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April 16, 2019; 92 (16) Editorial

A nurse-led model increases quality of care in Parkinson disease

Paolo Calabresi, Pasquale Nigro, Heidi Beck Schwarz
First published March 22, 2019, DOI: https://doi.org/10.1212/WNL.0000000000007295
Paolo Calabresi
From the Section of Neurology (P.C., P.N.), Department of Medicine, University of Perugia, Italy; and Department of Neurology (H.B.S.), University of Rochester, NY.
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Pasquale Nigro
From the Section of Neurology (P.C., P.N.), Department of Medicine, University of Perugia, Italy; and Department of Neurology (H.B.S.), University of Rochester, NY.
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Heidi Beck Schwarz
From the Section of Neurology (P.C., P.N.), Department of Medicine, University of Perugia, Italy; and Department of Neurology (H.B.S.), University of Rochester, NY.
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A nurse-led model increases quality of care in Parkinson disease
Paolo Calabresi, Pasquale Nigro, Heidi Beck Schwarz
Neurology Apr 2019, 92 (16) 739-740; DOI: 10.1212/WNL.0000000000007295

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Recent molecular and genetic advances in the understanding of the pathophysiology of Parkinson disease (PD) opened new possible therapeutic perspectives moving toward a precision medicine approach.1 Nevertheless, an unmet need in PD is an integrated approach to develop a global health strategy to improve safety and quality care. One approach should promote an active role for patients with PD and caregivers in their interaction with health care professionals.2 Such a model requires a redefinition of the patient–neurologist relationship, but also a nurse-focused strategy in which patients, working as partners with health care professionals, derive benefit from multifaceted, continuous management. The natural history of PD, as well as changes induced by pharmacologic treatment, make management of this chronic disease complex, requiring multidisciplinary approaches. For these reasons, professionals must collaborate to make coordinated decisions and share responsibilities.3 Indeed, for patients with chronic diseases, delivery of coordinated, integrated, and patient-centered care positively affects the clinical outcome, patient functioning, and quality of life.4 However, effective models of multidisciplinary collaboration in health care require further refinement and study.5

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • See page 746

  • © 2019 American Academy of Neurology
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