Type 1 diabetes

A Novel Receivership Model for Transition of Young Adults With Diabetes: Experience From a Single-center Academic Transition Program

Endocr PractPublished Quality improvement study

Authors' conclusion

We successfully established and maintained a young adult diabetes transition program using a quality improvement approach. Future work will focus on reducing care gaps at the time of transfer, assessing long-term retention rates, and enhancing care coordination for patients referred from outside the health network.

Study context

Population
Young adults aged 18 to 23 years with diabetes (307 T1D, 16 T2D) cared for by adult endocrinology, University of Michigan, January 1, 2016 to October 31, 2020307 T1D, 16 T2D
Comparison
Hemoglobin A1c (HbA1c) pre- vs post-transfer in a structured adult receivership transition program
Outcome
HbA1c change after transfer
Follow-up
1 year after transfer
Methodological detailssingle-center, academic transition program, pre-post comparison
  • Single-center
  • Academic transition program
  • Pre-post comparison

Main finding

As reported in the abstract

HbA1c modestly yet significantly improved 1 year after transfer (P < .01)

−0.4%

Further findings

Attendance among internal transfers
86%
Favorable patient satisfaction scores for the transition orientation session

Original publication

A Novel Receivership Model for Transition of Young Adults With Diabetes: Experience From a Single-center Academic Transition Program. Endocr Pract. Published 27 November 2023. doi:10.1016/j.eprac.2023.11.008

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