Recommendations for the Organization of Multidisciplinary Clinical Care Teams in Parkinson's Disease

Danique L.M. Radder, Jorik Nonnekes, Marlies Van Nimwegen, Carsten Eggers, Giovanni Abbruzzese, Guido Alves, Nina Browner, K. Ray Chaudhuri, Georg Ebersbach, Joaquim J. Ferreira, Jori E. Fleisher, Peter Fletcher, Giuseppe Frazzitta, Nir Giladi, Mark Guttman, Robert Iansek, Suketu Khandhar, Jochen Klucken, Anne Louise Lafontaine, Connie MarrasJohn Nutt, Michael S. Okun, Sotirios A. Parashos, Marten Munneke, Bastiaan R. Bloem

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Optimal management in expert centers for Parkinson's disease (PD) usually involves pharmacological and non-pharmacological interventions, delivered by a multidisciplinary approach. However, there is no guideline specifying how this model should be organized. Consequently, the nature of multidisciplinary care varies widely. Objective: To optimize care delivery, we aimed to provide recommendations for the organization of multidisciplinary care in PD. Methods: Twenty expert centers in the field of multidisciplinary PD care participated. Their leading neurologists completed a survey covering eight themes: elements for optimal multidisciplinary care; team members; role of patients and care partners; team coordination; team meetings; inpatient versus outpatient care; telehealth; and challenges towards multidisciplinary care. During a consensus meeting, outcomes were incorporated into concept recommendations that were reviewed by each center's multidisciplinary team. Three patient organizations rated the recommendations according to patient priorities. Based on this feedback, a final set of recommendations (essential elements for delivery of multidisciplinary care) and considerations (desirable elements) was developed. Results: We developed 30 recommendations and 10 considerations. The patient organizations rated the following recommendations as most important: care is organized in a patient-centered way; every newly diagnosed patient has access to a core multidisciplinary team; and each team has a coordinator. A checklist was created to further facilitate its implementation. Conclusion: We provide a practical tool to improve multidisciplinary care for persons with PD at the organizational level. Future studies should focus on implementing these recommendations in clinical practice, evaluating their potential applicability and effectiveness, and comparing alternative models of PD care.

Original languageEnglish (US)
Pages (from-to)1087-1098
Number of pages12
JournalJournal of Parkinson's Disease
Volume10
Issue number3
DOIs
StatePublished - 2020

Keywords

  • Parkinson's disease
  • guideline
  • interdisciplinary
  • multidisciplinary
  • organization of care
  • practice-based evidence

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience

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