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The sobering and puzzling reality of rehabilitation referrals for Parkinson disease
- Source :
- Parkinsonism Relat Disord
- Publication Year :
- 2020
-
Abstract
- 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 (χDespite 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.
- Subjects :
- Occupational therapy
Male
medicine.medical_specialty
medicine.medical_treatment
Disease
Ambulatory Care Facilities
Speech therapy
Article
Occupational Therapy
medicine
Humans
Prospective Studies
Referral and Consultation
Physical Therapy Modalities
Aged
Rehabilitation
business.industry
Neurological Rehabilitation
Parkinson Disease
Middle Aged
Health Services
Quality Improvement
Neurology
Physical therapy
Language Therapy
Female
Neurology (clinical)
Geriatrics and Gerontology
business
Subjects
Details
- ISSN :
- 18735126
- Volume :
- 83
- Database :
- OpenAIRE
- Journal :
- Parkinsonismrelated disorders
- Accession number :
- edsair.doi.dedup.....44468a4642d1e2fd773ed981cb531b01