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Abstract

This study examines the current practices provided from pediatric to adult health care for children with special health care needs at FQHCs using the Six Core Elements of Health Care. Methods: A phenomenological approach was used to recruit and interview ten (10) health leaders from FQHCs. The participants were recruited through this letter sent to the Mid-Atlantic Association of Community Health Center. The researchers-initiated contact with the key informant to introduce them to the study. After consent was obtained, demographic information collected, and interviews were scheduled. During the semi-structured interview session, the key informant was asked questions related to their knowledge about the transition from pediatric to adult health care. Each interview lasted approximately 20 minutes, and analysis using ATLAS.ti version 8. Results: Ten (n=10) leaders participated in the study, of which three (n=3) were males and seven (n=7) females. Three main themes identified were Education and Training, Barriers to transitional practices, and Organizational Infrastructure hurdles. Discussion and Conclusion: Our current study finds that healthcare transition practices in FQHCs are not aligned with the six core elements of healthcare transition. Structured health care transition is likely when leadership and resources are accessible to achieve support for the required responsibilities.

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