Allied health care in Parkinson's disease: Referral, consultation, and professional expertise
Identifieur interne : 001C18 ( Main/Corpus ); précédent : 001C17; suivant : 001C19Allied health care in Parkinson's disease: Referral, consultation, and professional expertise
Auteurs : Maarten J. Nijkrake ; Samyra H. J. Keus ; Rob A. B. Oostendorp ; Sebastiaan Overeem ; Wim Mulleners ; Bastiaan R. Bloem ; Marten MunnekeSource :
- Movement Disorders [ 0885-3185 ] ; 2009-01-30.
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Abstract
There is evidence for the efficacy of allied health care in Parkinson's disease (PD). However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society
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DOI: 10.1002/mds.22377
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ISTEX:DDE6344B31FA1765DA89925E8ED812E79E0377C9Le document en format XML
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Bloem</name><affiliation><mods:affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name><affiliation><mods:affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</mods:affiliation></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. 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However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Maarten J. Nijkrake PT, MSc</name><affiliations><json:string>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string><json:string>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</json:string><json:string>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Samyra H.J. Keus PT, MSc</name><affiliations><json:string>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string><json:string>Department of Physical Therapy, Leiden University Medical Center Leiden, The Netherlands</json:string></affiliations></json:item><json:item><name>Rob A.B. Oostendorp PT, PhD</name><affiliations><json:string>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Sebastiaan Overeem MD, PhD</name><affiliations><json:string>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Wim Mulleners MD, PhD</name><affiliations><json:string>Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Bastiaan R. Bloem MD, PhD</name><affiliations><json:string>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Marten Munneke PT, PhD</name><affiliations><json:string>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string><json:string>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</json:string><json:string>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>allied health occupations</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>referral and consultation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>physiotherapy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>physical therapy</value></json:item></subject><articleId><json:string>MDS22377</json:string></articleId><language><json:string>eng</json:string></language><abstract>There is evidence for the efficacy of allied health care in Parkinson's disease (PD). However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society</abstract><qualityIndicators><score>6.896</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1057</abstractCharCount><pdfWordCount>16728</pdfWordCount><pdfCharCount>110879</pdfCharCount><pdfPageCount>27</pdfPageCount><abstractWordCount>158</abstractWordCount></qualityIndicators><title>Allied health care in Parkinson's disease: Referral, consultation, and professional expertise</title><genre><json:string>article</json:string></genre><host><volume>24</volume><publisherId><json:string>MDS</json:string></publisherId><pages><total>5</total><last>286</last><first>282</first></pages><issn><json:string>0885-3185</json:string></issn><issue>2</issue><subject><json:item><value>Brief Report</value></json:item></subject><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1531-8257</json:string></eissn><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1002/mds.22377</json:string></doi><id>DDE6344B31FA1765DA89925E8ED812E79E0377C9</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/DDE6344B31FA1765DA89925E8ED812E79E0377C9/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/DDE6344B31FA1765DA89925E8ED812E79E0377C9/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/DDE6344B31FA1765DA89925E8ED812E79E0377C9/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Allied health care in Parkinson's disease: Referral, consultation, and professional expertise</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>WILEY</p></availability><date>2009</date></publicationStmt><notesStmt><note type="content">*Potential conflict of interest: None reported.</note><note>Radboud University Nijmegen Medical Centre and ZonMw - No. 947‐04‐357;</note><note>VIDI - No. 016.076.352;</note><note>Netherlands Organisation for Scientific Research</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Allied health care in Parkinson's disease: Referral, consultation, and professional expertise</title><author><persName><forename type="first">Maarten J.</forename><surname>Nijkrake</surname></persName><roleName type="degree">PT, MSc</roleName><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</affiliation><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation></author><author><persName><forename type="first">Samyra H.J.</forename><surname>Keus</surname></persName><roleName type="degree">PT, MSc</roleName><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Leiden University Medical Center Leiden, The Netherlands</affiliation></author><author><persName><forename type="first">Rob A.B.</forename><surname>Oostendorp</surname></persName><roleName type="degree">PT, PhD</roleName><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation></author><author><persName><forename type="first">Sebastiaan</forename><surname>Overeem</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation></author><author><persName><forename type="first">Wim</forename><surname>Mulleners</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands</affiliation></author><author><persName><forename type="first">Bastiaan R.</forename><surname>Bloem</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation></author><author><persName><forename type="first">Marten</forename><surname>Munneke</surname></persName><roleName type="degree">PT, PhD</roleName><note type="correspondence"><p>Correspondence: Radboud University Nijmegen Medical Centre, Parkinson Center Nijmegen (ParC), Department of Neurology 935, PO Box 9101, 6500 HB Nijmegen, The Netherlands</p></note><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</affiliation><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation></author></analytic><monogr><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. 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We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>allied health occupations</term></item><item><term>referral and consultation</term></item><item><term>physiotherapy</term></item><item><term>physical therapy</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Brief Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2008-07-07">Received</change><change when="2008-10-09">Registration</change><change when="2009-01-30">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/DDE6344B31FA1765DA89925E8ED812E79E0377C9/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. 