Challenges of Transitional Care for Young Allergy and Asthma Patients From Healthcare Professionals' Perspectives

IF 4 2区医学 Q2 ALLERGY

Clinical and Translational Allergy Pub Date : 2025-08-04 DOI:10.1002/clt2.70088

Maria Ödling, Birgitta Lagercrantz, Susanne Lundin, Hanna Sandelowsky, Christer Janson, Inger Kull

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引用次数: 0

Abstract

Objective

Evidence-based guidelines for transitional care of adolescents and young adults with allergy and asthma have been published, but shortcomings in the transition process have been identified. This study's aim was to gather deeper insights into healthcare professionals' experiences regarding the challenges of transitional care for adolescents and young adults with allergy and asthma.

Methods

Clinically active physicians and registered nurses in Sweden were recruited through a web survey. Qualitative data were obtained through individual interviews (n = 18). The transcribed interview data, serving as the basis for this study, were analysed using systematic text condensation.

Results

Four categories emerged during the analysis process: (1) ‘There is no clear structured approach that can be applied to everyone’, addressing variations in disease and individual patient needs. (2) ‘Relying only on referrals’, indicating that no other forms of communication exist. (3) ‘Tackling patients’ assumptions and verifying their knowledge’, referring to discrepancies between patients' expectations of healthcare professionals' knowledge of medical histories and the limited information actually available to healthcare professionals. (4) ‘Unprepared patients in a fragmented care chain’, implying a need to prepare patients for how healthcare services can differ.

Conclusions

Based on healthcare professionals' experiences, transitional care for patients with allergies and asthma is a complex process marked by numerous challenges. Interventions for improvement should include increased guideline implementation at all levels of healthcare, better communication between healthcare professionals, and continuous patient education, including teaching adolescents and young adults to take responsibility for navigating the healthcare system for care of allergy and asthma.

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从医疗保健专业人员的角度对年轻过敏和哮喘患者的过渡护理的挑战

目的针对青少年过敏和哮喘患者的过渡护理的循证指南已经发布，但在过渡过程中的不足之处已经被确定。本研究的目的是收集更深入的见解，医疗保健专业人员的经验，对青少年和年轻成人过敏和哮喘的过渡护理的挑战。方法通过网络调查，招募瑞典临床活跃医师和注册护士。通过个体访谈获得定性数据（n = 18）。转录的访谈数据，作为本研究的基础，使用系统的文本浓缩分析。结果在分析过程中出现了四个类别：(1)“没有明确的结构化方法可以适用于每个人”，解决了疾病和个体患者需求的变化。(2)“仅依靠引荐”，表明不存在其他形式的沟通。(3)“解决患者的假设并验证他们的知识”，指患者对医疗保健专业人员的病史知识的期望与医疗保健专业人员实际可获得的有限信息之间存在差异。(4)“支离破碎的护理链中没有准备好的患者”，这意味着需要让患者做好准备，了解医疗服务的不同之处。结论根据医疗保健专业人员的经验，过敏和哮喘患者的过渡护理是一个复杂的过程，具有许多挑战。改善的干预措施应包括在各级卫生保健中增加指南的实施，卫生保健专业人员之间更好的沟通，以及持续的患者教育，包括教育青少年和年轻成年人承担起在卫生保健系统中引导过敏和哮喘护理的责任。

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来源期刊

Clinical and Translational Allergy Immunology and Microbiology-Immunology

CiteScore

7.50

自引率

4.50%

发文量

117

审稿时长

12 weeks

期刊介绍： Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.