Grant Application
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Prior Funding
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"Vaccination Uptake in an Interdisciplinary Home Visit Program for
Advanced Parkinson's Disease"
Principal Investigator: Dr. Jori Fleisher
Institution: NYU School of Medicine

Parkinson's Disease (PD) is a debilitating, costly, and understudied
neurologic disease that affects over 1 million people in the US. PD can
lead to profound disability and isolation, with 100-200,000 patients
becoming homebound. Once homebound, many people are unable to
access routine preventive and neurologic care, yet this exact population
experiences a surge in emergency department visits, hospitalizations,
and nursing home placement, all of which are associated with higher risks
of complications and death than people without PD. People with
advanced PD are also at a high risk of contracting and being hospitalized
for influenza and pneumonia compared to similarly-aged individuals
without PD, and we hypothesize that this may be due in part to a lack of
access to preventive care. The aims of this proposal are to 1) determine
the baseline rates of vaccination among homebound and
non-homebound people with PD; 2) to elicit the patient- and
caregiver-reported barriers to vaccinations; 3) to test the feasibility of
giving recommended vaccinations to homebound patients as part of an
existing home visit program, and 4) to compare the rates of illness and
healthcare utilization prior to and during the study.

The above project description is supplied by the Principal Investigator