Publication:
Establishing apomorphine treatment in Thailand: understanding the challenges and opportunities of Parkinson’s disease management in developing countries

Issued Date

2020-06-02

Resource Type

Article

ISSN

17448360
14737175

DOI

10.1080/14737175.2020.1770598

Other identifier(s)

2-s2.0-85086775938

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Expert Review of Neurotherapeutics. Vol.20, No.6 (2020), 523-537

Suggested Citation

Roongroj Bhidayasiri, Onanong Phokaewvarangkul, Karn Sakdisornchai, Kamolwan Boonpang, K. Ray Chaudhuri, Jan Parsons, Praween Lolekha, Parnsiri Chairangsaris, Prachaya Srivanitchapoom, Sharon Benedierks, Pattamon Panyakaew, Thanatat Boonmongkol, Yuwadee Thongchuam, Nitinan Kantachadvanich, Saisamorn Phumphid, Andrew H. Evans, Akravudh Viriyavejakul, Apichart Pisarnpong, Teus van Laar, Priya Jagota Establishing apomorphine treatment in Thailand: understanding the challenges and opportunities of Parkinson’s disease management in developing countries. Expert Review of Neurotherapeutics. Vol.20, No.6 (2020), 523-537. doi:10.1080/14737175.2020.1770598 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/58134

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Title

Establishing apomorphine treatment in Thailand: understanding the challenges and opportunities of Parkinson’s disease management in developing countries

Author(s)

Roongroj Bhidayasiri
 Onanong Phokaewvarangkul
 Karn Sakdisornchai
 Kamolwan Boonpang
 K. Ray Chaudhuri
 Jan Parsons
 Praween Lolekha
 Parnsiri Chairangsaris
 Prachaya Srivanitchapoom
 Sharon Benedierks
 Pattamon Panyakaew
 Thanatat Boonmongkol
 Yuwadee Thongchuam
 Nitinan Kantachadvanich
 Saisamorn Phumphid
 Andrew H. Evans
 Akravudh Viriyavejakul
 Apichart Pisarnpong
 Teus van Laar
 Priya Jagota

Other Contributor(s)

Thammasat University Hospital
 King Chulalongkorn Memorial Hospital, Faculty of Medicine Chulalongkorn University
 King's College Hospital
 The Walton Centre
 Faculty of Medicine, Siriraj Hospital, Mahidol University
 University of Groningen
 Royal Melbourne Hospital
 Prasat Neurological Institute
 Stada Pharmaceuticals
 Phramongkutklao Hospital

Abstract

© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. Introduction: The increasing global burden of Parkinson’s disease (PD) poses a particular challenge for developing countries, such as Thailand, when delivering care to a geographically diverse populace with limited resources, often compounded by a lack of expertise in the use of certain PD medications, such as device-aided therapies (DAT). Areas covered: A panel of local, regional, and international PD experts convened to review the unmet needs of PD in Thailand and share insights into effective delivery of DAT, focusing on experience with apomorphine infusion. Despite its proven efficacy and safety, implementation of apomorphine infusion as a new option was not straightforward. This has prompted a range of health-care professional and patient-focused initiatives, led by the Chulalongkorn Center of Excellence for Parkinson’s Disease and Related Disorders in Bangkok, to help establish a more coordinated approach to PD management throughout the country and ensure patients have access to suitable treatments. Expert opinion: Overcoming the challenges of education, proficiency, resource capacity and standard of care for PD patients in developing countries requires a coordinated effort both nationally and beyond. The best practices identified in Thailand following the introduction of apomorphine infusion might be helpful for other countries when implementing similar programs.

Keyword(s)

Medicine
 Neuroscience

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/58134

Collections

Scopus 2020