An Ongoing Six-Year Innovative Osteoporosis Disease Management Program: Challenges and Success in an IPA Physician Group Environment.

Autor: Woo, Ann, Hittell, Jodi, Beardsley, Carrie, Noh, Charles, Stoukides, Cheryl A., Kaul, Alan F.
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Zdroj: Disease Management; Sep2004, Vol. 7 Issue 3, p216-225, 10p
Abstrakt: The goal of this ongoing comprehensive osteoporosis disease management initiative is to providethe adult primary care physicians' (PCPs) offices with a program enabling them to systematicallyidentify and manage their population for osteoporosis. For over six years, HillPhysicians Medical Group (Hill Physicians) has implemented multiple strategies to developa best practice for identifying and treating members who were candidates for osteoporosistherapy. Numerous tools were used to support this disease management effort, including: evidence-based clinical practice guidelines, patient education sessions, the Simple CalculatedOsteoporosis Risk Estimation (SCORE) questionnaire tool, member specific reports for PCPs,targeted member mailings, office-based Peripheral Instantaneous X-ray Imaging (PIXI) testand counseling, dual x-ray absorptiometry (DEXA) scan guidelines, and web-based ElectronicSimple Calculated Osteoporosis Risk Estimation (eSCORE) questionnaire tools. Hill Physicianstabulated results for patients who completed 2649 SCORE tests, screened 978 patientswith PIXI tests, and identified 338 osteopenic and 124 osteoporotic patients. The preliminaryresults of this unique six-year ongoing educational initiative are slow but promising. Newphysician offices express interest in participating and those offices that have participated inthe program continue to screen for osteoporosis. Hill Physicians' message is consistent andis communicated to the physicians repeatedly in different ways in accordance with the principlesof educational outreach. Physicians who have conducted the program have positivefeedback from their patients and office staff and have begun to communicate their experienceto their peers. (Disease Management 2004;7:216–225) [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index