Non-adherence and transition clinics

Best Pract Res Clin Gastroenterol. 2020 Jun-Aug:46-47:101687. doi: 10.1016/j.bpg.2020.101687. Epub 2020 Sep 23.

Abstract

The majority of children who undergo liver transplantation now survive into adulthood and their requirement for life-long follow-up means that they will need to transition from paediatric to adult services. Poor transition is a risk factor for poor clinical and psychosocial outcomes and one of the barriers to effective transition is vulnerability to risk-taking behaviours, and specifically non-adherence. This chapter focuses on practical considerations for transitioning young people from paediatric to adult services, with a particular focus on the risk factors associated with non-adherence and examples of interventions for managing it.

Keywords: Adherence; Adult; Health professionals; Liver; Paediatric; Readiness; Transition; Transplant.

Publication types

  • Review

MeSH terms

  • Hospitals
  • Humans
  • Liver Transplantation / methods*
  • Liver Transplantation / mortality
  • Patient Compliance / psychology*
  • Survival Analysis