Setting and Target Population
The setting was a pediatric endocrine subspecialty clinic located within a nonprofit, 664-bed Midwest urban academic medical center serving a diverse ethnic and socioeconomic population. In addition to the main campus, there are two offsite satellite clinics where pediatric providers evaluate patients with Type 1 diabetes monthly. The academic medical center has a large adult diabetes clinic housed within the same campus as the pediatric diabetes clinic, and they communicate with each other via a shared electronic medical record (EMR).
Two pediatric endocrinologists lead the pediatric diabetes clinic, serving approximately 75 patients of all ages with Type 1 diabetes. Patients eligible to begin transition planning were 14 years of age or older with a diagnosis of Type 1 diabetes. Exclusion criteria included youth with Type 1 diabetes with developmental disabilities, steroid-induced diabetes, and diabetes acquired from underlying conditions (e.g., cystic fibrosis).
J Pediatr Health Care. 2017;31(2):215-221. © 2017 Mosby, Inc.