Document Detail


Perspectives on pre-fracture intervention strategies: the Geisinger Health System Osteoporosis Program.
MedLine Citation:
PMID:  21847764     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In its first decade, the goals of the Geisinger Health System Osteoporosis Program at its inception were to increase awareness, diagnosis, and treatment of osteoporosis and to monitor predefined outcomes. The program was innovative in that it crossed specialties and regions and used guidelines in an effective manner. In addition, success in reducing hip fracture and cost were demonstrated, and it remains one of the few programs today that has done so, as reported by Newman et al. (Osteoporos Int 14:146-151, 2003). The osteoporosis program has now moved from a provider and allied provider empowerment focus to reorganizing our thoughts about how to best manage osteoporosis care across our healthcare system by defining and acting on four major osteoporosis care gaps: (1) at-risk patients do not get tested, (2) tested patients are not accurately risk assessed, (3) high-risk patients do not get treated, and (4) treated patients are not adherent. Results of current internal programs and future steps are discussed.
Authors:
Eric D Newman
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Publication Detail:
Type:  Journal Article     Date:  2011-08-17
Journal Detail:
Title:  Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA     Volume:  22 Suppl 3     ISSN:  1433-2965     ISO Abbreviation:  Osteoporos Int     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-17     Completed Date:  2011-11-15     Revised Date:  2011-11-25    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  451-5     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Geisinger Health System, 100 N. Academy Avenue, Danville, PA 17822-2152, USA. enewman@geisinger.edu
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon / utilization
Aged
Aged, 80 and over
Bone Density Conservation Agents / therapeutic use
Delivery of Health Care, Integrated / organization & administration*
Female
Humans
Male
Osteoporosis / diagnosis*,  drug therapy
Osteoporotic Fractures / prevention & control*
Pennsylvania
Program Evaluation
Quality of Health Care
Risk Assessment / methods
Chemical
Reg. No./Substance:
0/Bone Density Conservation Agents
Comments/Corrections
Erratum In:
Osteoporos Int. 2011 Nov;22(11):2913

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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