دورية أكاديمية
Patient-specific prescriber feedback can increase the rate of osteoporosis screening and treatment: results from two national interventions.
| العنوان: | Patient-specific prescriber feedback can increase the rate of osteoporosis screening and treatment: results from two national interventions. |
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| المؤلفون: | Kalisch Ellett LM; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. lisa.kalisch@unisa.edu.au., Pratt NL; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., Sluggett JK; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., Ramsay EN; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., Kerr M; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., LeBlanc VT; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., Barratt JD; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia., Roughead EE; Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. |
| المصدر: | Archives of osteoporosis [Arch Osteoporos] 2017 Dec; Vol. 12 (1), pp. 17. Date of Electronic Publication: 2017 Feb 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101318988 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1862-3514 (Electronic) NLM ISO Abbreviation: Arch Osteoporos Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer, [2006]- |
| مواضيع طبية MeSH: | Mass Screening*/methods , Mass Screening*/psychology , Mass Screening*/statistics & numerical data , Osteoporosis*/diagnosis , Osteoporosis*/drug therapy , Osteoporosis*/epidemiology , Osteoporosis*/psychology , Risk Reduction Behavior*, Bone Density Conservation Agents/*therapeutic use, Aged ; Aged, 80 and over ; Australia/epidemiology ; Bone Density/drug effects ; Female ; Health Behavior ; Humans ; Male ; Patient Education as Topic/methods ; Patient Education as Topic/organization & administration ; Preventive Health Services/methods ; Preventive Health Services/standards ; Quality Improvement |
| مستخلص: | Osteoporosis interventions targeting older Australians and clinicians were conducted in 2008 and 2011 as part of a national quality improvement program underpinned by behavioural theory and stakeholder engagement. Uptake of bone mineral density (BMD) tests among targeted men and women increased after both interventions and sustained increases in osteoporosis treatment were observed among men targeted in 2008. Purpose: Educational interventions incorporating patient-specific prescriber feedback have improved osteoporosis screening and treatment among at-risk patients in clinical trials but have not been evaluated nationally. This study assessed uptake of BMD testing and osteoporosis medicines following two national Australian quality improvement initiatives targeting women (70-79 years) and men (75-85 years) at risk of osteoporosis. Methods: Administrative health claims data were used to determine monthly rates of BMD testing and initiation of osteoporosis medicines in the 9-months post-intervention among targeted men and women compared to older cohorts of men and women. Log binomial regression models were used to assess differences between groups. Results: In 2008 91,794 patients were targeted and 52,427 were targeted in 2011. There was a twofold increase in BMD testing after each intervention among targeted patients compared to controls (p < 0.001). Initiation of osteoporosis medicines increased by 21% among men targeted in 2008 and 34% among men targeted in 2011 compared to older controls (p < 0.01). Initiation of osteoporosis medicines among targeted women was similar to the older controls. Conclusion: Programs underpinned by behavioural theory and stakeholder engagement that target both primary care clinicians and patients can improve osteoporosis screening and management at the national level. |
| فهرسة مساهمة: | Keywords: BMD testing; Bisphosphonate; Educational intervention; Osteoporosis; Quality improvement |
| المشرفين على المادة: | 0 (Bone Density Conservation Agents) |
| تواريخ الأحداث: | Date Created: 20170212 Date Completed: 20171009 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1007/s11657-017-0309-4 |
| PMID: | 28188561 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1862-3514 |
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| DOI: | 10.1007/s11657-017-0309-4 |