Randomized trial of care management to improve Parkinson disease care quality.

ABSTRACT: OBJECTIVE:To test effects on care quality of Chronic Care Model-based Parkinson disease (PD) management. METHODS:This 2-group stratified randomized trial involved 328 veterans with PD in southwestern United States. Guided care management, led by PD nurses, was compared to usual care. Primary outcomes were adherence to 18 PD care quality indicators. Secondary outcomes were patient-centered outcome measures. Data sources were telephone survey and electronic medical record (EMR). Outcomes were analyzed as intent-to-treat comparing initial and final survey and repeated-measures mixed-effects models. RESULTS:Average age was 71 years; 97% of participants were male. Mean proportion of participants receiving recommended PD care indicators was significantly higher for the intervention than for usua

SUBMITTER: Connor KI 

PROVIDER: S-EPMC6550506 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature