Factors Influencing the Implementation of Transitional Care for Adolescents With Profound Intellectual and Multiple Disabilities: Experiences of Dutch Healthcare Professionals.

Participants were recruited partly through the authors' own networks, so people with a particular interest in transition are likely over-represented; the authors acknowledge this may have introduced selection bias. The analysis began from seven pre-set domains of an existing checklist, which the authors accept could produce confirmation bias; they argue this is unlikely because coding started open-ended and the diagram was only shown after participants had answered the open questions. The findings are the professionals' own accounts of their practice, and the 6.2 out of 10 is their self-rating, not an assessment against any standard. All participants were doctors or nurse practitioners. No physiotherapists, occupational therapists or speech and language therapists took part, so the paper does not describe what those disciplines do or need. The funding rules, insurance codes and legal arrangements discussed are specific to the Netherlands, so the practical obstacles may not transfer to other systems.

Funded by the Dutch Research Council (NWO), grant number 023.020.002. The authors declare no conflicts of interest.

Do not read the recommendations in this paper as evidence that a transition guideline, a named coordinator or a shared-care model works. Nothing was tested here. The study reports what 20 Dutch professionals said about their own practice, several of them recruited through the authors' networks, and the 6.2 out of 10 is their own rating rather than a measured standard.