Name
Health care transition from pediatric to adult primary care: Lessons from integrated pediatric primary care practices
Description

Health care transition (HCT) from pediatric to adult care is a crucial developmental step in the lifetime care of adolescents and young adults (AYA). Despite published guidelines from the American Academy of Pediatrics and Got Transition, supports for HCT are reportedly provided less than 25% of the time for patients in primary care. The current presentation describes the results of two studies that assessed HCT for AYAs in integrated primary care at a large pediatric academic hospital and highlights barriers and facilitators to HCT for primary care patients. Recommendations for HCT and how to study HCT processes will be discussed.

Speakers
Bridget Murphy, PhD
Amy Lang, PhD
Co-Authors
Bridget N. Murphy, PhD; Amy C. Lang, PhD; Constance A. Mara, PhD; Blair Davis, MS; Jessica T. Hinojosa, MS; Elysia M. Smith, BS; Mary Carol Burkhardt, MD; Margaret Jones, MD; Thomas Elliott, MD; Lori E. Crosby, PsyD
Content Level
All Audience
Tags
Patient-centered care or Patient perspectives, Pediatrics, Research and evaluation
Session Type
Concurrent
Objective 1
Participants will be able to identify recommendations for health care transition supports.
Objective 2
Participants will be able to describe both clinic-level and patient-reported barriers and facilitators to health care transition
Objective 3
Participants will recognize challenges to implementing and studying health care transition as well as strategies that can be implemented to improve health care transition supports.
Content Reference 1

Murphy, B. N., Lang, A. C., Mara, C. A., Hinojosa, J. T., Smith, E. M., Elliott, T., ... & Crosby, L. E. (2025). Prevalence, predictors, and moderators of transfer in primary care. Health Care Transitions, 100126.

Content Reference 2

Murphy, B. N., Lang, A. C., Davis, B., Burkhardt, M. C., Jones, M., Elliott, T., Crosby, L. E. (2026). Analysis of a Healthcare Transition Process for Pediatric Primary Care Patients. Manuscript under review.

Content Reference 3

White, P. H., & Cooley, W. C. (2018). Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics, 142(5).

Content Reference 4

Lebrun-Harris, L. A., McManus, M. A., Ilango, S. M., Cyr, M., McLellan, S. B., Mann, M. Y., & White, P. H. (2018). Transition planning among US youth with and without special health care needs. Pediatrics, 142(4), e20180194.

Content Reference 5

Leeb, R. T. (2020). Support for transition from adolescent to adult health care among adolescents with and without mental, behavioral, and developmental disorders—United States, 2016–2017. MMWR. Morbidity and Mortality Weekly Report, 69.