School of Rehabilitation Therapy, Queen's University, Kingston, Canada.
J Parkinsons Dis. 2021;11(4):1537-1553. doi: 10.3233/JPD-212735.
Parkinson's disease is a complex condition that affects many different aspects of a person's health. Because of its complexity, people with Parkinson's disease require access to a variety of healthcare services. The aim of the present study was to identify the barriers to access healthcare services for people with Parkinson's disease. We conducted a scoping review according to guidelines posed by Arksey & O'Malley (2005). A search of MEDLINE, Embase, CINHAL, and PsycINFO databases was conducted, and 38 articles were selected based on the inclusion criteria. The review findings identified person-level and system-level barriers. The person-level barriers included skills required to seek healthcare services, ability to engage in healthcare and cost for services. The system-level barriers included the availability of appropriate healthcare resources. Based on the existing barriers elucidated in the scope review, we have discussed potential areas in healthcare that require improvement for people with Parkinson's disease to manage their healthcare needs more equitably.
帕金森病是一种复杂的病症,会影响到一个人的健康的许多不同方面。由于其复杂性,帕金森病患者需要获得各种医疗保健服务。本研究的目的是确定帕金森病患者获得医疗保健服务的障碍。我们根据 Arksey 和 O'Malley(2005 年)提出的指南进行了范围综述。对 MEDLINE、Embase、CINHAL 和 PsycINFO 数据库进行了检索,并根据纳入标准选择了 38 篇文章。综述结果确定了个人层面和系统层面的障碍。个人层面的障碍包括寻求医疗保健服务所需的技能、参与医疗保健的能力和服务费用。系统层面的障碍包括适当医疗资源的可及性。基于范围综述中阐明的现有障碍,我们讨论了需要改善的医疗保健领域,以更公平地满足帕金森病患者的医疗保健需求。