Parkinson Network Eastern Saxony (PANOS): Reaching Consensus for a Regional Intersectoral Integrated Care Concept for Patients with Parkinson's Disease in the Region of Eastern Saxony, Germany

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Kai F Loewenbrück - , Department of Neurology, German Center for Neurodegenerative Diseases (DZNE) (Author)
  • Doron B Stein - , Institute for Applied Health Services Research (inav) (Author)
  • Volker E Amelung - , Institute for Applied Health Services Research (inav) (Author)
  • Robert Bitterlich - , Department of Neurology (Author)
  • Martin Brumme - , Institute for Applied Health Services Research (inav) (Author)
  • Björn Falkenburger - , Department of Neurology, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Dresden (Author)
  • Annekathrin Fehre - , Elblandklinikum Meißen-Radebeul (Author)
  • Tim Feige - , Department of Neurology (Author)
  • Anika Frank - , Department of Neurology, German Center for Neurodegenerative Diseases (DZNE) (Author)
  • Carola Gißke - , Chair of Business Informatics, esp Systems Engineering (Author)
  • Claudia Helmert - , Center for Evidence-Based Healthcare (Author)
  • Linda Kerkemeyer - , Institute for Applied Health Services Research (inav) (Author)
  • Andreas Knapp - , Center for Evidence-Based Healthcare (Author)
  • Caroline Lang - , Center for Evidence-Based Healthcare (Author)
  • Annegret Leuner - , Elblandklinikum Meißen-Radebeul (Author)
  • Carina Lummer - , Institute for Applied Health Services Research (inav) (Author)
  • Mirella M N Minkman - , Vilans (Author)
  • Gabriele Müller - , Center for Evidence-Based Healthcare (Author)
  • Marlena van Munster - , University Hospital Gießen and Marburg (Author)
  • Hannes Schlieter - , Chair of Business Informatics, esp Systems Engineering (Author)
  • Peter Themann - , Klinik am Tharandter Wald GmbH (Author)
  • Nick Zonneveld - , Vilans (Author)
  • Martin Wolz - , Elblandklinikum Meißen-Radebeul (Author)

Abstract

As integrated care is recognized as crucial to meet the challenges of chronic conditions such as Parkinson's disease (PD), integrated care networks have emerged internationally and throughout Germany. One of these networks is the Parkinson Network Eastern Saxony (PANOS). PANOS aims to deliver timely and equal care to PD patients with a collaborative intersectoral structured care pathway. Additional components encompass personalized case management, an electronic health record, and communicative and educative measures. To reach an intersectoral consensus of the future collaboration in PANOS, a structured consensus process was conducted in three sequential workshops. Community-based physicians, PD specialists, therapists, scientists and representatives of regulatory authorities and statutory health insurances were asked to rate core pathway-elements and supporting technological, personal and communicative measures. For the majority of core elements/planned measures, a consensus was reached, defined as an agreement by >75% of participants. Additionally, six representatives from all partners involved in the network-design independently assessed PANOS based on the Development Model for Integrated Care (DMIC), a validated model addressing the comprehensiveness and maturity of integrated care concepts. The results show that PANOS is currently in an early maturation state but has the potential to comprehensively represent the DMIC if all planned activities are implemented successfully. Despite the favorable high level of consensus regarding the PANOS concept and despite its potential to become a balanced integrated care concept according to the DMIC, its full implementation remains a considerable challenge.

Details

Original languageEnglish
Article number2906
JournalJournal of clinical medicine
Volume9
Issue number9
Publication statusPublished - 8 Sept 2020
Peer-reviewedYes

External IDs

ORCID /0000-0002-6513-9017/work/142257290
Scopus 85099467656
PubMed 32911841
PubMedCentral PMC7563971
ORCID /0000-0002-2387-526X/work/151435784

Keywords

Keywords

  • Parkinson disease, clinical pathway, integrated delivery of health care, community networks, consensus, patient care team, patient monitoring, telemedicine