2016/08/08 by E. Ray Dorsey, Floris P. Vlaanderen, Lucien JLPG Engelen +5 · 1 citation
Medicine · Economics, Econometrics and Finance · Nursing · #Parkinson's Disease Mechanisms and Treatments #Chronic Disease Management Strategies #Health Systems, Economic Evaluations, Quality of Life #Parkinson's disease #Disease #Medicine #Quality of life (healthcare) #Gerontology #Health care #Nursing
paper · doi:10.1002/mds.26744
openalex publication_date 2016/08/08 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01
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. 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 However, despite its promise, this next generation of home-based care will have to overcome barriers, including outdated insurance models and a technological divide.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.