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Integrated and patient-centred management of Parkinson's disease: a network model for reshaping chronic neurological care

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机构： [1]Donders Institute for Brain, Cognition and Behaviour and Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Radboud University Medical Centre, Nijmegen, Netherlands [2]Older People’s Unit, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK [3]Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK [4]Centre for Health and Technology, Department of Neurology, University of Rochester Medical Centre, Rochester, NY, USA [5]Norman Fixel Institute for Neurological Diseases, Department of Neurology, University of Florida, Gainesville, FL, USA [6]Neurology Unit, Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria [7]Department of Neurobiology, Neurology and Geriatrics, National Clinical Research Centre for Geriatric Disorders, Xuanwu Hospital of Capital Medical University, Beijing, China [8]Queens College, City University of New York, NY, USA

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Chronic neurological diseases are the leading cause of disability globally. Yet, our health-care systems are not designed to meet the needs of many patients with chronic neurological conditions. Care is fragmented with poor interdisciplinary collaboration and lack of timely access to services and therapies. Furthermore, care is typically reactive, and complex problems are managed inadequately because of a scarcity of disease-specific expertise and insufficient use of non-pharmacological interventions. Treatment plans tend to focus on the disease rather than the individual living with it, and patients are often not involved in clinical decision making. By use of Parkinson's disease as a model condition, we show an integrated care concept with a patient-centred perspective that includes evidence-based solutions to improve health-care delivery for people with chronic neurological conditions. We anticipate that this integrated care model will improve the quality of life for patients, create a positive working environment for health-care professionals, and be affordable. © 2020 Elsevier Ltd

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出版当年[2019]版：

大类 | 1 区

医学

小类 | 1 区临床神经病学

最新[2023]版：

大类 | 1 区

医学

小类 | 1 区临床神经病学

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出版当年[2018]版：

Q1 CLINICAL NEUROLOGY

最新[2023]版：

Q1 CLINICAL NEUROLOGY

影响因子： 46.6 最新[2023版] 51.7 最新五年平均 28.755 出版当年[2018版] 30.542 出版当年五年平均 27.144 出版前一年[2017版] 30.039 出版后一年[2019版]

第一作者：

第一作者机构： [1]Donders Institute for Brain, Cognition and Behaviour and Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Radboud University Medical Centre, Nijmegen, Netherlands [*1]Department of Neurology, Radboud University, PO Box 9101, 6500 HB Nijmegen, Netherlands

通讯作者：

通讯机构： [*1]Department of Neurology, Radboud University, PO Box 9101, 6500 HB Nijmegen, Netherlands

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文献详情

Integrated and patient-centred management of Parkinson's disease: a network model for reshaping chronic neurological care