PD Use of Services Slide 16 of 29

Go to slide: 1: "Public Health Challenges for Parkinson's Disease in the US" 2: Context and Goals 3: US Health Care System 4: PD Organizations in the US 5: Political Strength 6: NIH PD Research Agenda 7: Public Health Action Plan for PD 8: Public Health Concept 9: Scientific Tools of Public Health 10: Emphasis on Prevention 11: Literature Review on 12: Current Public Health 13: Sources of Information 14: Costs of Parkinson’s Disease 15: Cost and Resource Use 16: PD Use of Services 17: Elevated Comorbidities with PD 18: Costs of Parkinson’s Disease 19: Physician Care 20: Access to Comprehensive Care 21: PDF Access Survey 22: Access to Specialty Physician Services 23: Specialty Physician Care 24: Use of Comprehensive Services 25: Access to Comprehensive Care 26: Summary of Findings 27: Challenges for Public health 28: Focus on Quality 29: A True Mover and Shaker

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PD Use of Services -Cost and Resource Use Study... In the medicare population we find PD .. 3 times as likely to have severe disability (5-6 ADLs) As we all know PD is a relentless progressive debilitating disease. The cost and resource use study found PD patients to be more disabled than non PD .. Twice as likely to use home health services. .. 3 times as likely to have claims from skilled nursing facilities. PD patients use more servces than non PD for all categories .. inpatient, physician fees, outpatient, home health, skilled nursing and hospice PD No PD ratio Inpatient hospitalizations 74.1% 51.5% 1.4 Part B Physician Bills 96.2% 89.6% 1.1 Outpatient 89.7% 77% 1.2 Home Health Care 41.6% 22.2% 1.9 Skilled Nursing Facility 29.6% 10.6% 2.8 Hospice 3.8% 2.1% 1.8

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