Abstract
ON TRAC (2011) is a Provincial Initiative in British Columbia (BC) Canada designed to improve health outcomes for transitioning youth with chronic health conditions/disabilities (CHC/Ds). ON TRAC's goal is to achieve an integrated provincial process for transition preparation and transfer for youth ages 12-24 with CHC/Ds, ensuring young adults are engaged in their health care and attached to appropriate primary care and specialist services in the adult care system. ON TRAC was developed to address the multi-level challenges at transition/transfer for youth with CHC/Ds, including: clinical (differences in the complexity of conditions/resources required and provider practices/training); cultural (differences in expectations of providers and patients); personal (developmental and psychosocial needs and self-management requirements/capacity); and structural (differences in the organization and financing of care from pediatric to adult systems, access to specialists in non-urban areas, insurance coverage/benefits), and information transfer.
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