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[德国帕金森病流行病学及门诊护理现状概念]

[Epidemiology of Parkinson's Disease and Current Concepts of Outpatient Care in Germany].

作者信息

Tönges Lars, Ehret Reinhard, Lorrain Michael, Riederer Peter, Müngersdorf Martina

机构信息

Klinik für Neurologie, Ruhr-Universität Bochum, St. Josef-Hospital, Bochum.

Facharztpraxis Neurologie, Berlin.

出版信息

Fortschr Neurol Psychiatr. 2017 Jun;85(6):329-335. doi: 10.1055/s-0043-103275. Epub 2017 Jun 23.

Abstract

The ambulatory care of patients with Parkinson's disease (PD) in Germany has been established for a long time. As the prevalence of Parkinson's disease continues to increase, the outpatient neurological sector is becoming more and more important and needs to adapt itself to current needs. This includes an optimization of the care structures for Parkinson's patients as well as adequate concepts for the execution of differentiated diagnostics and therapy. For many patients care is provided by non-specialized neurological practices or general practitioners, without exchange of views with neurologists or a specialized university outpatient clinic for movement disorders. A connective link between these care structures could be provided by a "practice with focus on Parkinson's disease", whose idea and conception is presented in this article. In addition to the necessity and usefulness of such an institution, structural prerequisites and basic principles for the treatment of Parkinsonian patients in a disease state-centered manner will be presented but also current limitations of the concept are pointed out. This article presents the results of an expert workshop on Parkinson's disease, which took place in Frankfurt am Main on 21 November 2015.

摘要

在德国,帕金森病(PD)患者的门诊护理已开展多年。随着帕金森病患病率持续上升,门诊神经科领域变得越来越重要,需要适应当前需求。这包括优化帕金森病患者的护理结构以及执行差异化诊断和治疗的适当理念。对于许多患者,护理由非专科神经科诊所或全科医生提供,未与神经科医生或专门的大学运动障碍门诊进行意见交流。“专注于帕金森病的诊所”可以成为这些护理结构之间的连接纽带,本文介绍了其理念和构想。除了这样一个机构的必要性和实用性之外,还将介绍以疾病状态为中心治疗帕金森病患者的结构前提和基本原则,但也指出了该概念目前的局限性。本文介绍了2015年11月21日在美因河畔法兰克福举行的帕金森病专家研讨会的结果。

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