Evidence map›Paper›PMID 40040291›Full record

ArticleJournal of evaluation in clinical practice2025

'I'm Not Sure Who to Refer You to': Experiences of Clinicians Accessing Allied Health for Their Patients With Parkinson's Disease.

Cassandra Meishan Wong, Sarah May Dennis, Natalie Elizabeth Allen, Serene Sulyn Paul

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 'It Would've Been Nice to Know About Allied Health Earlier': Insights From People With Parkinson's Disease.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Cassandra Meishan WongSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0009-0001-0838-0146
Sarah May DennisSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Natalie Elizabeth AllenSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-3583-8113
Serene Sulyn PaulSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

rationaleAllied health interventions have been shown to improve impairments and quality of life in people with Parkinson's disease (PwPD). However, globally allied health is underutilised, and referrals tend to be reactive and occur in moderate to advanced disease. Currently little is known about the referral patterns of PwPD to allied health in Australia.

aimsThis study examined the allied health referral patterns of neurologists, general practice physicians (GP) and Parkinson's disease nurse specialists (PDNS) treating PwPD in New South Wales (NSW), Australia.

methodsFour neurologists, three GPs and four PDNSs each completed a demographic questionnaire and a semi-structured interview. Interview data were analysed using inductive thematic analysis.

resultsAll clinicians experienced difficulties locating approachable, available, affordable, and appropriate allied health services. Clinicians also perceived that patient ability to interact impacted their involvement in allied health therapies. Referrals were typically made in response to symptom progression. The most common individual disciplines referred to were physiotherapy and/or exercise physiology, followed by speech pathology and occupational therapy. Multidisciplinary teams (MDT) were generally not available, so referrals to MDTs occurred less frequently.

conclusionClearer guidelines regarding when to refer to individual allied health disciplines and to MDTs are needed to facilitate more proactive referrals by clinicians treating PwPD. Establishing an MDT model for PwPD throughout Australia would improve the approachability, availability and appropriateness barriers, and could improve quality of life for PwPD.

Indexed as

Parkinson DiseaseReferral and ConsultationFemaleGeneral PractitionersHumansInterviews as TopicMaleMiddle AgedNeurologistsNew South WalesQualitative ResearchQuality of LifeSurveys and Questionnairesallied healthbarriers to accessmultidisciplinary careParkinson's diseasequalitative researchreferral patterns

Identifiers

PMID40040291
PMCPMC11880745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.