Nijkrake Maarten J, Keus Samyra H J, Oostendorp Rob A B, Overeem Sebastiaan, Mulleners Wim, Bloem Bastiaan R, Munneke Marten
Parkinson Center Nijmegen, Department of Neurology, Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Mov Disord. 2009 Jan 30;24(2):282-6. doi: 10.1002/mds.22377.
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.
有证据表明联合医疗保健对帕金森病（PD）有效。然而，存在一些障碍阻碍了将证据应用于日常实践。我们进行了一项调查，以研究：（1）PD患者目前在多大程度上利用联合医疗保健来解决联合医疗保健核心领域的相关问题，以及（2）联合健康专业人员中特定于PD的专业知识水平。问卷被发送给260名患者和297名联合健康专业人员。物理治疗的转诊率为63%，职业治疗为9%，言语治疗为14%。那些问题有可能通过联合健康专业人员的干预得到缓解的PD患者往往未被转诊。此外，大多数患者是由缺乏特定于PD的专业知识的联合健康专业人员治疗的。目前PD患者对联合医疗保健的转诊和接受情况并不理想。需要有基于证据的PD联合医疗保健指南，并积极实施这些指南。
