TY - JOUR KW - Adolescent KW - Assisted Living Facilities/organization & administration KW - Child KW - Continuity of Patient Care/organization & administration KW - Delivery of Health Care/organization & administration KW - Developmental Disabilities/rehabilitation KW - Humans KW - Patient Care Planning/organization & administration KW - United States KW - Young Adult AU - W. A. Burdo-Hartman AU - D. R. Patel A1 - AB - Although many physicians may practice medical home medicine, most of the health care system is set up for acute episodic care. For children and youth with special health care needs (CYSHCN), this is costly and inefficient care and unsatisfactory for the patient and family. Transition or the purposeful planned movement of adolescents and young adults with chronic conditions from child-centered to adult-centered care began to evolve in the 1980s as more and more CYSHCN survived into adulthood. There is some progress being made in the implementation of the medical home that may facilitate a more effective transition of young individuals who have developmental disabilities. The greatest barrier to successful transition remains ensuring affordable, continuous health insurance coverage for all young people with special health care needs throughout adolescence and adulthood and engaging adult-oriented health care systems to take over the medical care of these young individuals. BT - Pediatric clinics of North America C5 - Medical Home CP - 6 CY - United States DO - 10.1016/j.pcl.2008.09.004 IS - 6 JF - Pediatric clinics of North America N2 - Although many physicians may practice medical home medicine, most of the health care system is set up for acute episodic care. For children and youth with special health care needs (CYSHCN), this is costly and inefficient care and unsatisfactory for the patient and family. Transition or the purposeful planned movement of adolescents and young adults with chronic conditions from child-centered to adult-centered care began to evolve in the 1980s as more and more CYSHCN survived into adulthood. There is some progress being made in the implementation of the medical home that may facilitate a more effective transition of young individuals who have developmental disabilities. The greatest barrier to successful transition remains ensuring affordable, continuous health insurance coverage for all young people with special health care needs throughout adolescence and adulthood and engaging adult-oriented health care systems to take over the medical care of these young individuals. PP - United States PY - 2008 SN - 0031-3955; 0031-3955 SP - 1287 EP - 1297 SP - vii EP - viii EP - T1 - Medical home and transition planning for children and youth with special health care needs T2 - Pediatric clinics of North America TI - Medical home and transition planning for children and youth with special health care needs U1 - Medical Home U2 - 19041458 U3 - 10.1016/j.pcl.2008.09.004 VL - 55 VO - 0031-3955; 0031-3955 Y1 - 2008 ER -