Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible?
Inherited metabolic diseases (IMDs) are rare heterogenous genetic conditions. Advanced technology and novel therapeutic developments have led to the improved life expectancy of patients with IMDs. Long-term, they require close surveillance from specialist adult metabolic providers. Healthcare transi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/19/5805 |
| _version_ | 1797478587702444032 |
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| author | Jessica I. Gold Karolina M. Stepien |
| author_facet | Jessica I. Gold Karolina M. Stepien |
| author_sort | Jessica I. Gold |
| collection | DOAJ |
| description | Inherited metabolic diseases (IMDs) are rare heterogenous genetic conditions. Advanced technology and novel therapeutic developments have led to the improved life expectancy of patients with IMDs. Long-term, they require close surveillance from specialist adult metabolic providers. Healthcare transition (HCT) is the planned, purposeful process of preparing adolescents for adult-centered medical care and has been recognized globally as a necessary component of care for IMDs. Two recent surveys outlined barriers to the HCT in the US and the UK. The limited knowledge of IMDs among adult physicians was one of the barriers. Some work on specialty curriculum has started and aims to improve the structured training and awareness of rare diseases. Other barriers included social and legal aspects of adulthood, social, vocational and educational support for young adults, care fragmentation and insurance coverage. Although various HCT tools are available, they cannot always be standardized for IMDs. Despite the remarkable differences in the healthcare systems and physicians’ training, collaboration among metabolic centers is possible. International rare disease alliance may enhance the patients’ management via guidelines development and standardized training for adult metabolic providers. |
| first_indexed | 2024-03-09T21:33:58Z |
| format | Article |
| id | doaj.art-fe44dcc6116f4be29c0a5f482a5bf000 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:33:58Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fe44dcc6116f4be29c0a5f482a5bf0002023-11-23T20:49:03ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011119580510.3390/jcm11195805Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible?Jessica I. Gold0Karolina M. Stepien1Division of Human Genetics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAInherited Metabolic Disorders Department, Salford Royal NHS Foundation Trust, Salford H6 8HD, UKInherited metabolic diseases (IMDs) are rare heterogenous genetic conditions. Advanced technology and novel therapeutic developments have led to the improved life expectancy of patients with IMDs. Long-term, they require close surveillance from specialist adult metabolic providers. Healthcare transition (HCT) is the planned, purposeful process of preparing adolescents for adult-centered medical care and has been recognized globally as a necessary component of care for IMDs. Two recent surveys outlined barriers to the HCT in the US and the UK. The limited knowledge of IMDs among adult physicians was one of the barriers. Some work on specialty curriculum has started and aims to improve the structured training and awareness of rare diseases. Other barriers included social and legal aspects of adulthood, social, vocational and educational support for young adults, care fragmentation and insurance coverage. Although various HCT tools are available, they cannot always be standardized for IMDs. Despite the remarkable differences in the healthcare systems and physicians’ training, collaboration among metabolic centers is possible. International rare disease alliance may enhance the patients’ management via guidelines development and standardized training for adult metabolic providers.https://www.mdpi.com/2077-0383/11/19/5805transition serviceadult metabolic medicinecollaborationchallengesinherited metabolic diseaseshealthcare systems |
| spellingShingle | Jessica I. Gold Karolina M. Stepien Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? Journal of Clinical Medicine transition service adult metabolic medicine collaboration challenges inherited metabolic diseases healthcare systems |
| title | Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? |
| title_full | Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? |
| title_fullStr | Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? |
| title_full_unstemmed | Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? |
| title_short | Healthcare Transition in Inherited Metabolic Disorders—Is a Collaborative Approach between US and European Centers Possible? |
| title_sort | healthcare transition in inherited metabolic disorders is a collaborative approach between us and european centers possible |
| topic | transition service adult metabolic medicine collaboration challenges inherited metabolic diseases healthcare systems |
| url | https://www.mdpi.com/2077-0383/11/19/5805 |
| work_keys_str_mv | AT jessicaigold healthcaretransitionininheritedmetabolicdisordersisacollaborativeapproachbetweenusandeuropeancenterspossible AT karolinamstepien healthcaretransitionininheritedmetabolicdisordersisacollaborativeapproachbetweenusandeuropeancenterspossible |