2. Index
My own transition experience
Transition in most university hospitals
Experience from others
Differences between child clinic and adult clinic
3. Me, myself and I
24 years old
Clinical Neuropsychologist
Board member of the JIA-association in the Netherlands
Polyarticular
Crohn’s disease
4. My own experience
University hospital of Groningen
Already seen my adult rheumatologist
Appointment with both rheumatologists
Arthritis consultant
5. University Hospital of Groningen
Already see an adult rheumatologist as a child
Multiple double appointments
6. Netherlands
One or more appointments with both rheumatologists
Confidence of patient
16-18 years old
Arthritis consultant
7. Quotes of other patients
“I’ve had two appointments with both rheumatologists and after
this appointment I went to a special transition-nurse, who has
contact with both rheumatologists.”
“There was one appointment with both doctors. If there were three
of this appointments it would be better. One was nice, but it was
not complete.”
“There should be a transition, but I’ve never had one. They just
made an appointment at the adult clinic. I didn’t even like my
adult doctor, so I went to another hospital.”
8. Differences between clinics
Child Clinic
Less rheumatologists
More clinics at one location
Children
Time to talk about life
Parents are responsible
Adult Clinic
More rheumatologists
More seperated clinics
Majority of old people
Shorter appointments
You are in charge
9. Conclusion
Transition gives confidence
Do not skip it because of the lack of time
Let patient and family adjust
Focus on the differences between clinics