Patience H. White
George Washington University
Internal medicinePublic healthPaymentPsychologyNursingHealth carePhysical therapyPediatricsRheumatologyYoung adultMedicaidArthritisTransition (fiction)Medical homeMEDLINEAdult careSpecial health care needsAdult healthFamily medicineQuality managementMedicineGerontology
84Publications
22H-index
3,658Citations
Publications 79
Newest
#1Nathan Stehouwer (Case Western Reserve University)H-Index: 2
#2Angeline Sawaya (Case Western Reserve University)
Last. Patience H. WhiteH-Index: 22
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Background null Children with intellectual and developmental disabilities (IDD), particularly those with medical complexity, account for a large proportion of pediatric inpatients and are increasingly surviving to adulthood. However, few studies have evaluated the inpatient care of this population after transition to adult hospitals. This paper describes a Med-Peds Hospitalist service providing inpatient consultation for young adults with childhood conditions and offers a window into issues like...
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#1Samhita M. IlangoH-Index: 2
#2Lydie A. Lebrun-Harris (Health Resources and Services Administration)H-Index: 12
Last. Patience H. WhiteH-Index: 22
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Abstract Purpose This study examines the relationships between receipt of health care transition (HCT) preparation among US youth and five other components of a well-functioning system of services (family partnership in decision-making, medical home, early/continuous screening for special health care needs [SHCN], continuous/adequate health insurance, access to community-based services). Methods Data came from the combined 2016-2017 National Survey of Children's Health (n = 29,617 youth ages 12-...
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#1Kiana R. Johnson (ETSU: East Tennessee State University)H-Index: 4
#1Kiana JohnsonH-Index: 1
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Objective Since 2010, the rheumatology community has developed guidelines and tools to improve healthcare transition . In this study we aimed to compare current transition practices and beliefs among Childhood Arthritis and Rheumatology Research Alliance (CARRA) rheumatology providers with transition practices from a 2010 provider survey published by Chira et al. METHODS: In 2018, CARRA members completed a 25-item online survey about healthcare transition. Got Transition's™ Current Assessment of...
2 CitationsSource
Nationally, there are low rates of high school–age youth receiving health care transition (HCT) preparation from health care providers. This pilot study implemented and assessed the use of a struct...
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#1Margaret A. McManusH-Index: 20
#2Patience H. WhiteH-Index: 22
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Abstract Transition-aged youth and young adults, ages 12 to 26, represent almost 20% of the US population, and an estimated 25%–35% have one or more chronic conditions. The vast majority of youth with and without special health care needs do not receive the necessary and professionally recommended services to transition from pediatric to adult care. Without adequate support during this transition, youth and young adults face an increased risk of adverse outcomes. To accelerate adoption of recomm...
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Introduction. This study examined the perspectives of pediatric nurse practitioners (PNPs) on the shift from pediatric to adolescent-focused health care services (HCS). This movement coincides with the early stages of the health care transition process. Method. Conference attendees (N = 170) participated in a discussion on the shift from pediatric to adolescent-focused HCS. A secondary analysis was conducted. Data were analyzed for themes using content analysis. Results. Confidentiality was foun...
1 CitationsSource
#1Sucheta M. JoshiH-Index: 15
#2Kari Gali (Cleveland Clinic)H-Index: 1
Last. Pattie ArchuletaH-Index: 1
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Objective Project ECHO (Extension for Community Healthcare Outcomes), a telementoring program, utilizes lectures, case-based learning, and an "all teach-all learn" approach to increase primary care provider (PCP) knowledge/confidence in managing chronic health conditions. The American Academy of Pediatrics (AAP) Epilepsy and Comorbidities ECHO incorporated quality improvement (QI) methodology to create meaningful practice change, while increasing PCP knowledge/self-efficacy in epilepsy managemen...
2 CitationsSource
#1Annie SchmidtH-Index: 8
#2Samhita M. IlangoH-Index: 2
Last. Patience H. WhiteH-Index: 22
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Abstract Problem A previous systematic review found that health care transition (HCT) interventions result in positive outcomes related to population health, patient experience of care, and utilization. Since its publication, new national statistics, updated professional guidance, and a growing body of published literature on HCT have prompted the need for an updated systematic review that aims to examine outcomes of the latest pediatric-to-adult HCT interventions. Eligibility criteria Eligible ...
27 CitationsSource
#1Devy Zisman (Rappaport Faculty of Medicine)H-Index: 19
#2Aaida Samad (Case Western Reserve University)H-Index: 2
Last. Elizabeth D. Mellins (Stanford University)H-Index: 51
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OBJECTIVE: To assess the attitudes and common practices of adult rheumatologists in the United States regarding health care transition (HCT) for young adults with rheumatic diseases. METHODS: An anonymous online survey was sent to U.S. adult rheumatologist members of the American College of Rheumatology to collect demographic data and information on attitudes and common practices regarding the transition process. RESULTS: Of 4,064 contacted rheumatologists, 203 (5%) completed the survey. Almost ...
8 CitationsSource
#1Marybeth R. Jones (URMC: University of Rochester Medical Center)H-Index: 5
#2Tisa Johnson Hooper (Center for Autism and Related Disorders)H-Index: 1
Last. Patience H. WhiteH-Index: 22
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Abstract Purpose Youth and young adults require systematic planning, transfer and integration into adult healthcare. A national health care transition (HCT) learning network (LN) shared strategies during monthly calls to improve HCTs using Got Transition™'s Six Core Elements. Among LN participants, we conducted a pre-post mixed-methods evaluation of this evidence-informed process improvement framework. Design and methods Leaders from seven health systems in the LN recruited 55 participating prac...
9 CitationsSource