Utilization of Neurology and Allied Health Services by People With Parkinson's Disease in Israel: A Retrospective Observational Study.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY Journal of Neurologic Physical Therapy Pub Date : 2024-11-25 DOI:10.1097/NPT.0000000000000502

Badera Naamneh-Abuelhija, Michal Kafri, Meir Kestenbaum, Efrat Shadmi, Igor Mintz, Sarit Shved, Shmuel Giveon, Sharon Kamah, Galit Yogev-Seligmann

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Abstract

Background: Sustainable utilization of neurology and allied health professions' services is pivotal for effective management of Parkinson disease (PD) and is correlated with positive health-related outcomes.

Objectives: (1) To describe the utilization of neurology and allied health services by people with PD (PwP); (2) to explore the associations between demographic and structural variables and utilization; and (3) to test associations between utilization and unplanned hospitalizations.

Methods: A retrospective observational cohort study of 1761 PwP in the years 2014-2019 was conducted. Utilization of neurology and allied health services was mapped. Regression models were examined to test associations between demographic and structural variables, utilization of neurology and physical therapy (PT), and unplanned hospitalizations.

Results: Approximately 50% of the study population utilized neurology services. Utilization rate of allied health services ranged between 0% and 19%. The likelihood of utilizing neurology services increased for people with extended health insurance and people with more years since diagnosis and decreased for women and for people living at a great distance from a neurology service. The likelihood of utilizing PT increased for Jews and people with extended health insurance and decreased for people with more years since diagnosis and for people living at a great distance from a PT service. Among patients with fewer years since diagnosis (<5 years), those who utilized PT had a higher likelihood of unplanned hospitalization.

Conclusions: Neurology and allied health services are underutilized by PwP, particularly by minorities and women. Policymakers should take proactive steps to increase utilization.

Video abstract available: for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A496).

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以色列帕金森病患者对神经科及相关医疗服务的利用情况：回顾性观察研究

背景：目的：(1) 描述帕金森病患者（PwP）对神经内科和专职医疗服务的利用情况；(2) 探讨人口统计学和结构变量与利用情况之间的关联；(3) 检验利用情况与非计划住院之间的关联：对 2014-2019 年间的 1761 名帕金森病患者进行了一项回顾性观察队列研究。绘制了神经内科和专职医疗服务的使用情况图。通过回归模型检验人口统计学和结构变量、神经内科和物理治疗（PT）的使用情况以及计划外住院之间的关联：结果：约 50%的研究对象使用了神经内科服务。联合医疗服务的使用率在 0% 到 19% 之间。拥有长期医疗保险和确诊年限较长的人群使用神经内科服务的可能性增加，而女性和居住地距离神经内科服务机构较远的人群使用神经内科服务的可能性降低。犹太人和拥有长期医疗保险的人使用物理治疗服务的可能性增加，而诊断年限较长的人和居住地距离物理治疗服务机构较远的人使用物理治疗服务的可能性减少。在确诊年限较短的患者中（结论：残疾人，尤其是少数民族和妇女，对神经病学和相关医疗服务的利用率较低。政策制定者应采取积极措施提高利用率。视频摘要：如欲了解作者的更多见解（请参阅视频，补充数字内容1，网址：http://links.lww.com/JNPT/A496）。

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来源期刊

Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.