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Pediatric Urology Providers' Perceptions and Attitudes on Transitional Urologic Care in a Single-Payer Health Care System. | LitMetric

AI Article Synopsis

  • Advances in pediatric health care have revealed the importance of smooth transitions to adult care for patients with congenital neurourological conditions, prompting this study to examine Canada's transitional urologic care within its single-payer system.
  • A survey of 35 Pediatric Urologists from July 2023 to January 2024 explored their practices, challenges, and perceptions regarding transitional care, revealing a commitment to improvement and identifying 4 specialized clinics, three of which are currently operational.
  • Major challenges include a lack of adult care initiatives and governmental support, with recommendations calling for standardized transition protocols and improved patient education, particularly for conditions like spina bifida and complex urogenital issues.

Article Abstract

Introduction: Advances in health care have improved outcomes for pediatric patients with congenital neurourological conditions, highlighting the need for an effective transition from pediatric to adult care. This study investigates Canada's transitional urologic care within its single-payer health care system, focusing on the active members of Pediatric Urologists of Canada and their practices, perceptions, and attitudes toward transitional urologic care.

Methods: A survey was distributed to 35 Pediatric Urologists of Canada members from July 2023 to January 2024, which collected data on transitional care practices and available transitional urology clinics. It also focused on a service overview, covering aspects such as the responder's geographic and institutional affiliations, clinical practice characteristics involving transitional care, perceived challenges, and strategies for care enhancement.

Results: Nationwide engagement emphasized a commitment to improving transitional care, with a significant proportion of respondents (64%) having over 10 years of practice, reflecting substantial experience in addressing transitional care challenges. The survey identified 4 dedicated transitional care clinics, 3 of which are active, pointing to concerted efforts toward specialized service provision. The major challenges identified include the lack of adult transitional care initiatives and governmental support. Recommendations for improvement should focus on standardizing transition protocols and boosting patient education. The survey also underscored the necessity of protocolized care for spina bifida-neurogenic bladder and complex urogenital conditions.

Conclusions: This study highlights the active efforts and existing challenges within Canada's transitional urologic care system, particularly emphasizing operational transitional care clinics as a crucial step forward in catering to transitioning patients' needs.

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Source
http://dx.doi.org/10.1097/UPJ.0000000000000619DOI Listing

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