Moving Parkinson care to the home

  • E. Ray Dorsey
    Department of Neurology University of Rochester Medical Center Rochester New York USA
  • Floris P. Vlaanderen
    Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare Nijmegen The Netherlands
  • Lucien JLPG Engelen
    Radboud University Medical Center, REshape Center Nijmegen The Netherlands
  • Karl Kieburtz
    Department of Neurology University of Rochester Medical Center Rochester New York USA
  • William Zhu
    CHET University of Rochester Medical Center Rochester New York USA
  • Kevin M. Biglan
    Department of Neurology University of Rochester Medical Center Rochester New York USA
  • Marjan J. Faber
    Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare Nijmegen The Netherlands
  • Bastiaan R. Bloem
    Radboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology Nijmegen The Netherlands

書誌事項

公開日
2016-08-08
権利情報
  • http://onlinelibrary.wiley.com/termsAndConditions#vor
DOI
  • 10.1002/mds.26744
公開者
Wiley

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説明

<jats:title>ABSTRACT</jats:title><jats:p>In many ways, the care of individuals with Parkinson disease does not meet their needs. Despite the documented benefits of receiving care from clinicians with Parkinson disease expertise, many patients (if not most) do not. Moreover, current care models frequently require older individuals with impaired mobility, cognition, and driving ability to be driven by overburdened caregivers to large, complex urban medical centers.</jats:p><jats:p>Moving care to the patient's home would make Parkinson disease care more patient‐centered. Demographic factors, including aging populations, and social factors, such as the splintering of the extended family, will increase the need for home‐based care. Technological advances, especially the ability to assess and deliver care remotely, will enable the transition of care back to the home. However, despite its promise, this next generation of home‐based care will have to overcome barriers, including outdated insurance models and a technological divide. Once these barriers are addressed, home‐based care will increase access to high quality care for the growing number of individuals with Parkinson disease. © 2016 International Parkinson and Movement Disorder Society</jats:p>

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