过渡期泌尿外科—儿童超年龄执业的现状和展望

Transitional urology—current status and prospects of pediatric over-age practice

随着医学的不断进步,更多患有先天性泌尿系统疾病的患儿在得到治疗后顺利成年,使得这些患者从儿童诊疗过渡到成人管理的需求不断增加。过渡期泌尿外科重点关注患有先天性泌尿系统疾病的青少年和年轻人从儿科治疗过渡到成人治疗时的医疗保健需求,最大程度地保障患儿的利益。因上海儿童医学中心获批超年龄连续医疗的资质,本文旨在分析目前在泌尿外科背景下医疗过渡中存在的障碍,探讨以前实施的医疗过渡模型的方式并提出改进建议。

With the continuous advancement of medicine,more children with congenital or pediatric-onset chronic urologic conditions are surviving well into adulthood,which imposes an ever-rising need for adequate transition of these patients from pediatric to adult care.Transitional Urology focuses on the health care needs of adolescents and young adults with congenital urological disorders as they transfer from pediatric to adult care,maximizing the best interests of the children.Since Shanghai Children′s Medical Center has been approved for over-age continuous medical care,this paper aims to analyze the currently perceived barriers in care transition within the urological context,explore the ways of previously implemented transition models,and propose the suggestions for improvement.