Predictors of health care use in patients with Parkinson's disease: A longitudinal study
Identifieur interne : 004C69 ( Main/Exploration ); précédent : 004C68; suivant : 004C70Predictors 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.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : États-Unis.
- topic : Homme, Qualité de la vie.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Care, Depression (diagnosis), Depression (psychology), Female, Follow up study, Follow-Up Studies, GP visits, Health Services (utilization), Health care utilization, Human, Humans, Male, Middle Aged, Neurologist visits, Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Physical Therapy Modalities (methods), Prognosis, Prospective Studies, Quality of Life, Quality of life, Questionnaires, Severity of Illness Index, Social Support, Social aspect, United States.
- MESH :
- geographic : United States.
- diagnosis : Depression.
- methods : Physical Therapy Modalities.
- psychology : Depression.
- therapy : Parkinson Disease.
- utilization : Health Services.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Quality of Life, Questionnaires, Severity of Illness Index, Social Support.
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.
Url:
DOI: 10.1002/1531-8257(199909)14:5<772::AID-MDS1009>3.0.CO;2-S
Affiliations:
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Le document en format XML
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<term>Depression (psychology)</term>
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<term>Follow-Up Studies</term>
<term>GP visits</term>
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<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>
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