Abstract
Parkinson's disease (PD) management requires the involvement of movement disorders experts, other medical specialists, and allied health professionals. Traditionally, multispecialty care has been implemented in the form of a multidisciplinary center, with an inconsistent clinical benefit and health economic impact. With the current capabilities of digital technologies, multispecialty care can be reshaped to reach a broader community of people with PD in their home and community. Digital technologies have the potential to connect patients with the care team beyond the traditional sparse clinical visit, fostering care continuity and accessibility. For example, video conferencing systems can enable the remote delivery of multispecialty care. With big data analyses, wearable and non-wearable technologies using artificial intelligence can enable the remote assessment of patients' conditions in their natural home environment, promoting a more comprehensive clinical evaluation and empowering patients to monitor their disease. These advances have been defined as technology-enabled care (TEC). We present examples of TEC under development and describe the potential challenges to achieve a full integration of technology to address complex care needs in PD.
Highlights
Parkinson’s disease (PD) is a neurodegenerative disorder with motor and non-motor clinical manifestations (NMS) that dictate the accrual of loss of autonomy and increasing complexity of care
The organization of healthcare teams dedicated to care delivery for people living with PD (PwP) is an active research field
Technologies developed for the management and treatment of PwP have enabled measurement of variations in movement parameters, such as frequency and amplitude that have moderate to high agreement with traditional motor standards such as the Movement Disorders SocietyUnified Parkinson Disease Rating Scale (MDS-UPDRS) [3, 4]
Summary
Parkinson’s disease (PD) is a neurodegenerative disorder with motor and non-motor clinical manifestations (NMS) that dictate the accrual of loss of autonomy and increasing complexity of care. The increase in life expectancy and expected doubling of PD prevalence in coming years [1] further support the development of PD management strategies with high dissemination and greater usability potential. The organization of healthcare teams dedicated to care delivery for people living with PD (PwP) is an active research field. The vast majority of system-based approaches consist of care delivery models centered in a PD tertiary center either in the form of an all-in-one multidisciplinary clinic or as a hub of a care network articulated with regional healthcare centers. The potential to generate a more continuous and remote health monitoring and the enhancement of patient care communication are bound to deliver a revolution in PD care
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