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date="2008-10-09"></event><event type="publishedOnlineEarlyUnpaginated" date="2008-11-17"></event><event type="firstOnline" date="2008-11-17"></event><event type="publishedOnlineFinalForm" date="2009-01-23"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.6 mode:FullText source:FullText result:FullText" date="2010-04-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">282</numbering><numbering type="pageLast">286</numbering></numberingGroup><correspondenceTo>Radboud University Nijmegen Medical Centre, Parkinson Center Nijmegen (ParC), Department of Neurology 935, PO Box 9101, 6500 HB Nijmegen, The Netherlands</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS22377.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="referenceTotal" number="18"></count><count type="wordTotal" number="3269"></count></countGroup><titleGroup><title type="main" xml:lang="en">Allied health care in Parkinson's disease: Referral, consultation, and professional expertise<link href="#fn6"></link></title><title type="short" xml:lang="en">Allied Health Care in PD</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1 #af2 #af3"><personName><givenNames>Maarten J.</givenNames><familyName>Nijkrake</familyName><degrees>PT, MSc</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1 #af4"><personName><givenNames>Samyra H.J.</givenNames><familyName>Keus</familyName><degrees>PT, MSc</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Rob A.B.</givenNames><familyName>Oostendorp</familyName><degrees>PT, PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Sebastiaan</givenNames><familyName>Overeem</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Wim</givenNames><familyName>Mulleners</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Bastiaan R.</givenNames><familyName>Bloem</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af1 #af2 #af3" corresponding="yes"><personName><givenNames>Marten</givenNames><familyName>Munneke</familyName><degrees>PT, PhD</degrees></personName><contactDetails><email>m.munneke@neuro.umcn.nl</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="NL" type="organization"><unparsedAffiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="NL" type="organization"><unparsedAffiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="NL" type="organization"><unparsedAffiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="NL" type="organization"><unparsedAffiliation>Department of Physical Therapy, Leiden University Medical Center Leiden, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="NL" type="organization"><unparsedAffiliation>Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">allied health occupations</keyword><keyword xml:id="kwd3">referral and consultation</keyword><keyword xml:id="kwd4">physiotherapy</keyword><keyword xml:id="kwd5">physical therapy</keyword></keywordGroup><fundingInfo><fundingAgency>Radboud University Nijmegen Medical Centre and ZonMw</fundingAgency><fundingNumber>947‐04‐357</fundingNumber></fundingInfo><fundingInfo><fundingAgency>VIDI</fundingAgency><fundingNumber>016.076.352</fundingNumber></fundingInfo><fundingInfo><fundingAgency>Netherlands Organisation for Scientific Research</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>There is evidence for the efficacy of allied health care in Parkinson's disease (PD). However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn6"><p>Potential conflict of interest: None reported.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Allied health care in Parkinson's disease: Referral, consultation, and professional expertise</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Allied Health Care in PD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Allied health care in Parkinson's disease: Referral, consultation, and professional expertise</title></titleInfo><name type="personal"><namePart type="given">Maarten J.</namePart><namePart type="family">Nijkrake</namePart><namePart type="termsOfAddress">PT, MSc</namePart><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</affiliation><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Samyra H.J.</namePart><namePart type="family">Keus</namePart><namePart type="termsOfAddress">PT, MSc</namePart><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Leiden University Medical Center Leiden, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rob A.B.</namePart><namePart type="family">Oostendorp</namePart><namePart type="termsOfAddress">PT, PhD</namePart><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sebastiaan</namePart><namePart type="family">Overeem</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wim</namePart><namePart type="family">Mulleners</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bastiaan R.</namePart><namePart type="family">Bloem</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marten</namePart><namePart type="family">Munneke</namePart><namePart type="termsOfAddress">PT, PhD</namePart><affiliation>Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><affiliation>Department of Physical Therapy, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands</affiliation><affiliation>Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</affiliation><description>Correspondence: Radboud University Nijmegen Medical Centre, Parkinson Center Nijmegen (ParC), Department of Neurology 935, PO Box 9101, 6500 HB Nijmegen, The Netherlands</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2009-01-30</dateIssued><dateCaptured encoding="w3cdtf">2008-07-07</dateCaptured><dateValid encoding="w3cdtf">2008-10-09</dateValid><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">2</extent><extent unit="references">18</extent><extent unit="words">3269</extent></physicalDescription><abstract lang="en">There is evidence for the efficacy of allied health care in Parkinson's disease (PD). However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD‐specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals who lacked PD‐specific expertise. Current referral to and delivery of allied health care in PD are suboptimal. Evidence‐based guidelines for allied health care in PD and active implementation of these guidelines are needed. © 2008 Movement Disorder Society</abstract><note type="content">*Potential conflict of interest: None reported.</note><note type="funding">Radboud University Nijmegen Medical Centre and ZonMw - No. 947‐04‐357; </note><note type="funding">VIDI - No. 016.076.352; </note><note type="funding">Netherlands Organisation for Scientific Research</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>allied health occupations</topic><topic>referral and consultation</topic><topic>physiotherapy</topic><topic>physical therapy</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Brief Report</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>282</start><end>286</end><total>5</total></extent></part></relatedItem><identifier type="istex">DDE6344B31FA1765DA89925E8ED812E79E0377C9</identifier><identifier type="DOI">10.1002/mds.22377</identifier><identifier type="ArticleID">MDS22377</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2008 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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