Predictors of health care use in patients with Parkinson's disease: A longitudinal study
Identifieur interne : 003436 ( Istex/Checkpoint ); précédent : 003435; suivant : 003437Predictors of health care use in patients with Parkinson's disease: A longitudinal study
Auteurs : Angela G. E. M. De Boer [Pays-Bas] ; Mirjam A. G. Sprangers [Pays-Bas] ; Hans D. Speelman [Pays-Bas] ; Hanneke C. J. M. De Haes [Pays-Bas]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-09.
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- topic : Qualité de la vie.
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Abstract
PURPOSE: To predict health care use in patients with Parkinson's disease. METHODS: The health care use of 235 patients with Parkinson's disease was studied twice over the course of 1 year. Use consisted of visits to the neurologist and general practitioner (GP) and use of a physiotherapist, a psychotherapist, or home care nurse. The effects of both prior and concurrent sociodemographic, disease‐related, and psychosocial characteristics on health care use were examined. RESULTS: Patients who were living with others and patients with private health insurance paid significantly (p <0.01) more visits to their neurologists. For visits to the general practitioner, disease severity and poor quality of life, as measured by the Parkinson's Disease Quality of Life questionnaire (PDQL), were the most important predictors. Other sociodemographic and disease‐related characteristics, such as age, gender, and disease duration, were not related to doctor visits. Physiotherapy was associated with disease severity and poor quality of life. Lack of social support, depression, and poor quality of life were correlated with psychotherapy, whereas age, female gender, living alone, disease severity, and disease duration were related to use of a home care nurse. CONCLUSIONS: The number of visits to a neurologist by patients with PD is not associated with disease severity or quality of life impairment, but only with sociodemographic characteristics. Nonmedical care is predicted by disease severity and psychosocial characteristics. The consequences for care and costs are discussed.
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DOI: 10.1002/1531-8257(199909)14:5<772::AID-MDS1009>3.0.CO;2-S
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Speelman</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, Academic Medical Center, University of Amsterdam</wicri:regionArea><wicri:noRegion>University of Amsterdam</wicri:noRegion></affiliation></author><author><name sortKey="De Haes, Hanneke C J M" sort="De Haes, Hanneke C J M" uniqKey="De Haes H" first="Hanneke C. J. M." last="De Haes">Hanneke C. J. M. De Haes</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Medical Psychology, Academic Medical Center, University of Amsterdam</wicri:regionArea><wicri:noRegion>University of Amsterdam</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-09">1999-09</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="772">772</biblScope><biblScope unit="page" to="779">779</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4F01612293CF264FF36A64C03C91F9F6C17B0440</idno><idno type="DOI">10.1002/1531-8257(199909)14:5<772::AID-MDS1009>3.0.CO;2-S</idno><idno type="ArticleID">MDS1009</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>GP visits</term><term>Health care utilization</term><term>Neurologist visits</term><term>Parkinson's disease</term><term>Quality of life</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Qualité de la vie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE: To predict health care use in patients with Parkinson's disease. METHODS: The health care use of 235 patients with Parkinson's disease was studied twice over the course of 1 year. Use consisted of visits to the neurologist and general practitioner (GP) and use of a physiotherapist, a psychotherapist, or home care nurse. The effects of both prior and concurrent sociodemographic, disease‐related, and psychosocial characteristics on health care use were examined. RESULTS: Patients who were living with others and patients with private health insurance paid significantly (p <0.01) more visits to their neurologists. For visits to the general practitioner, disease severity and poor quality of life, as measured by the Parkinson's Disease Quality of Life questionnaire (PDQL), were the most important predictors. Other sociodemographic and disease‐related characteristics, such as age, gender, and disease duration, were not related to doctor visits. Physiotherapy was associated with disease severity and poor quality of life. Lack of social support, depression, and poor quality of life were correlated with psychotherapy, whereas age, female gender, living alone, disease severity, and disease duration were related to use of a home care nurse. CONCLUSIONS: The number of visits to a neurologist by patients with PD is not associated with disease severity or quality of life impairment, but only with sociodemographic characteristics. Nonmedical care is predicted by disease severity and psychosocial characteristics. The consequences for care and costs are discussed.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="De Boer, Angela G E M" sort="De Boer, Angela G E M" uniqKey="De Boer A" first="Angela G. E. M." last="De Boer">Angela G. E. M. De Boer</name></noRegion><name sortKey="De Haes, Hanneke C J M" sort="De Haes, Hanneke C J M" uniqKey="De Haes H" first="Hanneke C. J. M." last="De Haes">Hanneke C. J. M. De Haes</name><name sortKey="Speelman, Hans D" sort="Speelman, Hans D" uniqKey="Speelman H" first="Hans D." last="Speelman">Hans D. Speelman</name><name sortKey="Sprangers, Mirjam A G" sort="Sprangers, Mirjam A G" uniqKey="Sprangers M" first="Mirjam A. G." last="Sprangers">Mirjam A. G. Sprangers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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