Introduction

This study examines health use outcomes of young adults with chronic illness following participation in a transition program and identifies variables that impact outcomes.

Method

A sample of 119 ethnically diverse, low-income young adults (mean age = 21.8 years) was interviewed 6 months post-transition. Chi-square tests and logistic regression analyses examined the relationship between variables and outcomes. Responses to open-ended questions provided context to findings.

Results

Primary care and insurance linkage were significantly higher for patients enrolled in a fully-formed clinic than patients enrolled early in the clinic's development. Patients with multiple diagnoses reported significantly more hospitalizations and specialty care engagement. Hospitalizations and possession of medical records differed significantly by subspecialty. Visit number predicted hospitalizations after accounting for subspecialty, but not after accounting for the number of conditions.

Discussion

This study highlights the impact of disease type and severity on post-transition outcomes following participation in a transition program serving socially and medically complex patients.

中文翻译：

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寻找 MyVOICE：对患有从儿科到成人医疗保健过渡的慢性病青年健康结果的混合方法检查

介绍

本研究检查了参与过渡计划后患有慢性病的年轻人的健康使用结果，并确定了影响结果的变量。

方法

在过渡后 6 个月采访了 119 名不同种族、低收入的年轻人（平均年龄 = 21.8 岁）的样本。卡方检验和逻辑回归分析检查变量和结果之间的关系。对开放式问题的回答为调查结果提供了背景。

结果

与在诊所发展早期登记的患者相比，在一个完整的诊所登记的患者的初级保健和保险联系明显更高。患有多种诊断的患者报告了更多的住院治疗和专科护理参与。住院和医疗记录的拥有因亚专业而显着不同。在考虑了亚专科后，就诊次数预测了住院人数，但在考虑了病情数量后则没有。

讨论

本研究强调了在参与为社会和医学复杂患者提供服务的过渡计划后，疾病类型和严重程度对过渡后结果的影响。