Bas R. Bloem is a professor in the Department of Neurology, Radboud University Medical Centre, in Nijmegen, and medical director of ParkinsonNet, in the Netherlands.
Lonneke Rompen is a policy adviser at the Department of Neurology, Radboud University Medical Centre.
Health Aff (Millwood). 2017 Nov;36(11):1987-1996. doi: 10.1377/hlthaff.2017.0832.
ParkinsonNet, a low-cost innovation to optimize care for patients with Parkinson disease, was developed in 2004 as a network of physical therapists in several regions in the Netherlands. Since that time, the network has achieved full national reach, with 70 regional networks and around 3,000 specifically trained professionals from 12 disciplines. Key elements include the empowerment of professionals who are highly trained and specialized in Parkinson disease, the empowerment of patients by education and consultation, and the empowerment of integrated multidisciplinary teams to better address and manage the disease. Studies have found that the ParkinsonNet approach leads to outcomes that are at least as good as, if not better than, outcomes from usual care. One study found a 50 percent reduction in hip fractures and fewer inpatient admissions. Other studies suggest that ParkinsonNet leads to modest but important cost savings (at least US$439 per patient annually). These cost savings outweigh the costs of building and maintaining the network. Because of ParkinsonNet's success, the program has now spread to several other countries and serves as a model of a successful and scalable frugal innovation.
帕金森网（ParkinsonNet）是一种低成本的创新方法，旨在优化帕金森病患者的护理。它于 2004 年作为荷兰多个地区的物理治疗师网络而开发。自那时以来，该网络已经实现了全国范围内的全覆盖，拥有 70 个区域网络和大约 3000 名来自 12 个学科的专门培训的专业人员。关键要素包括增强高度训练和专门从事帕金森病的专业人员的能力，通过教育和咨询增强患者的能力，以及增强综合多学科团队的能力，以更好地应对和管理疾病。研究发现，帕金森网方法的结果至少与常规护理一样好，如果不是更好的话。一项研究发现髋部骨折减少了 50%，住院人数减少。其他研究表明，帕金森网导致适度但重要的成本节约（每年每位患者至少节约 439 美元）。这些节省的成本超过了建立和维护网络的成本。由于帕金森网的成功，该计划现已扩展到其他几个国家，并成为成功且可扩展的节俭创新的典范。
