Managing chronic diseases

doi:10.1136/bmj.330.7497.963-b

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Care of children with chronic illness teaches some lessons

John Reiss, associate professor of paediatrics (jgr@ichp.ufl.edu)

Institute for Child Health Policy, PO Box 100147, University of Florida, Gainesville, FL 32610-0147, USA

EDITOR—Campbell and McGauley share insights from forensic psychiatry about the relationship between doctor and patient in chronic illness.1 Their observations have relevance to a new and emerging issue in chronic care: the transition of young adults with chronic conditions from child centred (paediatric) to adult oriented health care.

Some young adults and families experience “culture shock” when …