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: | Mhairi Kerr, Nicole L. Pratt, Lisa M. Kalisch Ellett, John D. Barratt, Vanessa T. LeBlanc, Janet K. Sluggett, Emmae N. Ramsay, Elizabeth E. Roughead |
المساهمون: | Kalisch Ellett, Lisa M, Pratt, NL, Sluggett, JK, Ramsay, EN, Kerr, M, LeBlanc, VT, Barratt, JD, Roughead, EE |
المصدر: | Archives of Osteoporosis. 12 |
بيانات النشر: | Springer Science and Business Media LLC, 2017. |
سنة النشر: | 2017 |
مصطلحات موضوعية: | Male, bisphosphonate, medicine.medical_specialty, Bone density, medicine.medical_treatment, Health Behavior, Osteoporosis, Alternative medicine, Psychological intervention, 030209 endocrinology & metabolism, quality improvement, 03 medical and health sciences, 0302 clinical medicine, Patient Education as Topic, Bone Density, Internal medicine, Intervention (counseling), Preventive Health Services, medicine, Humans, Mass Screening, Orthopedics and Sports Medicine, 030212 general & internal medicine, Mass screening, Aged, Aged, 80 and over, Bone Density Conservation Agents, business.industry, Australia, Bisphosphonate, medicine.disease, osteoporosis, BMD testing, Quality Improvement, Clinical trial, educational intervention, Physical therapy, Female, business, Risk Reduction Behavior |
الوصف: | Summary: 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 |
تدمد: | 1862-3514 1862-3522 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::80ef554f11eae11a458dc29ac1ae4da0 https://doi.org/10.1007/s11657-017-0309-4 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....80ef554f11eae11a458dc29ac1ae4da0 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 18623514 18623522 |
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