Patient and Provider Characteristics Associated With Optimal Post-Fracture Osteoporosis Management
| Autor: | Stefan Varga, Radhika Nair, Albert G. Crawford, Leslie Ann Hazel-Fernandez, Vishal Saundankar, Natalie N. Boytsov, John McAna, Fan Emily Yang |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Health Knowledge Attitudes Practice Osteoporosis Specialty 030209 endocrinology & metabolism Primary care 03 medical and health sciences Insurance Claim Review 0302 clinical medicine Bone Density Residence Characteristics Risk Factors medicine Humans 030212 general & internal medicine Quality of care Life Style Aged Quality Indicators Health Care Retrospective Studies Black women Aged 80 and over Op management Bone Density Conservation Agents business.industry Health Policy Racial Groups Patient Acceptance of Health Care medicine.disease Socioeconomic Factors Physical therapy Female Fracture osteoporosis business Osteoporotic Fractures |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 32(6) |
| ISSN: | 1555-824X |
| Popis: | Despite an estimated 2 million osteoporosis (OP)-related fractures annually, quality of care for post-fracture OP management remains low. This study aimed to identify patient and provider characteristics associated with achieving or not achieving optimal post-fracture OP management, as defined by the current HEDIS quality measure. The study included women 67 to 85 years of age, with ≥1 fracture, and continuous enrollment in a Humana insurance plan. The study identified a higher percentage of black women in the not achieved group (6.2% vs 5.4%; P < .0001) and Hispanic women in the achieved group (3.0% vs 1.3%; P < .0001). The not achieved group largely included patients residing in the South and urban and suburban areas. The majority of providers were primary care or OP-related specialty, and 66% did not achieve the 4-star OP rating. The study findings can guide development of predictive models to identify at-risk women to improve post-fracture OP management. |
| Databáze: | OpenAIRE |
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