La maladie de Parkinson au Canada (serveur d'exploration)

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Healthcare utilization in patients with Parkinson's disease: a population-based analysis.

Identifieur interne : 000A34 ( PubMed/Corpus ); précédent : 000A33; suivant : 000A35

Healthcare utilization in patients with Parkinson's disease: a population-based analysis.

Auteurs : Douglas E. Hobson ; Lisa M. Lix ; Mahmoud Azimaee ; William D. Leslie ; Charles Burchill ; Shaun Hobson

Source :

RBID : pubmed:22621819

English descriptors

Abstract

To investigate factors associated with healthcare utilization and prescription drug use for Parkinson's disease (PD) patients and matched controls.

DOI: 10.1016/j.parkreldis.2012.04.026
PubMed: 22621819

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pubmed:22621819

Le document en format XML

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<title xml:lang="en">Healthcare utilization in patients with Parkinson's disease: a population-based analysis.</title>
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<name sortKey="Hobson, Douglas E" sort="Hobson, Douglas E" uniqKey="Hobson D" first="Douglas E" last="Hobson">Douglas E. Hobson</name>
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<nlm:affiliation>Movement Disorder Clinic, 200 Woodlawn Street, Winnipeg, Manitoba, Canada. dhobson@cc.umanitoba.ca</nlm:affiliation>
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<name sortKey="Lix, Lisa M" sort="Lix, Lisa M" uniqKey="Lix L" first="Lisa M" last="Lix">Lisa M. Lix</name>
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<name sortKey="Azimaee, Mahmoud" sort="Azimaee, Mahmoud" uniqKey="Azimaee M" first="Mahmoud" last="Azimaee">Mahmoud Azimaee</name>
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<name sortKey="Leslie, William D" sort="Leslie, William D" uniqKey="Leslie W" first="William D" last="Leslie">William D. Leslie</name>
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<name sortKey="Burchill, Charles" sort="Burchill, Charles" uniqKey="Burchill C" first="Charles" last="Burchill">Charles Burchill</name>
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<name sortKey="Hobson, Shaun" sort="Hobson, Shaun" uniqKey="Hobson S" first="Shaun" last="Hobson">Shaun Hobson</name>
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<name sortKey="Lix, Lisa M" sort="Lix, Lisa M" uniqKey="Lix L" first="Lisa M" last="Lix">Lisa M. Lix</name>
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<title level="j">Parkinsonism & related disorders</title>
<idno type="eISSN">1873-5126</idno>
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<term>Adult</term>
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<term>Cohort Studies</term>
<term>Delivery of Health Care (utilization)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Patient Acceptance of Health Care</term>
<term>Population Surveillance (methods)</term>
<term>Research Design</term>
<term>Retrospective Studies</term>
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<term>Parkinson Disease</term>
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<term>Population Surveillance</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Delivery of Health Care</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">To investigate factors associated with healthcare utilization and prescription drug use for Parkinson's disease (PD) patients and matched controls.</div>
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<Day>03</Day>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To investigate factors associated with healthcare utilization and prescription drug use for Parkinson's disease (PD) patients and matched controls.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective matched-group design was adopted using administrative data from Manitoba, Canada. PD cases (N = 1469) were identified from diagnoses in hospital records and physician billing claims and matched to controls (N = 2938) on age, sex, and region of residence. Sixteen measures of healthcare utilization were examined over a six-year period using generalized linear models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">PD cases had greater healthcare utilization than controls for almost all investigated services, with the exception of visits to non-neurological specialists and hospital use for non-mental disorder diagnoses. For controls, utilization of all forms of healthcare increased with age; for PD cases the relationship was weak, except for specialist visits, where an inverse relationship was observed. A rural region of residence was associated with a lower rate of seeing a specialist or any medical doctor, with a higher rate of hospitalization than for urban cases or controls. Comorbidity was strongly associated with healthcare use for both groups. Over the six-year study period significant differences in the trend were observed for mental disorder hospitalizations, hospital days, and physician visits.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Factors associated with healthcare utilization in PD patients differ from those without PD. This information may help to identify and optimize healthcare services and associated costs for PD patients.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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