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

Radder DLM, Nonnekes J, Nimwegen MV, Eggers C, Abbruzzese G, Alves G, Browner N, Chaudhuri KR, Ebersbach G, Ferreira JJ, Fleisher JE, Fletcher P, Frazzitta G, Giladi N, Guttman M, Iansek R, Khandhar S, Klucken J, Lafontaine AL, Marras C, Nutt J, Okun MS, Parashos SA, Munneke M, Bloem BR (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Book Volume: 10

Pages Range: 1087-1098

Journal Issue: 3

DOI: 10.3233/JPD-202078

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.

Authors with CRIS profile

Involved external institutions

Centre for Movement Disorders Canada (CA) Monash Health Australia (AU) McGill University Canada (CA) Oregon Health and Science University (OSHU) United States (USA) (US) University of Florida United States (USA) (US) HealthPartners United States (USA) (US) Radboud University Nijmegen Netherlands (NL) Universitätsklinikum Gießen und Marburg (UKGM) Germany (DE) University of Genova / Università degli Studi di Genova Italy (IT) Stavanger University Hospital Norway (NO) University of North Carolina at Chapel Hill United States (USA) (US) King's College Hospital (KCH) United Kingdom (GB) Kliniken Beelitz GmbH Germany (DE) University of Lisbon / Universidade de Lisboa (ULisboa) Portugal (PT) Rush University United States (USA) (US) Cheltenham General Hospital United Kingdom (GB) Ospedale Moriggia Pelascini / Moriggia Pelascini Hospital Italy (IT) Tel Aviv University Israel (IL) Kaiser Permanente United States (USA) (US) Toronto Western Hospital Canada (CA)

How to cite

APA:

Radder, D.L.M., Nonnekes, J., Nimwegen, M.V., Eggers, C., Abbruzzese, G., Alves, G.,... Bloem, B.R. (2020). Recommendations for the Organization of Multidisciplinary Clinical Care Teams in Parkinson's Disease. Journal of Parkinson's Disease, 10(3), 1087-1098. https://doi.org/10.3233/JPD-202078

MLA:

Radder, Danique L. M., et al. "Recommendations for the Organization of Multidisciplinary Clinical Care Teams in Parkinson's Disease." Journal of Parkinson's Disease 10.3 (2020): 1087-1098.

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