Adolescent medicine: Edited by Sara F. Forman and Elizabeth R. WoodsTransition from pediatric to adult services: are we getting it right?Kennedy, Andrewa; Sawyer, Susana,b,cAuthor Information aCentre for Adolescent Health, Royal Children's Hospital, Australia bDepartment of Paediatrics, The University of Melbourne, Australia cMurdoch Children's Research Institute, Parkville, Australia Correspondence to Dr Andrew Kennedy, MBBS, FRACP, Centre for Adolescent Health, 2 Gatehouse Street, Parkville, Victoria 3052, Australia Tel: +61 3 9345 6457; fax: +61 3 9345 6502; e-mail: [email protected] Current Opinion in Pediatrics: August 2008 - Volume 20 - Issue 4 - p 403-409 doi: 10.1097/MOP.0b013e328305e128 Buy Metrics Abstract Purpose of review The transition of healthcare from pediatric to adult settings has become more significant over the past 20 years as the survival of young people with chronic illness and disability has increased and healthcare delivery has become more complex. This review examines the evidence from recent studies and position statements to determine the current issues relating to transition. Recent findings Although there are many examples of excellent transition processes, these are mostly confined to individual clinics (often subspecialist), with little evidence of hospital-wide or regional planning. The notion of transition to adult healthcare has now spread from its roots in adolescent medicine to influence many subspecialty areas of practice. However, it remains largely confined to a pediatric paradigm and risks becoming disconnected from the principles and practice of adolescent medicine from which it emerged. Summary More systematic investment in regional clinical service planning is indicated, as is investment in more systematic approaches to training both pediatric and adult healthcare providers around the importance of transition to adult healthcare. Collaboration is urged in relationship to clinical service developments, training and research initiatives. © 2008 Lippincott Williams & Wilkins, Inc.