Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

Investigation of transition from pediatric to adult health care for patients with special health-care needs for neurological disease dating from childhood

Yoko Mochizuki, M.D., Ph.D.1), Chisen Takeuchi, M.D., Ph.D.1), Miho Osako, M.D., Ph.D.1), Mitsuko Minatogawa, M.D.1) and Naomi Shibata, M.D., Ph.D.1)

1)Department of Neurology, Tokyo Metropolitan Kita Medical and Rehabilitation Center for the Disabled

We investigated the patients followed in our hospital's adult neurology department to evaluate issues during the transition from pediatric to adult health care for patients with special health-care needs for neurological diseases. There has been an increase in the number of transition patients, and they were often recommended for the transition by pediatricians. Many patients had complications such as epilepsy, and there were also patients with an intractable disease. Therefore, patients undergoing this transition need neurologists. The transition requires a long time, and there is a difference in the medical administrative fees between pediatric and adult health care. The Japanese Society of Neurology and related societies need to take measures to improve these health-care transitions.
Full Text of this Article in Japanese PDF (278K)

(CLINICA NEUROL, 59: 279|281, 2019)
key words: pediatric to adult health-care transitions, patients with neurological disease from childhood, epilepsy, intractable disease, medical administrative fee

(Received: 22-Oct-18)