The transition of the healthy adolescent to the adult medical service
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Abstract
Introduction: The care of adolescents requires the integration of all health personnel to achieve an adequate delivery of the patient to the adult medical service, from pediatrics or family medicine. Objective: To review the literature on the medical transition process of healthy adolescents and propose a checklist that serves as practical guidance for the doctor to refer him to the adult service appropriately. Methods: A descriptive, retrospective literature review study was carried out with a systematic search strategy. The most relevant articles on existing and updated procedures to carry out an adequate transition of adolescents were analyzed. Results: Different protocols and guidelines of the Ministry of Health and Social Protection of Colombia and international articles with their respective regulations were found. The steps for a successful transition were unified and summarized in a comprehensive process. Finally, a checklist was created that allows the adolescent to be easily referred to the adult doctor so that the clinical staff can achieve an adequate transition. Conclusion: The transition process is a period of high risk for the adolescent due to its inherent probability of abandonment. Implementing a comprehensive transition program for adolescent care in the health system is essential. For this reason, it is necessary to know the transition process, the role of the multidisciplinary team, and the checklist to achieve a successful transition.
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