Patterns and predictors of referrals to allied health services for individuals with Parkinson's disease: A Parkinson's foundation (PF) QII study.
Aged
Ambulatory Care Facilities
/ statistics & numerical data
Female
Humans
Language Therapy
/ statistics & numerical data
Male
Middle Aged
Neurological Rehabilitation
/ statistics & numerical data
Occupational Therapy
/ statistics & numerical data
Parkinson Disease
/ rehabilitation
Physical Therapy Modalities
/ statistics & numerical data
Prospective Studies
Quality Improvement
Referral and Consultation
/ statistics & numerical data
Allied health
Expert care centers
OT
Occupational therapy
PT
Parkinson's disease
Physical therapy
Physiotherapy
Referrals
Rehabilitation
SLP
Speech language pathology
Speech therapy
Utilization
Journal
Parkinsonism & related disorders
ISSN: 1873-5126
Titre abrégé: Parkinsonism Relat Disord
Pays: England
ID NLM: 9513583
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
02
10
2019
revised:
27
10
2020
accepted:
25
11
2020
pubmed:
20
12
2020
medline:
28
12
2021
entrez:
19
12
2020
Statut:
ppublish
Résumé
Rehabilitation therapies are critical for optimizing quality-of-life and daily functions for individuals living with Parkinson's disease (PD). Thus, understanding the patterns of and under what conditions physicians make rehabilitation referrals is important for optimizing care. We analyzed data from 5020 participants (4 countries) collected from 1/3/2016 to 4/20/2018 as part of the Parkinson's Foundation Quality Improvement Initiative (PF QII). Data were analyzed for single discipline and multidiscipline referrals to speech language pathology (SLP), physical therapy (PT), and occupational therapy (OT). Group comparisons (referred vs. not-referred) and regression procedures were implemented to determine demographic and clinical variables that were associated with an increased likelihood of rehabilitation referral. 35.3% of participants were referred to rehabilitation services. Of these, 25.1% received a multidiscipline referral. There was a statistically significant effect of disease stage on both single discipline (χ Despite evidence supporting multidiscipline and proactive rehabilitation in PD, the majority of referrals were made to a single service and may be reactions to falls or advancing disease. Data suggest there may be missed opportunities for optimizing care through proactive rehabilitation interventions.
Identifiants
pubmed: 33339716
pii: S1353-8020(20)30876-2
doi: 10.1016/j.parkreldis.2020.11.024
pii:
doi:
Types de publication
Clinical Study
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
115-122Subventions
Organisme : NIDCD NIH HHS
ID : R21 DC017255
Pays : United States
Organisme : AHRQ HHS
ID : F32 HS025077
Pays : United States
Investigateurs
Connie Marras
(C)
Tom Davis
(T)
Nabila Dahodwala
(N)
Marilyn Neault
(M)
Adolfo Ramirez-Zamora
(A)
Miriam Rafferty
(M)
Irene Malaty
(I)
Sotirios Parashos
(S)
Jeff Kraakevik
(J)
Tanya Simuni
(T)
Nabila Dahodwala
(N)
Joseph Jankovic
(J)
David Simon
(D)
Rajesh Pahwa
(R)
Kelly Mills
(K)
Christopher Way
(C)
John Morgan
(J)
Fernando Pagan
(F)
Robert Hauser
(R)
Thomas Davis
(T)
Naomi Salins
(N)
Tanya Gurevich
(T)
Bastiaan Bloem
(B)
Connie Marras
(C)
Carlos Singer
(C)
Anne Louise Lafontaine
(AL)
Andrew Feigin
(A)
Janis Miyasaki
(J)
Irene Litvan
(I)
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.