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Delivering patient-centered care in Parkinson's disease: Challenges and consensus from an international panel.
Parkinsonism & Related Disorders ( IF 3.1 ) Pub Date : 2020-02-27 , DOI: 10.1016/j.parkreldis.2020.02.013
Roongroj Bhidayasiri , Pattamon Panyakaew , Claudia Trenkwalder , Beomseok Jeon , Nobutaka Hattori , Priya Jagota , Yih-Ru Wu , Elena Moro , Shen-Yang Lim , Huifang Shang , Raymond Rosales , Jee-Young Lee , Win Min Thit , Eng-King Tan , Thien Thien Lim , Ngoc Tai Tran , Nguyen Thanh Binh , Appasone Phoumindr , Thanatat Boonmongkol , Onanong Phokaewvarangkul , Yuwadee Thongchuam , Somchit Vorachit , Rachaneewan Plengsri , Marisa Chokpatcharavate , Hubert H. Fernandez

An international panel of movement disorders specialists explored the views and perceptions of people with Parkinson's disease (PD) about their condition and its treatment, including the potential mismatch between the clinician's view of the patient's condition and their own view of what aspects of the disease most affect their daily lives. The initiative was focused on Asian countries, so participants comprised experts in the management of PD from key centers in Asia, with additional insight provided by European and the North American movement disorders experts. Analysis of peer-reviewed publications on patient perceptions of PD and the factors that they consider important to their wellbeing identified several contributing factors to the mismatch of views, including gaps in knowledge of PD and its treatment, an understanding of the clinical heterogeneity of PD, and the importance of a multidisciplinary approach to patient care. The faculty proposed options to bridge these gaps to ensure that PD patients receive the personalized treatment they need to achieve the best possible outcomes. It was considered essential to improve patient knowledge about PD and its treatment, as well as increasing the awareness of clinicians of PD heterogeneity in presentation and treatment response. A multidisciplinary and shared-care approach to PD was needed alongside the use of patient-centered outcome measures in clinical trials and clinical practice to better capture the patient experience and improve the delivery of individualized therapy.

中文翻译:

在帕金森氏病中提供以患者为中心的护理:国际专​​家小组的挑战和共识。

国际运动障碍专家小组探讨了帕金森氏病(PD)患者对其病情和治疗的看法和看法,包括临床医生对患者病情的看法与他们对疾病最严重方面的看法之间的潜在不匹配影响他们的日常生活。该计划的重点是亚洲国家,因此参与者包括来自亚洲主要中心的PD的管理专家,以及欧洲和北美运动障碍专家的其他见解。通过对经过同行评审的关于患者对PD的看法及其认为对他们的健康很重要的因素的出版物进行分析,确定了导致观点不一致的几个因素,包括PD知识及其治疗的知识差距,了解PD的临床异质性,以及采用多学科方法进行患者护理的重要性。教师提出了弥合这些差距的选择,以确保PD患者获得他们所需的个性化治疗,以实现最佳可能的结果。人们认为必须提高患者对PD及其治疗的认识,并提高临床医生对PD异质性在表现和治疗反应方面的认识。在临床试验和临床实践中,需要以患者为中心的预后评估措施,以更好地掌握患者的经验并改善个性化治疗的实施,从而需要一种多学科的PD共享治疗方法。教师提出了弥合这些差距的选择,以确保PD患者获得他们所需的个性化治疗,以实现最佳可能的结果。人们认为必须提高患者对PD及其治疗的认识,并提高临床医生对PD异质性的表现和治疗反应的认识。在临床试验和临床实践中,需要以患者为中心的预后评估措施,以更好地掌握患者的经验并改善个体化治疗的实施,同时需要针对PD的多学科共享护理方法。教师提出了弥合这些差距的选择,以确保PD患者获得他们所需的个性化治疗,以实现最佳可能的结果。人们认为必须提高患者对PD及其治疗的认识,并提高临床医生对PD异质性的表现和治疗反应的认识。在临床试验和临床实践中,需要以患者为中心的结局指标,以更好地把握患者的经验并改善个性化治疗的实施,同时需要针对PD的多学科共享护理方法。以及提高临床医生对PD异质性的表现和治疗反应的认识。在临床试验和临床实践中,需要以患者为中心的结局指标,以更好地把握患者的经验并改善个性化治疗的实施,同时需要针对PD的多学科共享护理方法。以及提高临床医生对PD异质性的表现和治疗反应的认识。在临床试验和临床实践中,需要以患者为中心的预后评估措施,以更好地掌握患者的经验并改善个体化治疗的实施,同时需要针对PD的多学科共享护理方法。
更新日期:2020-02-27
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