Transition challenges in type 1 diabetes mellitus from paediatric to adult clinic

Abstract

Objectives: Transitioning from a family-centred clinic to a patient-centred clinic is an inevitable and fragile process through which patients and caregivers have to go through. This study aimed to identify transition issues and assess the role of pharmacists during this phase. Method: A mixed-method approach combining qualitative and quantitative analysis was used to identify factors that may contribute to uncontrolled diabetes during the transition period. Due to the challenges posed by the COVID-19 pandemic, three online questionnaires were developed, reviewed, and distributed via social media to patients, caregivers, and healthcare professionals. Key Findings: Concerns were raised about being under the care of a new doctor and not being provided enough support and care during the transition. Participants noticed a shift towards self-management as they moved between clinics. Furthermore, there was strong support for the involvement of pharmacists in the transition process, with participants agreeing that pharmacists could help reduce medication errors. Conclusion: A well-structured transition plan can ease the shift from paediatric to adult care. A multidisciplinary approach, involving various healthcare professionals, can better equip patients and caregivers with the skills needed for a successful transition. Identifying specific needs within the patient and healthcare team may allow pharmacists to tailor their interventions to improve patient outcomes during this critical period.