2022 年 39 巻 2 号 p. 64-68
Transitional medicine from pediatrics to adult health care is an important issue. However, although child neurology and neurology specialize in the same neurology, the practice and research content are very different. Transitional medicine has long been regarded as an urgent issue in pediatrics, but the consciousness of the neurologist who receives the patient is not clear. The target age of neurology is mainly middle–aged and older. In addition, the number of neurologists specializing in muscle disorders is limited. Muscle disorders require interventions in a variety of areas, including respiratory, circulatory, nutritional, bone metabolism, and mental development, as well as motor dysfunction. For this reason, while it is common in pediatrics to provide comprehensive clinical care, adult health care often employ organ–based healthcare systems, which can be embarrassing for patients and their families. Various efforts have been made to address these issues. In July 2020, the Japanese Society of Neurology established the special committee for measures against transition from pediatric to adult health care. In addition to the neurologists, members of the Japanese Society of Child Neurology have joined to exchange information in both directions instead of one. There are many problems that need to be solved, such as cooperation between medical institutions and the construction of medical expense systems. The first thing to do to achieve smooth transitional medicine seems to be the establishment of communication between pediatricians and neurologists.