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PEDIATRICS Vol. 110 No. 6 December 2002, pp. 1307-1314

Health Care Transition: Destinations Unknown

John Reiss, PhD^* and Robert Gibson, MSOTR/L

^* Division of Policy and Program Affairs, Institute for Child Health Policy and Department of Pediatrics, University of Florida, Gainesville, Florida
Division of Policy and Program Affairs, Institute for Child Health Policy, Gainesville, Florida

--> The movement of young adults with special health care needs from pediatric-oriented care to adult-oriented care has been a growing concern in the health care literature over the past 20 years. This article reviews the development and evaluation of health care transition policy over that period of time. These health care transition policies are discussed in light of the preliminary results from a qualitative study of the experience of health care transition. This article concludes with suggestions regarding future policy development and research efforts around health care transition.

Key Words: adolescence • transition • health care policy

Abbreviations: MCHB, Maternal and Child Health Bureau • HRTW, Healthy and Ready to Work • CAS, complex adaptive system

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Received for publication Jul 2, 2002; Accepted Aug 26, 2002.

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