Establishing consensus recommendations for long-term osteoporosis care for patients who have attended an Australian fracture liaison service: a Delphi study.
Summary: Coordinating healthcare activities between fracture liaison services (FLS) and primary care is challenging. Using a Delphi technique, we developed 34 consensus statements to support improved care coordination across this healthcare transition. Purpose: Evidence supporting an optimal coordin...
| Publicado en: | Osteoporosis International Vol. 35; no. 3; pp. 373 - 390 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2024
|
| 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=175459381&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175459381 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0937941X O4T jtl: Osteoporosis International issn: 0937941X maglogo: N pubinfo: dt: Mar2024 vid: 35 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175459381 174990722 175459381 175459381 10.1007/s00198-024-07014-7 175459381 ppf: 373 ppct: 17 formats: tig: atl: Establishing consensus recommendations for long-term osteoporosis care for patients who have attended an Australian fracture liaison service: a Delphi study. aug: au: Bennett, Michael J. Center, Jacqueline R. Perry, Lin affil: https://ror.org/022arq532 Department of Endocrinology, Prince of Wales Hospital, Randwick, NSW, Australia sug: subj: Consensus Long Term Care Osteoporosis Prevention and Control Delphi Technique Emergency Service Osteoporotic Fractures Prevention and Control Program Implementation Australia Practice Guidelines Benchmarking Quality of Health Care Quality Improvement Questionnaires Communication Patient Education Physician-Patient Relations Health Care Delivery, Integrated Implementation Science Witness, Legal Physicians, Family Medication Compliance Human Male Female Adult Middle Age Descriptive Statistics Funding Source Australia Feedback Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Summary: Coordinating healthcare activities between fracture liaison services (FLS) and primary care is challenging. Using a Delphi technique, we developed 34 consensus statements to support improved care coordination across this healthcare transition. Purpose: Evidence supporting an optimal coordination strategy between fracture liaison services (FLS) and primary care is lacking. This study aimed to develop consensus statements to support consistency and benchmarking of clinical practice to improve coordination of care for patients transitioning from FLS to primary care following an osteoporotic fracture. Methods: A Delphi technique was used to develop consensus among a panel of experts, including FLS clinicians (medical and non-medical), general practitioners (GPs), and consumers. Results: Results of a preparatory questionnaire (n = 33) informed the development of 34 statements for review by expert panellists over two Delphi rounds (n = 25 and n = 19, respectively). The majority of participants were from New South Wales (82%), employed as FLS clinicians (78.8%) and working in metropolitan centres (60.6%). Consensus was achieved for 24/34 statements in round one and 8/10 statements in round two. All statements concerning patient education, communication, and the GP-patient relationship achieved consensus. Expert opinions diverged in some areas of clinician roles and responsibilities and long-term monitoring and management recommendations. Conclusion: We found clear consensus among experts in many key areas of FLS integration with primary care. While experts agreed that primary care is the most appropriate setting for long-term osteoporosis care, overall confidence in primary care systems to achieve this was low. The role of (and responsibility for) adherence monitoring in a resource-limited setting remains to be defined. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|