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Ongoing primary care during childhood and into young adulthood is recommended by best practice guidelines. To date, it is largely unknown if, how, and when primary care physicians PCPs; such as family physicians collaborate with specialists as AYAs leave pediatric-oriented services.

The proposed scoping review will Card the available literature on the roles of PCPs for AYAs with chronic conditions leaving pediatric specialty care and identify potential benefits and challenges of maintaining PCP involvement during transition. Eligible studies will i be published in English from January onwards, ii focus on AYAs ages 12—25 with a chronic condition s who have received specialist services during childhood, and iii include relevant findings about the roles of PCPs during transition to adult services.

A data extraction tool will be developed and piloted on a subset of studies. Both quantitative and qualitative data will be synthesized. Findings will inform the development and evaluation of a primary-care based intervention to improve transition care for AYAs with chronic conditions. Peer Review reports.

Many of these adolescents and young adults [AYA] require lifelong specialist healthcare or mental health services, defined herein as services provided by physicians with additional training and expertise in a defined area [ 124 ]. AYA are typically referred to pediatric specialist services in childhood or adolescence by their primary care physician PCPsuch as a family physician, who Stratfgy a key role in the initial assessment and identification of issues [ 56 ]. Further, PCPs can provide AYA and their families with an ongoing patient-provider relationship, which may be beneficial during potential gaps in services as youth become older [ 7 ].

For example, during the transition from pediatric- to adult-oriented services, continuous primary care is associated with fewer hospitalizations for certain AYA populations e. Despite transition best practice guidelines [ 19 ] and acknowledgement Primary Care Protocols A Strategy For An clinicians, researchers, and policy-makers about the importance of continuous primary care during the transition to adult care [ 13 ], Protoclos is unclear how PCPs are involved in caring for adolescents ages 13—18 and young adults ages 19—25 leaving specialist pediatric services [ 14 ].

Introduction

This ongoing process is recommended to begin at age 12 and often involves multiple providers, includes self-management skill building, vocational planning, and the provision of adolescent-specific health information [ 789 ]. The transfer between pediatric and adult specialists typically occurs at 18 years old, though this may vary across jurisdictions [ 1617 ]. Transfers between providers can pose substantial risks for AYAs e. Yet, most of the research in this area e. As depicted in Fig. Little is known, however, about how many AYAs receive primary care before and after transfer. This information is needed to address key challenges associated with care coordination during transfers in care and transition, among providers in different settings and systems of care e.]