients from paediatric to adult services. For the adolescent living with obesity (ALwO), the HCT represents a crucial window for effective intervention that can help improve body weight, adiposopathy, and metabolic complications. Nevertheless, no transition guidelines, models, and tools have been developed for these patients. The present statement of the Italian Society of Obesity examines the critical transition of ALwO from paediatric to adult healthcare. It synthesises current knowledge and identifies gaps in HCT of ALwO. Drawing on successful practices and evidence-based interventions worldwide, the paper explores challenges, including disparities and barriers, while advocating for patient and family involvement. Additionally, it discusses barriers and perspectives within the Italian health care scenario. The need for specialised training for healthcare providers and the impact of transition on healthcare policies are also addressed. The conclusions underscore the significance of well-managed transitions. The SIO recognises that without proper support during this transition, ALwOs risk facing a gap in healthcare delivery, exacerbating their condition, and increasing the likelihood of complications. Addressing this gap requires concerted efforts to develop effective transition models, enhance healthcare provider awareness, and ensure equitable access to care for all individuals affected by obesity. The document concludes by outlining avenues for future research and improvement.

Abstract Image

优化青少年和青年向成人过渡的医疗保健:意大利肥胖症协会的观点声明。
向成人医疗保健过渡(HCT,Health Care Transition)是指有目的、有计划地将病人从儿科转到成人服务。对于青少年肥胖症患者(ALwO)来说,HCT 是进行有效干预的关键窗口,有助于改善体重、肥胖症和代谢并发症。然而,目前还没有针对这些患者的过渡指南、模型和工具。意大利肥胖症协会的这份声明探讨了 ALwO 从儿科医疗向成人医疗过渡的关键问题。它综合了当前的知识,并指出了 ALwO HCT 的不足之处。本文借鉴了世界各地的成功实践和循证干预措施,探讨了面临的挑战,包括差异和障碍,同时倡导患者和家属参与其中。此外,本文还讨论了意大利医疗保健领域的障碍和观点。论文还讨论了对医疗服务提供者进行专业培训的必要性以及过渡时期对医疗政策的影响。结论强调了妥善管理过渡的重要性。意大利医疗保险协会认识到,如果在过渡期间没有适当的支持,ALwOs 有可能面临医疗服务方面的差距,加剧他们的病情,增加并发症的可能性。要消除这一差距,就必须齐心协力,开发有效的过渡模式,提高医疗服务提供者的认识,并确保所有肥胖症患者都能公平地获得医疗服务。本文件最后概述了未来研究和改进的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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