Abstract
The successful medical treatment of patients with complex disabilities requires care by multidisciplinary teams in social paediatric centers (German: SPZ) and medical centers for adults with disabilities (German: MZEB). These complement general outpatient medical care, which would be overwhelmed without this support. The quality of this care is crucial for the participation of patients and the prognosis of the disease. At the age of18, this system requires atransition from the SPZ to the MZEB, which has not yet been satisfactorily regulated. The task and structural prerequisites for this are described. An inadequate or absent transition entails the risk of additional worsening of the course of the disease.
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