Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.
J Eval Clin Pract. 2010 Dec;16(6):1176-82. doi: 10.1111/j.1365-2753.2009.01289.x.
Early identification of high-risk patients by general practitioners (GPs) plays the key role in the management of osteoporosis (OP).
We conducted a postal questionnaire survey among 1500 Czech GPs to examine their behaviour related to OP.
The overall questionnaire return rate was 38%. The respondents (mean age 52 years; 61.5% women) did not differ from non-respondents. OP knowledge correlated negatively with age (P<0.001). The most common reason for both suspicion of OP and referral for suspected OP is the patient's complaints. When the initial skeletal examination for suspected OP is conducted on the GP's initiative, it is most often X-ray (76%) followed by osteodensitometry (61%). The respondents address five patients (median) per month about this issue. The number of referrals to a specialist for suspected OP during the last quarter was 5 (median). The most commonly reported barriers to OP management were financial limits set by the health insurance agency (71%) and lack of authorization to prescribe selected drugs (71%).
The GPs should pay greater attention to risk factors and be more active in the detection of at-risk patients. It is necessary to motivate the GPs and to overcome the barriers to effective clinical practice.
全科医生（GP）对高危患者的早期识别在骨质疏松症（OP）的管理中起着关键作用。
我们对 1500 名捷克全科医生进行了邮寄问卷调查，以调查他们与 OP 相关的行为。
总体问卷回收率为 38%。应答者（平均年龄 52 岁；61.5%为女性）与未应答者无差异。OP 知识与年龄呈负相关（P<0.001）。怀疑 OP 和转诊疑似 OP 的最常见原因是患者的抱怨。当 GP 主动进行疑似 OP 的初始骨骼检查时，最常见的是 X 射线（76%），其次是骨密度测定（61%）。应答者每月处理这个问题的患者数量为 5 人（中位数）。上一季度转诊疑似 OP 的患者人数为 5 人（中位数）。报告的 OP 管理障碍中最常见的是医疗保险机构设定的财务限制（71%）和缺乏开处方特定药物的授权（71%）。
GP 应更加关注危险因素，并更积极地发现高危患者。有必要激励 GP 并克服有效临床实践的障碍。
