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

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.

Collaboration between stakeholders involved in augmentative and alternative communication (AAC) care of people without natural speech

“…In addition, interruptions in healthcare processes and duplicate treatment can be avoided, and innovations can be implemented more easily. Thus, special forms of healthcare, such as integrated care or health networks, have been developed in order to enable collaborative healthcare (D'Amour et al, 2008;Lalani et al, 2020;Loewenbrück et al, 2020). In the healthcare of people with complex chronic conditions or complex care needs, multiple stakeholders (e.g., physicians, therapists, nursing staff, caregivers, payers) from different sectors are usually involved.…”

Versorgungssituation von Parkinson-Patienten in Sachsen

“…Ziel dieser Studie ist es daher, zu untersuchen, inwieweit sich die Inanspruchnahme der medizinischen Leistungserbringung von Parkinson-Patienten im Vergleich von städtisch und ländlich geprägten Gebieten sowie im Vergleich von Parkinson-Patienten mit und ohne neurologischen Facharztkontakt unterscheidet und wie sich die Versorgung im Beobachtungszeitraum von 2011 bis 2019 entwickelt. Die vorliegende Sekundärdatenanalyse ist Teil des Projektes Parkin-sonNetzwerk Ostsachsen (PANOS) 2 und analysiert den Status quo in Sachsen vor Durchführung einer prospektiven, kontrollierten Interventionsstudie zur Evaluation eines intersektoralen, pfadbasierten und plattformunterstützten Versorgungskonzeptes [17].…”

Optimising Integrated Stroke Care in Regional Networks: A Nationwide Self-Assessment Study in 2012, 2015 and 2019

“…Although the DMIC was developed in a former decade, the model seems still valid, including the most relevant activities for an integrated care network. The model is still applied in recent studies and considered relevant in a diversity of countries and contexts, including Parkinson Networks in Germany, integrated services networks in Canada and diabetes networks in the Netherlands [ 19 28 29 ]. However, this study also has some limitations.…”