Access to Comprehensive Care Slide 25 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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Access to Comprehensive Care -- PDF Access Survey-- Many factor influence services use. To begin to gauge whether specialty care actually makes a difference for PD patients and to assess the role of gatekeepers in access to services, we took a first look at different service use for who reported use of services of a MDS vs not As illustrated greater use of range of service are used by those who used MDS.. This is not a complete analysis. We need to control for age and severity of illness, and Also need to look at outcomes. 1032 mds age 69, dx 12.2 yrs 1700 not mds, age 72, dx 11.7 yrs MDS (n=1032) Not MDS (n=1696) Rehab (PT, OT, Sp) 37% 25% Other Specialist 26% 13% Home health or help 19% 16% Acute care 19% 14% Counseling services 16% 9% Case management 13% 9% Adult Day Care 11% 8% Nursing home 7% 8% Surgery 6% 2% Assisted living 5% 3%

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