Family physicians' personal and practice characteristics that are associated with improved utilization of bone mineral density testing and osteoporosis medication prescribing
| Autor: | F. Jiwa, George Ioannidis, Anthony B. Hodsman, Alexandra Papaioannou, Lehana Thabane, Aleksandra Walsh, Brent Kvern, Amiram Gafni, Jonathan D. Adachi |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Canada Leadership and Management Osteoporosis Appropriate use Drug Prescriptions Article Medication.prescribing Patient questionnaire Bone Density Surveys and Questionnaires medicine Humans Practice Patterns Physicians' Generalized estimating equation Aged Bone mineral business.industry Health Policy Public Health Environmental and Occupational Health Physicians Family Odds ratio Middle Aged medicine.disease Confidence interval Family medicine Physical therapy Female business |
| Zdroj: | Population health management. 12(3) |
| ISSN: | 1942-7905 |
| Popis: | Family physicians' personal and practice characteristics may influence how osteoporosis is managed. Thus, we evaluated the impact of family physicians' personal and practice characteristics on the appropriate use of bone mineral density testing and osteoporosis therapy. The physician questionnaire assessed 13 personal and practice characteristics of the physicians. The patient questionnaire was used to collect data to ascertain how family physicians managed osteoporosis. A total of 225 family physicians from 7 provinces across Canada completed both the physician and patient questionnaires. The family physicians evaluated a total of 5601 patients. The generalized estimating equations technique was utilized to model the associations between family physicians' personal and practice characteristics and appropriate use of bone mineral density testing and osteoporosis therapy. Odds ratios (OR) and corresponding 95% confidence intervals (CI) are reported. Findings indicated that female family physicians have higher odds of administering appropriate bone density testing compared to male family physicians (OR: 1.28; 95% CI: 1.05, 1.55), and that physicians who have hospital privileges (OR: 0.77; 95% CI: 0.62, 0.97) and who graduated more recently from medical school (OR: 0.87; 95% CI: 0.77, 0.99) have lower odds of administering appropriate bone mineral density tests. Physicians who use electronic health records have higher odds of administering appropriate therapy (OR: 1.30; 95% CI: 1.06, 1.59) as compared to physicians who do not use them. Several family physicians' personal and practice characteristics are associated with appropriate utilization of bone mineral density testing and therapy. The education of both clinicians and policy makers regarding these new insights may translate to enhanced individual practices and an improved overall health care system to optimize the environment for managing osteoporosis. |
| Databáze: | OpenAIRE |
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