Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers
Background: There remains a significant gap in systematic research on healthcare utilization behaviors and the influencing factors for patients with Parkinson’s disease (PD), particularly those in late stages. Methods: PD patients in late stage (Hoehn and Yahr (HY) stages 4 and 5) and their caregive...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Clinical Parkinsonism & Related Disorders |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590112524000677 |
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| author | Seo Hyun Hong Seoyeon Kim Seungmin Lee Bora Jin Jung Hwan Shin Kyung Ah Woo Han-Joon Kim |
| author_facet | Seo Hyun Hong Seoyeon Kim Seungmin Lee Bora Jin Jung Hwan Shin Kyung Ah Woo Han-Joon Kim |
| author_sort | Seo Hyun Hong |
| collection | DOAJ |
| description | Background: There remains a significant gap in systematic research on healthcare utilization behaviors and the influencing factors for patients with Parkinson’s disease (PD), particularly those in late stages. Methods: PD patients in late stage (Hoehn and Yahr (HY) stages 4 and 5) and their caregivers from Seoul National University Hospital Movement Disorders Clinic participated. A total of 103 respondents completed a questionnaire covering medical utilization behaviors, perceptions of face-to-face and telemedicine consultations, and additional medical service needs. Descriptive analysis was conducted based on HY stage, age, and travel time to the hospital. Results: 82.1% of patients in HY4 make more than 50% of in-person visits by themselves or with caregivers, compared with only 38.9% of patients in HY5. Despite proxy visits by caregivers were common, audiovisual or written materials about the patient’s condition were underused (63% answered ‘never’). Over three-quarters of patients did not receive rehabilitation therapy, mainly due to mobility issues and the lack of nearby facilities. One third of respondents were open to telemedicine, with differing preferences between age groups. 22% of HY5 patients or their caregivers were willing to pay more for telemedicine than in-person visit. Conclusion: This study seeks to understand hospital use patterns and needs in late-stage PD patients and their caregivers. Current treatment framework for PD has areas that, if improved, could significantly enhance the quality of care. Telemedicine offers an opportunity to enhance PD education and assessment, introducing new methods for remotely measuring symptoms. |
| format | Article |
| id | doaj-art-4b28b5b7955840b0b87d29cf59f4cb27 |
| institution | Kabale University |
| issn | 2590-1125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Parkinsonism & Related Disorders |
| spelling | doaj-art-4b28b5b7955840b0b87d29cf59f4cb272025-01-04T04:56:55ZengElsevierClinical Parkinsonism & Related Disorders2590-11252025-01-0112100296Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregiversSeo Hyun Hong0Seoyeon Kim1Seungmin Lee2Bora Jin3Jung Hwan Shin4Kyung Ah Woo5Han-Joon Kim6Seoul National University College of Medicine, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, KoreaDepartment of Neurology and Movement Disorders Center, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul, Korea; Corresponding author at: Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.Background: There remains a significant gap in systematic research on healthcare utilization behaviors and the influencing factors for patients with Parkinson’s disease (PD), particularly those in late stages. Methods: PD patients in late stage (Hoehn and Yahr (HY) stages 4 and 5) and their caregivers from Seoul National University Hospital Movement Disorders Clinic participated. A total of 103 respondents completed a questionnaire covering medical utilization behaviors, perceptions of face-to-face and telemedicine consultations, and additional medical service needs. Descriptive analysis was conducted based on HY stage, age, and travel time to the hospital. Results: 82.1% of patients in HY4 make more than 50% of in-person visits by themselves or with caregivers, compared with only 38.9% of patients in HY5. Despite proxy visits by caregivers were common, audiovisual or written materials about the patient’s condition were underused (63% answered ‘never’). Over three-quarters of patients did not receive rehabilitation therapy, mainly due to mobility issues and the lack of nearby facilities. One third of respondents were open to telemedicine, with differing preferences between age groups. 22% of HY5 patients or their caregivers were willing to pay more for telemedicine than in-person visit. Conclusion: This study seeks to understand hospital use patterns and needs in late-stage PD patients and their caregivers. Current treatment framework for PD has areas that, if improved, could significantly enhance the quality of care. Telemedicine offers an opportunity to enhance PD education and assessment, introducing new methods for remotely measuring symptoms.http://www.sciencedirect.com/science/article/pii/S2590112524000677Parkinson’s diseaseLate-stageHospital utilizationTelemedicineRehabilitation |
| spellingShingle | Seo Hyun Hong Seoyeon Kim Seungmin Lee Bora Jin Jung Hwan Shin Kyung Ah Woo Han-Joon Kim Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers Clinical Parkinsonism & Related Disorders Parkinson’s disease Late-stage Hospital utilization Telemedicine Rehabilitation |
| title | Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers |
| title_full | Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers |
| title_fullStr | Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers |
| title_full_unstemmed | Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers |
| title_short | Hospital utilization and telemedicine preferences in patients with late-stage Parkinson’s disease and caregivers |
| title_sort | hospital utilization and telemedicine preferences in patients with late stage parkinson s disease and caregivers |
| topic | Parkinson’s disease Late-stage Hospital utilization Telemedicine Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590112524000677 |
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