title: Moving Parkinson care to the home.
abstract: In many ways, the care of individuals with Parkinson disease does not meet their needs. Despite the documented benefits of receiving care from clinicians with Parkinson disease expertise, many patients (if not most) do not. Moreover, current care models frequently require older individuals with impaired mobility, cognition, and driving ability to be driven by overburdened caregivers to large, complex urban medical centers. Moving care to the patient's home would make Parkinson disease care more patient-centered. Demographic factors, including aging populations, and social factors, such as the splintering of the extended family, will increase the need for home-based care. Technological advances, especially the ability to assess and deliver care remotely, will enable the transition of care back to the home. However, despite its promise, this next generation of home-based care will have to overcome barriers, including outdated insurance models and a technological divide. Once these barriers are addressed, home-based care will increase access to high quality care for the growing number of individuals with Parkinson disease. © 2016 International Parkinson and Movement Disorder Society.
authors: Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA. ray.dorsey@chet.rochester.edu.|CHET, University of Rochester Medical Center, Rochester, New York, USA. ray.dorsey@chet.rochester.edu.
authors: E Ray
authors: ER
authors: Dorsey
authors: Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare, Nijmegen, The Netherlands.
authors: Floris P
authors: FP
authors: Vlaanderen
authors: Radboud University Medical Center, REshape Center, Nijmegen, The Netherlands.
authors: Lucien Jlpg
authors: LJ
authors: Engelen
authors: Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA.|CHET, University of Rochester Medical Center, Rochester, New York, USA.
authors: Karl
authors: K
authors: Kieburtz
authors: CHET, University of Rochester Medical Center, Rochester, New York, USA.
authors: William
authors: W
authors: Zhu
authors: Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA.|CHET, University of Rochester Medical Center, Rochester, New York, USA.
authors: Kevin M
authors: KM
authors: Biglan
authors: Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare, Nijmegen, The Netherlands.
authors: Marjan J
authors: MJ
authors: Faber
authors: Radboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen, The Netherlands.
authors: Bastiaan R
authors: BR
authors: Bloem
mesh_terms: D006699:Home Care Services / Q000592:standards*; D006801:Humans; D010300:Parkinson Disease / Q000628:therapy*
keywords: Parkinson disease; e-health; health care delivery; home; self-management; telehealth