Improving detection and treatment of osteoporosis: redesigning care using the electronic medical record and shared medical appointments
| Autor: | Eric D. Newman, M. A. Blosky, W. F. Stewart, G. C. Wood, William Ayoub |
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| Rok vydání: | 2008 |
| Předmět: |
Risk
medicine.medical_specialty Outpatient Clinics Hospital Medical Records Systems Computerized Bone density Endocrinology Diabetes and Metabolism Osteoporosis MEDLINE Aftercare Appointments and Schedules Absorptiometry Photon Ambulatory care Bone Density Vitamin D and neurology medicine Humans Outpatient clinic Vitamin D Medical prescription Osteoporosis Postmenopausal Aged business.industry Primary care physician medicine.disease Treatment Outcome Family medicine Physical therapy Calcium Female Family Practice business |
| Zdroj: | Osteoporosis International. 20:37-42 |
| ISSN: | 1433-2965 0937-941X |
| Popis: | To determine whether a process redesign could improve detection and treatment of osteoporosis, at-risk women over the age of 65 were identified using an electronic medical record and proactively contacted by letter and phone call. This resulted in a significant increase in testing for osteoporosis by DXA scan. The high-risk patients were then offered a shared medical appointment, which resulted in improved treatment outcomes compared to usual care. Our objective was to determine if redesigning care through proactive contact with women 65 at-risk of osteoporosis increased BMD testing and to determine if a shared medical appointment (SMA) improved treatment for high-risk women. Two primary care sites received the redesign intervention and two other sites served as the usual care controls. At the intervention sites, all women 65 who had not had a DXA scan performed in the prior 2 years were contacted by mail and phone calls. High-risk patients were invited to attend a SMA or follow-up visit with their primary physician. A significantly higher proportion of women at the intervention sites had a DXA (39.6% vs. 13.2%, p |
| Databáze: | OpenAIRE |
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