Barriers and Expectations for Patients in Post-Osteoporotic Fracture Care in France: The EFFEL Study.
Objectives: This study aimed to quantify the relative importance of barriers to better secondary prevention of osteoporotic fractures and of care expectations expressed by patients with osteoporotic fractures in France.Methods: A qualitative exploration of potential barriers to care and expectations...
| Publicado en: | Value in Health Vol. 25; no. 4; pp. 571 - 582 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155994536&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155994536 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10983015 FSN jtl: Value in Health issn: 10983015 maglogo: N pubinfo: dt: Apr2022 vid: 25 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 155994536 155994536 NLM35365301 155994536 10.1016/j.jval.2021.10.005 NLM35365301 155994536 ppf: 571 ppct: 11 formats: tig: atl: Barriers and Expectations for Patients in Post-Osteoporotic Fracture Care in France: The EFFEL Study. aug: au: Launois, Robert Cabout, Elise Benamouzig, Daniel Velpry, Livia Briot, Karine Alliot, Françoise Perrin, Laure Grange, Laurent Sellami, Rahma Touboul, Chantal Joubert, Jean-Michel Roux, Christian affil: Health Economic Assessment Network, Paris, France sug: subj: Osteoporosis Epidemiology Motivation Probability Ferrans and Powers Quality of Life Index ab: Objectives: This study aimed to quantify the relative importance of barriers to better secondary prevention of osteoporotic fractures and of care expectations expressed by patients with osteoporotic fractures in France.Methods: A qualitative exploration of potential barriers to care and expectations was undertaken through a systematic literature review and in-depth patients interviews. A list of 21 barriers and 21 expectations was identified. These were presented to 324 subjects with osteoporotic fractures, identified in a representative sample of the French population, in the form of best-worst scaling questionnaires. Patients rated the relative importance of the attributes, and arithmetic mean importance scores were calculated and ranked. A Bayesian hierarchical model was also performed to generate a relative importance score. Latent class analysis was performed to identify potential subgroups of patients with different response profiles.Results: A total of 7 barriers were rated as the most important, relating to awareness of osteoporosis and coordination of care. The highest-ranked barrier, "my fracture is not related to osteoporosis," was significantly more important than all the others (mean importance score 0.45; 95% confidence interval 0.33-0.56). A similar ranking of attributes was obtained with both the arithmetic and the Bayesian approach. For expectations, no clear hierarchy of attributes was identified. Latent class analysis discriminated 3 classes of respondents with significant differences in response profiles (the educated environmentalists, the unaware, and the victims of the system).Conclusions: Better quality of care of osteoporosis and effective secondary fracture prevention will require improvements in patient education, training of healthcare professionals, and coordination of care. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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