Title: Factors influencing the healthcare transition in Chinese adolescents with inflammatory
bowel disease: A multi-perspective qualitative study
Version: 1 Date: 17 Oct 2023
Reviewer:  Martha van Gaalen
Reviewer's report:
It is evident that significant time and effort went into the research and writing of this article,
which explores an interesting and important topic through with use of qualitative research.  The
discussion offers valuable insights into the cultural variations in transition care.
The article is well-written.
Major points
1. Transitional care for childhood-onset IBD patients may differ from country to country, or
even from hospital to hospital in the same country.
It is not clear from the manuscript what is the current  standard of transitional care in
China. Do all Chinese patients with childhood-onset IBD transfer to adult care (Department of
Gastroenterology)? At what age ? What does the Chinese transition program look like? Please
describe this in more detail, including when does the transition program start? When does it end?
2. Could you provide further information on the (years of) experience of the healthcare
professionals with IBD patients in transition; and suggest adding this information to Table 3?
3. Results section: The identification of factors that either are facilitators or barriers in the
transition process remains unclear. While Figure 1 and Table 4 provide a brief overview, it would
be valuable to have a clear distinction between (negative and positive) factors;
4. In the discussion, the comparison of results with the SMART model was unexpectedly
introduced. It would be clearer if this relationship was described earlier in the article, perhaps
under the introduction of methods section.
Minor point
1. Issue is the terminology used for "Self-efficacy in transition by providers".  It appears to
be more related to organizational matters rather than self-efficacy, in my belief. Maybe with
additional time and resources, the provider would be able to provide better transitional care.
2. Be more specific in your discussion, e.g. by describing which factors are important for the
transition.
Title: Factors influencing the healthcare transition in Chinese adolescents with inflammatory
bowel disease: A multi-perspective qualitative study
Version: 1 Date: 17 Oct 2023
Reviewer:  Martha van Gaalen
Reviewer's report:
It is evident that significant time and effort went into the research and writing of this article,
which explores an interesting and important topic through with use of qualitative research.  The
discussion offers valuable insights into the cultural variations in transition care.
The article is well-written.
Major points
1. Transitional care for childhood-onset IBD patients may differ from country to country, or
even from hospital to hospital in the same country.
It is not clear from the manuscript what is the current  standard of transitional care in
China. Do all Chinese patients with childhood-onset IBD transfer to adult care (Department of
Gastroenterology)? At what age ? What does the Chinese transition program look like? Please
describe this in more detail, including when does the transition program start? When does it end?
2. Could you provide further information on the (years of) experience of the healthcare
professionals with IBD patients in transition; and suggest adding this information to Table 3?
3. Results section: The identification of factors that either are facilitators or barriers in the
transition process remains unclear. While Figure 1 and Table 4 provide a brief overview, it would
be valuable to have a clear distinction between (negative and positive) factors;
4. In the discussion, the comparison of results with the SMART model was unexpectedly
introduced. It would be clearer if this relationship was described earlier in the article, perhaps
under the introduction of methods section.
Minor point
1. Issue is the terminology used for "Self-efficacy in transition by providers".  It appears to
be more related to organizational matters rather than self-efficacy, in my belief. Maybe with
additional time and resources, the provider would be able to provide better transitional care.
2. Be more specific in your discussion, e.g. by describing which factors are important for the
transition.
Please review this paper.
user
Title: Factors influencing the healthcare transition in Chinese adolescents with inflammatory
bowel disease: A multi-perspective qualitative study
Version: 1 Date: 17 Oct 2023
Reviewer:  Martha van Gaalen
Reviewer's report:
It is evident that significant time and effort went into the research and writing of this article,
which explores an interesting and important topic through with use of qualitative research.  The
discussion offers valuable insights into the cultural variations in transition care.
The article is well-written.
Major points
1. Transitional care for childhood-onset IBD patients may differ from country to country, or
even from hospital to hospital in the same country.
It is not clear from the manuscript what is the current  standard of transitional care in
China. Do all Chinese patients with childhood-onset IBD transfer to adult care (Department of
Gastroenterology)? At what age ? What does the Chinese transition program look like? Please
describe this in more detail, including when does the transition program start? When does it end?
2. Could you provide further information on the (years of) experience of the healthcare
professionals with IBD patients in transition; and suggest adding this information to Table 3?
3. Results section: The identification of factors that either are facilitators or barriers in the
transition process remains unclear. While Figure 1 and Table 4 provide a brief overview, it would
be valuable to have a clear distinction between (negative and positive) factors;
4. In the discussion, the comparison of results with the SMART model was unexpectedly
introduced. It would be clearer if this relationship was described earlier in the article, perhaps
under the introduction of methods section.
Minor point
1. Issue is the terminology used for "Self-efficacy in transition by providers".  It appears to
be more related to organizational matters rather than self-efficacy, in my belief. Maybe with
additional time and resources, the provider would be able to provide better transitional care.
2. Be more specific in your discussion, e.g. by describing which factors are important for the
transition.
assistant