This knowledge contributes to the understanding of how regimes resist and create barriers to innovations, how CBIs cope with this regime resistance, and has implications for the design of instruments for purposeful transitions.
8 According to Blum et al, 9 transition is the "purposeful, planned movement of adolescents and young adults with chronic medical conditions from child-centered to adult- oriented health care systems".
Table 1 provides an outline of the interview guidelines.> We used purposeful sampling to maximize variation in transition status of the service users [ 17].
But while the transition from unruly teenager to purposeful superstar may have seemed relatively painless, his manager Scooter Braun claims Bieber's comeback was the final product of over a year's careful planning that began in 2013.
Health care transition is the "process of purposeful, planned movement of adolescents with chronic medical conditions from child to adult-centred healthcare systems" [ 1].
8 12 Blum et al 7 defined the transition of care as the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centred to adult-oriented healthcare systems.
They may be transitioning in relationship, desiring more purposeful work, facing an illness, grieving a loss, or wanting to be more fully present and engaged in life.
'Transition' was not a term the majority of young people and parents in either Case recognised and they did not feel that their movement from children's to adult services was purposeful or planned, thereby confirming problems with fidelity of transition policy when 'implemented' in practice.
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The health care transition process has been defined as "the planned, purposeful movement of young adults from child-centered to adult-oriented health-care systems" (9).
Purposeful examination of this aggregated data will facilitate identification of strengths and gaps in transition patterns and contribute to hypothesis generation concerning attributes of successful (or not) transitions.
