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García-Rodríguez F, Arana-Guajardo AC, Villarreal-Treviño AV, Negrete-López R, López-Rangel JA, Fortuna-Reyna BJ, Corral-Trujillo ME, Jiménez-Hernández S, Áncer-Rodríguez PR, Herrera-López MG, Salas-Fraire Ó, Salas-Longoria K, de la O-Cavazos ME, Galarza-Delgado DÁ, Rubio-Pérez N. Design of a Rheumatology Transition Clinic for a Resource-Constrained Setting. Indian J Pediatr 2023; 90:29-37. [PMID: 35476251 DOI: 10.1007/s12098-022-04102-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 10/27/2021] [Indexed: 01/10/2023]
Abstract
OBJECTIVES To describe the design process of a medical care program for adolescents with pediatric onset rheumatic diseases (PRD) during the transition from pediatric to adult care in a resource-constrained hospital. METHODS The model of attention was developed in three steps: 1) the selection of a multidisciplinary team, 2) the evaluation of the state of readiness of patients and caregivers for the transition, and 3) the design of a strategy of attention according to local needs. The results of the first two steps were used in order to develop the strategy of attention. RESULTS The transition process was structured in three stages: pretransition (at pediatric rheumatology clinic), Transition Clinic for Adolescents with Rheumatic Diseases (TCARD, the main intervention), and post-transition (at adult rheumatology clinic). Each stage was divided, in turn, into a variable number of phases (8 in total), which included activities and goals that patients and caregivers were to accomplish during the process. A multidisciplinary approach was planned by pediatric and adult rheumatologists, nutritionists, physiatrists, psychiatrist, psychologist, nurse, and social worker. During TCARD, counseling, education, nutritional, physical, and mental health interventions were considered. CONCLUSIONS The proposed transition model for patients with rheumatic diseases can be a useful tool in developing countries.
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Affiliation(s)
- Fernando García-Rodríguez
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico
| | - Ana C Arana-Guajardo
- Servicio de Reumatología, Instituto de Medicina Interna. Escuela Nacional de Medicina Sistema Tec Salud, Monterrey, Mexico
| | - Ana V Villarreal-Treviño
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico
| | - Roberto Negrete-López
- Rheumatology Service, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - José A López-Rangel
- Department of Psychiatry, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Brenda J Fortuna-Reyna
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico
| | - María E Corral-Trujillo
- Rheumatology Service, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Sol Jiménez-Hernández
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico
| | - Patricia R Áncer-Rodríguez
- Department of Nutrition at Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León.Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Mayra G Herrera-López
- Department of Nutrition at Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León.Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Óscar Salas-Fraire
- Department of Rehabilitation and Sports Medicine, Universidad Autónoma de Nuevo León.Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Karina Salas-Longoria
- Department of Rehabilitation and Sports Medicine, Universidad Autónoma de Nuevo León.Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Manuel E de la O-Cavazos
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico
| | - Dionicio Á Galarza-Delgado
- Rheumatology Service, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro, Monterrey, Nuevo León, Mexico
| | - Nadina Rubio-Pérez
- Department of Pediatrics, Universidad Autónoma de Nuevo León. Madero Y Gonzalitos S/N, Col. Mitras Centro 64460, Monterrey, Nuevo León, Mexico.
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Amann J, Brach M, Rubinelli S. How healthcare professionals experience patient participation in designing healthcare services and products. A qualitative study in the field of spinal cord injury in Switzerland. PATIENT EDUCATION AND COUNSELING 2018; 101:1452-1459. [PMID: 29606550 DOI: 10.1016/j.pec.2018.03.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 02/27/2018] [Accepted: 03/07/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVES This study explored healthcare professionals' accounts of patient participation, focusing particularly on aspects related to patients' contributions to the planning and design of healthcare services and products. It aimed to determine (1) how healthcare professionals experience patient participation, (2) what factors, in their view, may inhibit or promote it; and (3) through what channels they think it can take place. METHODS This study adopted a pragmatic epistemological approach. Data was collected through semi-structured interviews with healthcare professionals at four specialized centers for spinal cord injury in Switzerland. RESULTS Healthcare professionals who participated in this study were generally open to patient participation in the healthcare innovation process, highlighting several factors that may influence this process. Participants referred to three types of patient contributions that would usually emerge from informal exchange: (1) bringing in information unknown to staff; (2) reporting problems; and (3) providing concrete suggestions for improvement. CONCLUSION & PRACTICE IMPLICATIONS Healthcare professionals' positive view on and experiences with patient participation in the healthcare innovation process provide a fertile ground to further explore ways of fostering this new form of collaboration. Ultimately, it will be important to demonstrate its positive impact on both patients' as well as healthcare professionals' experiences.
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Affiliation(s)
- Julia Amann
- Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Lucerne/Nottwil, Switzerland.
| | - Mirjam Brach
- Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Lucerne/Nottwil, Switzerland
| | - Sara Rubinelli
- Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Lucerne/Nottwil, Switzerland
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