AAP/AAFP/ACP Clinical Report on Transition Reaffirmed

Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home

In July 2023, the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians announced that they reaffirmed the recommendations for clinicians to establish a structured process to ensure a planned transition from pediatric to adult health care as part of routine care for adolescents and young adults with and without chronic conditions.

This joint clinical report, “Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home,” was originally written in 2011 and updated in 2018 with new practice-based quality improvement guidance on key elements of transition.

Now, the clinical report has been reaffirmed in 2023 with new references and data updates. The reaffirmed 2023 version summarizes the current status of transition preparation among U.S. youth by highlighting the latest national data and updated references. The latter shows the breadth of literature published on transition over the past five years.

“This 2023 reaffirmation is a clear sign of the importance of transition for these major medical organizations. The report offers practical assistance to their members regarding the recommended medical transition services for adolescent and young adult patients,” says Dr. Patience White, lead author of the reaffirmed report and co-Project Director of Got Transition.

The 2023 clinical report on transition describes an evidence-informed, structured health care transition process for pediatric and adult practices called the Six Core Elements of Health Care Transition, developed by Got Transition. These free, customizable tools and implementation guides are intended for use in primary care, subspecialty care, behavioral health care, school health settings, and care coordination programs. The report also summarizes common transition barriers experienced by youth and families as well as pediatric and adult clinicians, outcome evidence, and recommendations for infrastructure, education and training, payment, and research.

To read the reaffirmed clinical report, please click HERE.