Exploring health and social services in Denmark, Norway, Spain and the United Kingdom for the development of Parkinson's care pathways. A document analysis
Exploring health and social services in Denmark, Norway, Spain and the United Kingdom for the development of Parkinson's care pathways. A document analysis
People with Parkinson's disease (PD) may find it difficult to identify and access the wide number of services they need and are entitled to along their complex PD journey. As part of the project OPTIM-PARK – Optimisation of community resources and systems of support to enhance the process of living with Parkinson's Disease, document analysis was developed to create overviews of existing resources and systems of support in Denmark, Norway, Spain and the United Kingdom. Documents on community resources, policies, guidelines and professional recommendations were the main sources of information. They were sought systematically at official websites of the public sector (national and regional levels) and websites of non-governmental organisations and scientific societies; searches were performed in October 2020 and updated in September 2021. A higher-level cross-national content analysis integrated all the country-specific information. Data- and concept-driven coding frames were developed; trial coding and peer review strengthened face validity and reliability. The analysis led to overviews of: (1) Key aims at patient and societal levels. (2) Key elements in form of professional approaches. (3) Community resources. (4) Legally anchored services. In general, clear descriptions of how to implement care pathways and tools to facilitate delivery were missing in the included documents, and pathways and guidelines did not include referral to general social support, social security support or labour and employment support. The results shed light on the complex support systems and resources and can inspire the planning of more comprehensive care pathways for people with PD and other long-term conditions.
Parkinson's disease, care pathways, chronic disease management, delivery of healthcare, health service research, social welfare
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Nielsen, Tove Lise
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Kruse, Naja Benigna
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Haahr, Anita
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Hjelle, Ellen Gabrielsen
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Bragstad, Line Kildal
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Palmar‐santos, Ana
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Navarta‐sánchez, Maria Victoria
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Pedraz‐marcos, Azucena
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Pires, Sandra Bartolomeu
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Roberts, Helen C.
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Portillo, Mari Carmen
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November 2022
Nielsen, Tove Lise
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Kruse, Naja Benigna
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Haahr, Anita
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Hjelle, Ellen Gabrielsen
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Bragstad, Line Kildal
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Palmar‐santos, Ana
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Navarta‐sánchez, Maria Victoria
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Pedraz‐marcos, Azucena
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Pires, Sandra Bartolomeu
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Roberts, Helen C.
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Portillo, Mari Carmen
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Nielsen, Tove Lise, Kruse, Naja Benigna, Haahr, Anita, Hjelle, Ellen Gabrielsen, Bragstad, Line Kildal, Palmar‐santos, Ana, Navarta‐sánchez, Maria Victoria, Pedraz‐marcos, Azucena, Pires, Sandra Bartolomeu, Roberts, Helen C. and Portillo, Mari Carmen
(2022)
Exploring health and social services in Denmark, Norway, Spain and the United Kingdom for the development of Parkinson's care pathways. A document analysis.
Health & Social Care in the Community, 30 (6), .
(doi:10.1111/hsc.13970).
Abstract
People with Parkinson's disease (PD) may find it difficult to identify and access the wide number of services they need and are entitled to along their complex PD journey. As part of the project OPTIM-PARK – Optimisation of community resources and systems of support to enhance the process of living with Parkinson's Disease, document analysis was developed to create overviews of existing resources and systems of support in Denmark, Norway, Spain and the United Kingdom. Documents on community resources, policies, guidelines and professional recommendations were the main sources of information. They were sought systematically at official websites of the public sector (national and regional levels) and websites of non-governmental organisations and scientific societies; searches were performed in October 2020 and updated in September 2021. A higher-level cross-national content analysis integrated all the country-specific information. Data- and concept-driven coding frames were developed; trial coding and peer review strengthened face validity and reliability. The analysis led to overviews of: (1) Key aims at patient and societal levels. (2) Key elements in form of professional approaches. (3) Community resources. (4) Legally anchored services. In general, clear descriptions of how to implement care pathways and tools to facilitate delivery were missing in the included documents, and pathways and guidelines did not include referral to general social support, social security support or labour and employment support. The results shed light on the complex support systems and resources and can inspire the planning of more comprehensive care pathways for people with PD and other long-term conditions.
Text
Health Social Care Comm - 2022 - Nielsen - Exploring health and social services in Denmark Norway Spain and the United
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More information
Accepted/In Press date: 16 July 2022
e-pub ahead of print date: 17 August 2022
Published date: November 2022
Additional Information:
Funding Information:
The study was funded under The EU Joint Programme for Neurodegenerative Research (JPND), by Innovation Fund Denmark, The Norwegian Research Council (project No. 299762) and The Alzheimer's Society, UK. The funding bodies had no role in neither the study design, data collection, analysis, interpretation of data or writing the manuscript.
Publisher Copyright:
© 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.
Keywords:
Parkinson's disease, care pathways, chronic disease management, delivery of healthcare, health service research, social welfare
Identifiers
Local EPrints ID: 473161
URI: http://eprints.soton.ac.uk/id/eprint/473161
ISSN: 0966-0410
PURE UUID: 95273be1-a603-4001-83ad-46216f555fd8
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Date deposited: 11 Jan 2023 17:37
Last modified: 17 Mar 2024 04:03
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Contributors
Author:
Tove Lise Nielsen
Author:
Naja Benigna Kruse
Author:
Anita Haahr
Author:
Ellen Gabrielsen Hjelle
Author:
Line Kildal Bragstad
Author:
Ana Palmar‐santos
Author:
Maria Victoria Navarta‐sánchez
Author:
Azucena Pedraz‐marcos
Author:
Sandra Bartolomeu Pires
Author:
Helen C. Roberts
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