Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Continuity of care in the transition from child to adult diabetes services: A realistic evaluation study

Allen, Davina Ann, Cohen, David, Hood, Kerenza, Robling, Michael Richard, Atwell, Christine, Lane, Claire, Lowes, Lesley Madeline, Channon, Susan Jane, Gillespie, David, Groves, Sam, Harvey, John Nigel and Gregory, John Welbourn 2012. Continuity of care in the transition from child to adult diabetes services: A realistic evaluation study. Journal of Health Services Research and Policy 17 (3) , pp. 140-148. 10.1258/jhsrp.2011.011044

Full text not available from this repository.

Abstract

Objectives: To identify the continuity mechanisms central to a smooth transition from child to adult diabetes care, the service components through which these can be achieved and their inter-relations in different contexts. Methods: A realistic evaluation study of five models of transition in England comprising: organizational analysis (semi-structured interviews with 38 health care professionals and selected observations); case studies of 46 young people under-going transition and 39 carers (three qualitative interviews over a 12–18 month period, medical record review and clinical interviews); surveys of 82 (32% response rate at least once and 11% response rate at two time points) young people in the population approaching, undergoing or less than 12 months post-transition, and their carers (questionnaires included psychosocial outcome measures); and a costs and consequences analysis. Results: Seven continuities contribute to smooth transition: relational, longitudinal, management, informational, flexible, developmental and cultural. Relational, longitudinal, flexible and cultural continuity are the most important. Models with high levels of relational, longitudinal, flexible and cultural continuity achieve smooth transition with relatively informal, low-cost informational and management continuity mechanisms. Models with low levels of relational and longitudinal continuity need to invest in more formal interventions to facilitate management, flexible and informational continuity so that smooth transition is not compromised. Conclusions: Focusing on continuity mechanisms, their inter-relations and the effectiveness of different constellations of service components in achieving smooth transition has furnished evidence to inform the development of innovative models which build on the logic of these findings but are sensitive to local context. Further studies are needed to confirm the quantitative findings from a broader range of services and patients.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Publisher: SAGE Publications (UK and US)
ISSN: 1355-8196
Last Modified: 09 Jan 2018 16:07
URI: http://orca.cf.ac.uk/id/eprint/20192

Citation Data

Cited 18 times in Google Scholar. View in Google Scholar

Cited 23 times in Scopus. View in Scopus. Powered By Scopus® Data

Cited 13 times in Web of Science. View in Web of Science.

Actions (repository staff only)

Edit Item Edit Item