Evidence map›Paper›PMID 24602574›Full record

ReviewAcademic pediatrics

Transition care: future directions in education, health policy, and outcomes research.

Niraj Sharma, Kitty O'Hare, Richard C Antonelli, Gregory S Sawicki

Abstract readReview
In one paragraph

Review in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  4. Article
  5. Review
  6. Insights on Improving Health Insurance Literacy in Diabetes.The Journal of clinical endocrinology and metabolism · 2025
    Review
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  8. Article
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Niraj SharmaDivision of General Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Mass; Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Mass. Electronic address: nsharma5@partners.org.
Kitty O'HareDivision of General Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Mass; Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Mass.
Richard C AntonelliDivision of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Mass.
Gregory S SawickiDivision of Respiratory Diseases, Department of Medicine, Boston Children's Hospital, Boston, Mass.

Funding

Cystic Fibrosis as a Model of Health Care Transition for Chronically Ill YouthK23HL105541 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI SAWICKI, GREGORY S · 2011 to 2015
$699k
NHLBI NIH HHS K23 HL105541
6 · The paper itself

Abstract

All youth must transition from pediatric to adult-centered medical care. This process is especially difficult for youth with special health care needs. Many youth do not receive the age-appropriate medical care they need and are at risk during this vulnerable time. Previous research has identified barriers that may prevent effective transition, and protocols have been developed to improve the process. Health outcomes related to successful transition have yet to be fully defined. Health care transition can also be influenced by education of providers, but there are gaps in medical education at the undergraduate, graduate, and postgraduate levels. Current changes in federal health policy allow improved health care coverage, provide some new financial incentives, and test new structures for transitional care, including the evolution of accountable care organizations (ACO). Future work must test how these systems changes will affect quality of care. Finally, transition protocols exist in various medical subspecialties; however, national survey results show no improvement in transition readiness, and there are no consistent measures of what constitutes transition success. In order to advance the field of transition, research must be done to integrate transition curricula at the undergraduate, graduate, and postgraduate levels; to provide advance financial incentives and pilot the ACO model in centers providing care to youth during transition; to define outcome measures of importance to transition; and to study the effectiveness of current transition tools on improving these outcomes.

Indexed as

Health PolicyAccountable Care OrganizationsAdolescentAdolescent MedicineAdultAge FactorsChronic DiseaseClinical CompetenceEducation, MedicalForecastingHumansInternal MedicineOutcome Assessment, Health CarePatient Protection and Affordable Care ActPediatricsTransition to Adult Carehealth care financinghealth policymedical educationoutcomes researchtransitionyouth with special health care needs

Identifiers

PMID24602574
PMCPMC4098714

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.