Article ; Online: Determining the impact of specialized care on health outcomes and health care utilization in Parkinsonism.
Parkinsonism & related disorders
2024 , Page(s) 106026
Abstract: Background: Although care of Parkinsonism (PKM) is assumed to be optimally provided by movement disorder neurologists within an interdisciplinary clinic model, there is a paucity of published data to support this.: Objectives: To investigate the ... ...
Abstract | Background: Although care of Parkinsonism (PKM) is assumed to be optimally provided by movement disorder neurologists within an interdisciplinary clinic model, there is a paucity of published data to support this. Objectives: To investigate the impact of movement disorder neurologist care of individuals with Parkinsonism (PKM). Methods: A retrospective exposure design was adopted using administrative data. Incident PKM individuals were identified in billing claims. A nine-year exposure period to movement disorder neurologist, general neurologist and non-neurologist care was calculated based on the billing codes. Regression models were used to test the association of provider exposure on time to death and long-term care (LTC) admission. Linear models were used to test varying provider exposure and hospital admissions, hospital days and emergency department visits. Results: 1914 incident individuals were identified. There was no difference in PKM mortality, emergency visits, hospital admissions, or hospital days between providers, however exposure to general neurology and non-neurology care was associated with a significantly higher risk of admission to LTC compared to movement disorder neurologist care (HR 1.43; 95% CI 1.09-1.87 for general neurology (p-value = 0.0089); HR 1.61; 95% CI 1.25-2.05 for non-neurology (p-value = 0.0002), respectively. Conclusion: Movement disorder neurologist care is associated with a lower risk of admission to LTC over general neurologist care in individuals with PKM. |
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Language | English |
Publishing date | 2024-02-10 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1311489-x |
ISSN | 1873-5126 ; 1353-8020 |
ISSN (online) | 1873-5126 |
ISSN | 1353-8020 |
DOI | 10.1016/j.parkreldis.2024.106026 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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