Are we there yet? An update on transitional care in rheumatology

Janet Mcdonagh, Albert Farre

Research output: Contribution to journalEditorialpeer-review


Significant progress has been made in the understanding of transitional care in rheumatology over the last few decades and yet universal implementation has not been realised and unmet needs continue to be reported. Possible explanations for this include lack of evidence as to which model is most effective; lack of attention to the multiple dimensions, stakeholders and systems involved in health transitions; lack of consideration of the developmental appropriateness of transition interventions and the services/organisations/systems where such interventions are delivered in.
Successful transition has major implications to both the young people with jRMD and their families. Future research in this area will need to reflect both the multidimensional (biopsychosocial) and the multisystemic (multiple systems and stakeholders across – personal/social/family support networks and health/social care/education systems). Only then will we be able to determine which aspects of transition readiness and service components influence which dimension. It is therefore imperative we continue to research and develop this area, involving both paediatric and adult rheumatology clinicians and researchers, remembering to look beyond both the condition and our discipline. Neither should we forget to tap into the exciting potential associated with digital technology to ensure further advances in transitional care are brought about in and beyond rheumatology.
Original languageEnglish
Article number5
JournalArthritis Research and Therapy
Issue number1
Publication statusPublished - 11 Jan 2018


  • Transitional care
  • Rheumatic disease
  • Adolescents
  • Young adults
  • transition program


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