Physician Care Slide 19 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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Physician Care --Cost and Resource Use Study-- In the medicare population we also find the pattern of heavy use of services extends to physician visits but not all types. ** (only) Half of PD subjects (52%) report visits to neurologists. ** Encounters with physicians (Medicare part B) by PD patients compared with non-PD patients. -- more likely to obtain medical care generally (3/2) and to see medical specialists (5/3) -- less likely to have encounters for surgery (1/8) or diagnostic lab procedures (1/3). Visits by Physician Specialty PD No PD Internal Medicine 76.6% 62.4% General/Family Practice 73.5% 62.2% Cardiology 53.2% 41.4% Neurology 52.4% 15.1%

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