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Optimizing osteoporosis care in a rural primary health care center: Findings of a research study aimed to support seniors.
MacIntyre, Janet; Drake, Patrice; Garland-Baird, Lisa; Loo, Janet; Nisbet, Mary; McClure, Carol.
Afiliação
  • MacIntyre J; Department of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
  • Drake P; Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
  • Garland-Baird L; University of Alberta, Edmonton, Alberta, Canada.
  • Loo J; Wellmed, Fort Myers, Florida.
  • Nisbet M; Health PEI, Charlottetown, Prince Edward Island, Canada.
  • McClure C; Health PEI, Charlottetown, Prince Edward Island, Canada.
Nurs Forum ; 54(4): 611-618, 2019 Oct.
Article em En | MEDLINE | ID: mdl-31506955
ABSTRACT

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:

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:

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:

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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 11_ODS3_cobertura_universal / 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Osteoporose / Atenção Primária à Saúde / Apoio Social Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Nurs Forum Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 11_ODS3_cobertura_universal / 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Osteoporose / Atenção Primária à Saúde / Apoio Social Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Nurs Forum Ano de publicação: 2019 Tipo de documento: Article