Optimizing osteoporosis care in a rural primary health care center: Findings of a research study aimed to support seniors.
Journal
Nursing forum
ISSN: 1744-6198
Titre abrégé: Nurs Forum
Pays: United States
ID NLM: 0401006
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
pubmed:
12
9
2019
medline:
28
4
2020
entrez:
12
9
2019
Statut:
ppublish
Résumé
Osteoporosis is one of the most under-diagnosed and under-treated health conditions in Canada. This study questioned whether an invitation to self-refer for osteoporosis risk evaluation would improve the number of patients who were tested for bone mineral density (BMD) at a rural Primary Health Care Center (PHCC). The purpose of this study is to improve osteoporosis care and decrease bone fracture risk in a population of patients 65 years of age and older. A quasi-experimental research design was used to review screening rates of BMD testing and identified patients in this population who were at low, moderate, and high risk for developing osteoporosis. Screening rates at the PHCC were compared to screening rates at another rural PHCC in the province. The self-referral program for BMD testing and a nurse-led intervention resulted in an increased number of people who were BMD tested at the study PHCC compared with the control PHCC, and identified more male patients 65 years of age and older who were at risk for osteoporosis and bone fractures. Recommendations suggest future research in other provincial PHCCs that may encourage self-referral programs for BMD testing and improved osteoporosis care for patients 65 years of age and older.
Sections du résumé
BACKGROUND
BACKGROUND
Osteoporosis is one of the most under-diagnosed and under-treated health conditions in Canada. This study questioned whether an invitation to self-refer for osteoporosis risk evaluation would improve the number of patients who were tested for bone mineral density (BMD) at a rural Primary Health Care Center (PHCC).
PURPOSE
OBJECTIVE
The purpose of this study is to improve osteoporosis care and decrease bone fracture risk in a population of patients 65 years of age and older.
METHODOLOGY
METHODS
A quasi-experimental research design was used to review screening rates of BMD testing and identified patients in this population who were at low, moderate, and high risk for developing osteoporosis. Screening rates at the PHCC were compared to screening rates at another rural PHCC in the province.
CONCLUSION
CONCLUSIONS
The self-referral program for BMD testing and a nurse-led intervention resulted in an increased number of people who were BMD tested at the study PHCC compared with the control PHCC, and identified more male patients 65 years of age and older who were at risk for osteoporosis and bone fractures. Recommendations suggest future research in other provincial PHCCs that may encourage self-referral programs for BMD testing and improved osteoporosis care for patients 65 years of age and older.
Types de publication
Journal Article
Langues
eng
Pagination
611-618Informations de copyright
© 2019 Wiley Periodicals, Inc.